Please use this link for New MHW Patient Info and Registration.
If this link is temporarily unavailable then please use this paper copy version:
New Patient Paperwork
If we need past medical information from your previous medical providers, please fill out the Release of Medical Information Form here and bring it to the first office visit.
**We may decline to renew any controlled substances at your first appointment as that is our clinic policy.**
If you are in need of controlled substances and we agree to prescribe to you, you will be asked to review and sign this form. MHW Controlled Substance Agreement
ALL FamilyCare patients requiring chronic pain medication will be enrolled into the Quest Integrative WISH Program.
All of our providers like to limit the use of opioid pain medication and benzodiazepines due to the overwhelmingly negative side effects of long term use.
IUD Consent Form
Advance Directive, POLST, End of Life Planning
Useful Patient Symptom Forms – Institute For Functional Medicine
- MHW Hormone Questionnaire
- MHW Digestive (gut) Wellness Questionnaire
- Toxicity Questionnaire
- Functional-Medicine-All Body Symptom Questionnaire
Useful Patient Dietary Info