New Patient Forms

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We are happy you found us and we are looking forward to assisting you with achieving your goals for improving your health. In preparation for our work together there will be quite a few forms you will need to fill out. This is because we are a functional medical practice and as such we care and inquire about all aspects of your life so our initial patient paperwork takes a time frame of 30-45 minutes to complete. Therefore, we require that our new patients fill out their paperwork prior to arriving for their appointment time. If you forget and have to fill them out in our office, this will count toward your office visit time which is not what we or you want. If it is more convenient for you, we invite you to fax them to us the day before your appointment at: 512-327-4958.

Also, as you may be aware, the government is interfering increasingly in the world of natural health care. Our doctors work under ecclesiastical jurisdiction jointly and severally as The Hills Medical Group and as licensed doctors of pastoral medicine with the Pastoral Medical Association (PMA). This protection allows you the freedom to choose natural health care services and allows us to be better able to serve you. PMA regulations require that all prospective clients review and sign the PMA Consent form before providing services. This form protects your right to seek pastoral health care services, spiritual ministries and holistic medicine as well as our right to provide them to you.

This PMA form must be received in our office before your first appointment.

For your convenience you can complete the form online at the link below. Note that on the bottom of the form you will need to insert the name of the doctor you are seeing and their email address so that our office will be notified after you complete the form. Please be sure to insert the following information:

Practitioner Name: The Hills Medical Group
Practitioner email address: office@poweraging.com

Click here to complete the Consent form

Please contact us at (512) 327-4886 if you have any questions or need assistance filling out a form(s). Thank you.

Adult Forms

(Required for adults for Dr. Edwards, Dr. Moore and Dr. Beim)

• Registration Form

Pediatric Forms

(Required for children for Dr. Moore)

• Pediatric Form
• Family History Form

Developmental Delay Forms

(Required for DD patients for Dr. Moore)

• Developmental Delay Form
• Pediatric Form
• Family History Form

Naturopathic Forms

(Required for Dr. Beim – also complete the Adult Forms above)

• New Client Profile
• Lifestyles Questions
• Stress Questionnaire
• Symptom History
• Disclosure Statement

Clinical Thermography Forms

• General Exam Preparation
• Clinical Thermography Form

Order Forms

• Custom Hormone Crème