IHM: Purpose & Mission Statement

International Healing Ministries

Clymer Healing Center Naturopathic Services

Greenshire Arts
Consortium Creative Arts Community Outreach Services

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Medical History Forms:

Please choose the most appropriate form and complete it prior to your visit. You may complete it on-line, print it and bring to your visit. Alternatively, you may print the form and complete it in ink and bring it to your visit. If you are being asked to spend your time and effort completing this questionnaire, you deserve to know why we feel it is important. We believe in, and attempt to provide you with, personal and thorough health care. While this requires knowledge of medicine and compassion on our part, it also requires your participation and help. Although the questionnaire is long, the information is important; so please answer the questions as best you can.

Furthermore, this questionnaire is organized to serve as a learning tool for you. Some patients prefer to answer one or two questions in person rather than on paper; we can do that if you wish. Some of the items may not apply to your particular situation; just omit those sections. You may skip any question you do not wish to answer or are unable to answer. After it is completed, we recommend that you make a copy of the questionnaire for your personal use. We understand that completing this form is time consuming but we feel your health is well worth it.

Required Forms

Adult New Patient Medical History Intake Form	From ages 13+ years. This intake form is to be completed before the first visit. Take note that the end of the questionnaire includes a 7-day diet diary. Be sure to give yourself as much time as possible before your appointment to complete this diet intake. If time is not available, it may be completed after the initial visit to then be reviewed at a later date
Child New Patient Medical History Intake Form	From ages Newborn to 12 years. This intake form is to be completed before the first visit for a problem oriented child visit. Take note that the end of the questionnaire includes a 7-day diet diary. Be sure to give yourself as much time as possible before your appointment to complete this diet intake. If time is not available, it may be completed after the initial visit to then be reviewed at a later date.
Well Child New Patient Intake Form	From ages Newborn to 12 years. This intake form is to be completed before the first visit for a well child visit.

Last Updated on Monday, 01 August 2011 00:34

Other Required Forms

Other Required Forms:
Please complete these forms on-line, then print it and bring to your visit. Alternatively, you may print the form and complete it in ink and bring it to your visit. Please *sign* forms requiring your signature.
Click on the links below to choose each form:
Demographic Information Form	This forms provides us with phone, address, insurance information, emergency contacts, pharmacy and other physicians, etc.
Signature on File	This form is required by law for us to process your claims for services performed at our office.
HIPPA Permission for Release of Information	This form is mandatory by Federal Law to provide to you listing your privacy rights concerning your medical information. Please print the signature sheet that your received the notice, sign and bring to your office visit. Please read the Notice of Privacy Practices before filling out the form.
Medicare/Medigap Authorization Form	*For Medicare patients only. This form is mandatory by Federal* Law. Please complete and bring to the office @ your visit

Last Updated on Sunday, 30 October 2011 22:19

International Healing Ministries
A Non-Profit Organization (501(c)3)
for the Investigation and Implementation of God's Healing Gifts
Date: 07/01/2005

International Healing Ministries (IHM) is a non-profit organization that was formed January 1, 1999. It has several distinct but cooperative service entities including the Woodlands Healing Research Center, the Clymer Healing Center and the Greenshire Arts Consortium.

Woodlands is the "medical" pillar of IHM and provides integrated medical care by its medical and osteopathic physicians.

Clymer Healing Center is the naturopathic pillar of IHM. These healing services are currently provided by Andrew Neville, N.D. and assisted by Ricardo Galaz. Combined with Woodlands, the Clymer Healing Center provides comprehensive chiropractic and naturopathic healing care to our patients. They also offer shiatsu, massage therapy, Reiki, and healing touch as complementary therapies for comprehensive healing.

Greenshire is a holistic community center dedicated to awakening the best of the human spirit. All are invited to explore, strengthen and revitalize themselves in a safe, nurturing space while emphasizing the importance of “The Art of Living” through the creative arts, workshops, retreats and community outreach. Greenshire is a non-profit organization, maintaining the importance of positive living through the awareness of a healthy body, mind, spirit connection. We welcome people of all races, creeds and nationalities. Greenshire's co-directors are Arlene and Jim Curley.

IHM is dedicated to providing healing service to all who desire a more natural and holistic approach to their health. IHM offers an access program for the uninsured and complies with federal guidelines governing such care. In performing such charitable services, IHM has not received any private, federal or state grants or funds.

Mission Statement

International Healing Ministries (IHM) is a non-profit, non-denominational organization committed to utilizing nature’s healing methods for healing the entire person: body, mind and soul.
IHM is firmly committed to providing affordable quality health care with compassion and understanding that makes all true healing possible.
IHM is committed to investigating and researching natural healing therapies with observational data, clinical outcome analysis, randomized clinical trials and other practical research methods to accomplish this goal.

Philosophy of Patient Care

IHM performs its function in harmony with the healing tenets of the Church of Illumination that recognizes the value of “Nature’s Healing Agents” and “God’s Healing Gifts”
IHM’s healing philosophy is in complete harmony with the Hippocratic admonition to “First and foremost, do no harm.”
Performing such service embraces the practice of integrating conventional and complementary healing therapies to best serve the needs of the individual patient.

Non-Discrimination Policy

IHM will evaluate and offer treatment to any individual seeking its service regardless of age, gender, nationality, race, creed, religious affiliation or sexual orientation. It will serve, to the best of its ability, all who seek its service.