INSTRUCTIONS:

1. Go to: https://mendintegrative.md-hq.com/
2. Click on NEW PATIENT REGISTRATION near the bottom
3. Complete registration, sign, and click SIGN ME UP   (you are not done – please keep reading!)
4. Then, use your login credentials to LOGIN to your portal
5. Once logged in, go to FORMS & QUESTIONNAIRES on right column
6.  On this page, please look closely at the HEADERS – you only need to complete forms applicable to the service you are schedule for. These forms can take some time to complete, so please plan accordingly.
   • • • For FUNCTIONAL MEDICINE:
         • • Please complete all 5 questionnaires: Family history, Medical History, Medical Symptom, Readiness, and Social History
           • You will also need to sign FM Informed Consent. If applicable, please also sign the telemedicine consent form and the Medicare contract (if on Medicare).
       • For NUTRITION CONSULT: Scroll 3/4 of way down to view Nutrition Consult Header.
         • • Please complete 4 questionnaires under this header: Medical History, Social History, Readiness, and Food Survey.
           • You will also need to sign Informed Consent for Nutrition Therapy Consultations.
           • Please note: if you have already completed these forms for other services you have received, you do not need to complete them again UNLESS it has been longer than 6 months since you originally completed them. Please check the date below the form that says “last completed on _____”
       • For MENTAL HEALTH COUNSELING: Scroll to bottom  of page to view Mental Health Counseling Forms Header.
         • • Please complete 2 questionnaires under this header: Medical History & Social History.
           • You will also need to sign Mental Health Counseling Informed Consent.
           • Please note: if you have already completed these forms for other services you have received, you do not need to complete them again UNLESS it has been longer than 6 months since you originally completed them. Please check the date below the form that says “last completed on _____”
7. Before leaving this page, please make sure all required forms are completed and SUBMITTED. Forms that are submitted will show “Last completed on ____ date” underneath the form
   • • • IF YOU DO NOT SEE THIS: Your forms were likely SAVED but not SUBMITTED.  Reopen the forms, scroll to the bottom of each form, and hit the SUBMIT button. 
8. After forms are complete, please go back to the right menu column and complete “MY MEDICATIONS” and “MY SUPPLEMENTS” tabs to include all current medications and supplements. If your supplement list is extensive, you may bring a list with you to your appointment instead; but please ensure all medications are added prior to appointment. 
9. If you have had recent labwork (in the last 6 to 12 months) or important labs you’d like the provider to review, please upload them in the DOCUMENTS section.
10. Thank you for taking the time to complete your forms. This will increase the efficiency of your upcoming appointment!