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Natural Health Consultation

Policies & Procedures

To serve our clients better, please review the following policies and procedures of Hill Country Health Store. We welcome and invite you to experience one or more of our services.

Please read this in entirety, initial and sign. We also respectfully request you fill out our intake forms in completion. The information we request is for our records only. We do occasionally send out emails with information or specials. If you do not wish to receive these, simply check no at the bottom of the form. We do not share your information with anyone, and partially completed forms cannot be accepted.

We offer services by appointment only and make every effort to provide enough time for each service and ask that you arrive on time for your treatment. Treatment times may vary slightly from the times indicated on the menu. Our policy is to provide the treatment during the time allotted, therefore late arrivals will be given the time remaining and the normal fee will be unchanged.Further, we ask that all cancellations or reschedules be done 24 hours prior to your appointment. Please add your appointments to your personal calendar. Should any conflict come up with your pre-booked appointment (Dr. appointments, childcare, hair care, etc.) please notify us in advance.


Pricing and services available are subject to change without notice. Please visit our website at www.hillcountryhealthstore.com for the most current information.

We reserve the right to ensure the comfort of our clients, and therefore reserve the right to refuse service for improper behavior. In such cases, services will be terminated, client will be asked to leave and payment in full is expected.


I understand that the services and research programs do not diagnose or prescribe for disease conditions. All clients are encouraged to seek competent medical help when those services are deemed necessary. A client accepts total responsibility for their own health care.


Nothing said, done, performed, typed, printed or produced by us is intended or meant to diagnose, prescribe, treat a disease or take the place of a licensed physician. Our education research program may include but are not limited to metabolic typing, elimination of harmful lifestyles and habits, cultivation of positive mental attitudes, deep muscle and soft tissue maneuvers, foot reflexology and bio-kinesiology (muscle response testing). All the modalities are designed Soley to enhance physical fitness, mental attitudes, good nutrition and an appreciation of the internal environment.


We do not diagnose or make any attempt to cure any disease condition, and we make no claims or imply any claims that suggestions given to the client are to cure any condition. Furthermore, we do not claim that any supplemental material we may suggest will cure any condition or that its purpose is to treat any condition. In essence, we do not prescribe for or treat any disease.


Nutritional research assessments and suggestions are intended for the support and maintenance of optimal health and does not involve diagnosing, prognosticating or prescribing of food, supplements or remedies for the treatment of disease conditions.


Any exercises, soft tissue pressure or movements demonstrated on the body of a client are things which the client can do himself in the privacy of his own home. Demonstrations for soft tissue tone or circulatory/lymphatic enhancement of the vital life forces that sustain and maintain greater fitness levels are not to be construed as treatment for disease conditions.


I have read the above and understand and agree completely with it. I therefore consent to participate with the staff at Hill Country Health Store in research programs and attached service within the framework stated above.

Date: December 5, 2025

First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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