New patients, please download the following forms and bring them with you to your first appointment.

New Patient Registration Packet 

Patient History Intake

If you would like Mon Health Primary Care, Core, to release your medical records, you must complete a medical release form. You may download the form and send it by mail or fax.

• Medical Record Release

If you are scheduled for an Annual Medicare Wellness Visit, please print and complete these forms:

• Your Wellness Visit Guide

• Health Screening


Mailing Address: 1929 Mason Dixon Highway, Core, WV 26529
Fax: 304.879.4105