If you are already an established MHNI patient and would like to contact your physician, please submit the following secure form. A nurse will call you within 1-2 business days during normal MHNI business hours (8:00 a.m. to 5:00 p.m., Monday through Friday) to discuss your issue. Fields marked with an * are required.

Due to the estimated 24-48 hour response time, please do not use this form for urgent matters or medical emergencies. If you are experiencing a medical emergency, please go to your nearest emergency department.

Before utilizing this, please review the following to determine if an alternative form needs to be completed:

• If you are an established patient who needs to schedule an appointment at MHNI, please use the Return Appointment Contact Request Form to contact an Appointment Scheduler

• If you have never been seen at MHNI and wish to schedule an appointment, please use the New Patient Headache/Pain Contact Request Form

• Contact the Billing Department if your issue regards billing or payment

• Contact the Medical Records Department if you need to request medical records be sent