Inclusion Criteria:  Age 65 or greater Diagnosis of dementia from International Classification of Diseases (ICD) -9 or ICD-10 codes At least one other chronic condition Five or more chronic medications (to include all prescription and over-the-counter medications, both scheduled and as needed) Have a primary care physician at the pilot clinic who has enrolled in the study; this will be defined as having had at least 1 previous visit with that physician  Care partners:  - Family or other companions age 21 years or greater who regularly help the patient with managing medications  Exclusion Criteria:  As both the pilot and the planned pragmatic trial will be based in primary care, individuals residing in long term care facilities or enrolled in hospice will be excluded. Individuals who cannot converse comfortably in English will be excluded because the FCMAHS has not been validated in other languages.