What is Wi Family Medical and how can it benefit my practice?

Wi Family Medical is a comprehensive solution designed to streamline patient management and enhance communication within medical practices. By integrating features such as appointment scheduling and electronic medical records, Wi Family Medical helps improve efficiency and patient satisfaction, ultimately leading to better health outcomes.

How much does Wi Family Medical cost?

Wi Family Medical offers a variety of pricing plans tailored to meet the needs of different practices. Whether you're a small clinic or a larger healthcare facility, you can find a plan that fits your budget while providing essential features to manage your practice effectively.

What features does Wi Family Medical include?

Wi Family Medical includes a robust set of features such as electronic health record management, telemedicine capabilities, and customizable patient forms. These tools are designed to enhance the patient experience and streamline administrative tasks, making it easier for healthcare providers to focus on delivering quality care.

Can Wi Family Medical integrate with other healthcare systems?

Yes, Wi Family Medical is designed to seamlessly integrate with various healthcare systems and applications. This interoperability ensures that your practice can maintain existing workflows while benefiting from the advanced features offered by Wi Family Medical.

Is Wi Family Medical suitable for small practices?

Absolutely! Wi Family Medical is an ideal choice for small practices looking to optimize their operations without breaking the bank. Its user-friendly interface and affordable pricing make it accessible for healthcare providers of all sizes, ensuring that even small practices can benefit from advanced medical management tools.

How does Wi Family Medical improve patient engagement?

Wi Family Medical enhances patient engagement through features like patient portals and automated reminders. These tools empower patients to take an active role in their healthcare, leading to improved communication and better adherence to treatment plans.

What kind of support does Wi Family Medical offer?

Wi Family Medical provides comprehensive support to all users, including access to a knowledge base, tutorials, and customer service representatives. This ensures that you can quickly resolve any issues and maximize the benefits of the platform for your practice.

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STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use Please print or type Family Medical History Questionnaire Case No. Petitioner: -VS- Respondent: (Parent with sole legal custody completes this section only.) The children subject to the custody order in this case are: Name Date of Birth Name and Address of Child's Primary Physician Parent without legal custody must complete the following medical history questionnaire. The purpose is to record any known medical conditions and medical history information that may affect your child(ren). This information can then be used to diagnose and treat your child(ren) in the future if that becomes necessary. The information must be specific as to you, your parents, your brothers and sisters, and the brothers or sisters of any child(ren) subject to this order. This is a confidential medical history document: The physician or health care provider will retain and release the information in a confidential manner in accordance with statutory requirements. This information is needed for the possible health and safety of your child! Please be accurate and complete. Medical Condition No Do Not Know Yes Comments: Who (what is the relationship of the person with the condition to the child; for example, mother, maternal aunt, paternal grandfather, etc.), when did it occur, specific diagnoses and treatment (attach extra explanation, if needed) 1. Visual problems, glaucoma, lazy eye, cataracts, blindness 2. Hearing problems, deafness, speech problems 3. Dental problems, extra or missing teeth, cleft palate or lip 4. Learning or emotional disability, mental retardation, attention deficit disorder 5. Mental illness, depression, mania 6. Frequent headaches (tension, migraine), hydrocephalus 7. Skin problems, birthmarks, eczema, acne, different colored patches of hair or skin 8. Bleeding problems, hemophilia, sickle cell anemia 9. Heart attack, stroke, high blood pressure 10. Bone defect, open spine, spinal curvature, arthritis 11. Muscle weakness, hernias FA-608 , 05/01 Family Medical History Questionnaire §§767.24(7m), 767.51(6), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Family Medical History Questionnaire Page 2 of 2 Case No. Medical Condition No Do Not Know Yes Comments: Who (what is the relationship of the person with the condition to the child; for example, mother, maternal aunt, paternal grandfather, etc.), when did it occur, specific diagnoses and treatment (attach extra explanation, if needed) 12. Cancer (type, site, age) 13. Birth defects: Downs, Cystic Fibrosis, Huntington's Chorea, cerebral palsy, muscular dystrophy, others 14. Nerve-muscle disorder, multiple sclerosis, myasthenia gravis 15. Seizure disorder 16 Diabetes (juvenile or adult, insulin or noninsulin) 17. Thyroid disorder, other hormone disorder, dwarfism 18. Breathing problems, asthma, emphysema, tuberculosis, allergies 19. Medical or food allergies 20. Kidney or liver problems, hepatitis B or C carrier 21. Chemical dependency - alcohol, tobacco, other substances 22. Stomach problems, ulcer, reflux 23. Weight problems, obesity, anorexia 24. Hand or feet abnormalities, club foot, webbed, extra or missing fingers or toes 25. Miscarriages or stillbirths (number and cause, if known) 26. Multiple births (identical or nonidentical), infertility 27. HIV infection (only if parent of child) 28. AIDS (only if parent of child) 29. Other health problems or concerns 30. During the past year I have not had a medical examination. I have had a medical examination. Explain when, by whom, for what complaints, results of exam, medications or other treatment and present status or condition I certify that the information provided is true, correct and complete to the best of my knowledge, information and belief. Signature Name Printed or Typed Date FA-608 , 05/01 Family Medical History Questionnaire §§767.24(7m), 767.51(6), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2

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