The following form is intended to send general inquiries and comments to MHNI, such as requests for educational materials, further information about our services or general comments on our website.  It should not be used to submit medical questions to MHNI.

Your needs may be better met by using one of our secure contact forms:

• If you are interested in becoming a patient of MHNI, please use the New Patient Headache/Pain Contact Request Form
• If you are a physician or physicians’ office who would like to refer a patient to MHNI, please use the New Patient Referral Contact Request Form
• If you are already an established MHNI patient who would like to schedule an appointment, please use the Return Appointment Contact Request Form
• If you are interested in participating in a research study at MHNI, please complete a Research Study Application
• If you have an issue with billing at MHNI, please Contact the MHNI Billing Department

Or you may wish to:

• Submit a Patient Testimonial regarding your experience as a patient at MHNI
• Contact the Medical Records Department
• Contact the CE Coordinator regarding medical or pharmacy continuing education programs