Before Your First Visit

New Patient Forms

Completing your registration in advance allows Dr. Bonilla’s team to review your child’s information before the appointment, making the first visit more focused and efficient.

Recommended
Online Registration Form
Fill out the registration form directly in your browser. Your submission is sent securely to Dr. Bonilla’s team the moment you click submit — nothing to print or mail.
Online new patient registration form shown on a computer screen
Complete Online Form
Secure & encrypted  ·  Submits instantly
Print & Bring
Print Registration Form
Prefer paper? Download and print the registration form, complete it by hand, and bring the filled form to your appointment at the office.
Print registration form on a clipboard next to a printer
Download Print Form
Print & complete by hand  ·  Bring to appointment
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Questions about the forms?
For questions about the forms, contact Dr. Bonilla’s office by phone or email. Call (210) 477-3277 or email info@microtia.net. Spanish-language assistance is always available.
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