Patient Information

Patient Information

At Mansilla Medical, we take pride in making sure that you feel welcome and cared for.  We treat you in the most professional and holistic manner—whether you’re a new or a long-time patient. Our patients matter to us.

Access your personal health care information through our patient portal. Here you have access to your health care provider visits, test results, billing, prescriptions, and more.

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What to Expect

Patient Portal

Please make sure to arrive 20 minutes early in order to fill out patient forms. In order to expedite your visit, we encourage you to sign up for our convenient patient portal ahead of your visit in order to complete your patient intake forms. 

 

Please also bring the following with you:

  • Valid Picture ID
  • Medical Health Insurance Card
  • A list of current prescriptions including any over the counter medications
  • Medical History
  • Form of Payment (cash, check, credit cards)

Patient Forms

Office Policies

Patient Information and Consent (PDF) - This form registers new patients, advises patients to their complete financial responsibility for all medical services received, as well as providing Mansilla Medical with your consent to receive treatment.
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of Mansilla Medical) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.

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Major Insurances Accepted

Major Insurances Accepted

• Aetna
• Anthem
• Anthem Healthkeepers Plus
• Carefirst
• Cigna
• Coventry/First Health
• Multiplan/PHCS/NCCPO/Beech Street
• Medicaid
• Medicare
• Tricare North
• If you do not see your insurance listed, please contact our front desk for further help.