Deborah Bickel, Sue Leonard, and Juan Soria have years of clinical experience and medical training that are put to use on your behalf. We don’t just provide information, we help you understand your important health and wellness options.

In the event of an illness or injury, finding an English-speaking physician may not be enough. While many physicians in the area do speak English, few are completely fluent and even fewer have an English speaking staff. We bring to our practice both fluency in Spanish, English and a professional understanding of both US and Mexican medical services, which can dramatically improve the quality of care you receive in Mexico.

It is important to note that medical practices can vary greatly from one country to another, and at times the medical culture of Mexico will be quite different than in the US or Canada. An example of this is that private practice physicians in Mexico are not required to keep patient records beyond the patient’s name and day of the visit. Having a fluent and medically capable advocate at such times will be critical to your continuity of care and your peace of mind. As with any visit to a physician or other health practitioner the right outcome will depend upon clear communication and understanding between patient and practitioner.

A short phone call will help us identify what your needs may be and is usually followed by an hour-long appointment to orient you to medicine, health and well-being in San Miguel de Allende.

We help you prepare for health emergencies, and also ensure that family and household help know what to do in an emergency situation.

In the event that you need urgent care or hospitalization while in Mexico we can:
• Meet you at the hospital or care facility
• Assist you in the admission process
• Remain at your bedside at key times during hospitalization
• Assist with discharge planning
• Provide post-operative medication advice
• Are actively involved in your health care as needed and desired.

We can, when needed, do thorough background research on your diagnosis and its treatment, ensure the fairness and accuracy of billing by medical providers and hospitals, and help you decide what medical insurance is best suited to your needs.

We provide health and medical education on the management of acute events, chronic conditions, and wellness care.

 Care Abroad
We help you determine if you can safely receive care locally, or need to seek care elsewhere in Mexico or abroad.

We can help you prepare for a meaningful consultation or treatment with your health care provider. This includes our reviewing in advance your medical history so that your health concerns can be communicated as fully and clearly as possible.


Advance Health Directives
We can help facilitate advance directives and end of life decisions. We often serve as the designated patient advocate for legal advanced directives and can assist in communication between the patient and concerned family members friends and community

We have an excellent bilingual assistant Kris Kegel who along with Juan Soria and Deborah Bickel can translate documents for use of clinicians in the north US establish as well as translations at the time of visits with Spanish speaking clinicians.

 Mediating and Communicating with Family and Friends
Often it is confusing for family members to try to decide what they can do for those injured or ill in Mexico. We are experienced at helping loved ones make appropriate and helpful decisions.

Understanding and reviewing your medication is vital to your overall health. We help you recognize and avoid potential side effects and drug interactions while organizing a system to simplify your medication schedule.

We are happy to arrange for transportation to and from your medical visits.

Our most cruel failure in how we treat the sick and the aged is the failure to recognize that they have priorities beyond merely being safe and living longer; that the chance to shape one’s story is essential to sustaining meaning in life; and that we have the opportunity to refashion our institutions, culture, and conversations to transform the possibilities for the last chapters of all of our lives. - Dr. Atul Gawande -

As members of your health care team, we are committed to the highest standards of professionalism and confidentiality. You may be absolutely confident that no personal information will ever be shared without your explicit permission.

Fees are based on the amount of time required for services and take into consideration local medical costs. A brief 10 minute free phone consultation in advance will help decide what your needs are. 

Fees are payable by US check, cash, or Paypal for an hour of our time. An initial evaluation and intake has an extra cost. As our fees are subject to change based on peso to dollar rates and other factors, please contact us for the most up to date information.

Payment is due at the time of service. For services exceeding an hour of our time, we reserve the right to ask for payment in advance.

We also offer an annual retainer at a set fee. For those needing more service and those who want to create medical directive, this option can save money over the year. Ask us about it!

We also provide Skype sessions as a slightly reduced cost.

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  • Monday

    By appointment only

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  • August 12, 2020 4:45 am local time


+52 415 115 7815

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