Start here
Your first visit, in four steps
One page, no jargon. You can read it in two minutes.
1. Write or call
Tell us when you are free. Leave out medical details; they are for the visit.
2. Get the estimate
We send the written estimate and a few forms before your first visit, each with a note on what it is for.
How fees work3. Come for 60 minutes
In our Bismarck office, or by video if you are in North Dakota. Ghada listens first and explains her choices.
4. Choose the next step
You decide together what, if anything, to start, and when the next visit will be.

What to have ready
None of this is required to write to us.
A list of what you take
Medicines, vitamins and supplements, with doses if you know them.
Your pharmacy
The name and town of the pharmacy you use now.
A few questions
Write down what you want to ask. Visits are short, and a list helps.
If you need help sooner
When to call us, and when to call 988
Mend is not an emergency service. Use the number that fits.
Call Mend
For questions about a visit, a bill or a prescription, during office hours. A voicemail left outside them is returned on the next business day.
Call (701) 555-0102Booking or changing a visit
A question about your medicine
A bill or a receipt
Call or text 988
If you are in crisis, thinking about ending your life or worried about someone who is. Free, any time, and you do not need to be a patient.
Call 988Thoughts of suicide or self-harm
A crisis that cannot wait for an appointment
Worry about someone else
Call 911
If there is danger right now, or a medical emergency such as a possible overdose.
Call 911Danger to yourself or someone else now
A possible overdose
A medical emergency
Ready to start?
Write to us, or call during office hours. We reply within one business day.