Every Resource You’ll Ever Need Is Right Here!

We want to make becoming a patient, as well as being a patient, as easy as possible! Below are all of the links, documents, and even instructions you need! If you do not see something here or do not understand it, give us a call or contact us!

Documents

Here’s all the main paperwork you might need!

New Patient Paperwork

Click below for the New Patient Paperwork for Adults, or the New Patient Pediatric Paperwork for kids!

New Patient Paperwork

New Patient Pediatric Paperwork

Record Release Form

If you need to request records from your previous physician, please fill this out and email it to keystonemedicine@gmail.com !

Records Release Form

 

Patient Responsibility and HIPAA

Coming in for a New Patient visit? Fill this out and bring it into the office only if you have not filled one out through your Patient Portal!

HIPAA and Patient Responsibilty

Charm Patient Portal

 

Your Patient Portal is the best way to do everything from contacting your doctor, scheduling appointments, and even ordering your supplements! Click the link below to login and call us if you need any help!

 

Schedule an Appointment

DENIED COVERAGE FOR YOUR NATUROPATHIC DOCTOR?

Complain to our state’s insurance authority!

Fight for your right to have the healthcare you need and deserve!

If you have been denied coverage for routine visits to your naturopathic doctor (ND), please do two things right away:

Sign and mail a pre-written postcard to the Governor (who oversees the insurance commissioner). Write in the name of your health insurer in the space left blank.

File a complaint documenting how you have been denied coverage for Essential Health Benefits (such as routine doctor) visits, as provided by your ND. This will take some additional time and effort but will provide our state’s insurance department with the specifics to investigate.

Here’s the link to do so:

www.covermynd.com

consumers@azinsurance.gov or call (602) 364-2499

Under the Affordable Care Act, your health insurance plan is supposed to cover naturopathic physicians in network – but not so in reality. Many insurers are unaware of this requirement, and many states – including ours – are not enforcing it. Thank you for taking action to ensure your right to have the services of your ND covered by insurance in network – just as those same services are covered in network when provided by MDs and DOs. Your voice is essential for insurance officials to hear! Preserve your right to have naturopathic care covered by insurance! Here are pre-written letters you can download and use to submit to your HR and Insurance Company.

Our Contact Information

 

Phone Number
(480) 535 – 5688
Facebook
Keystone Natural Family Medicine
Fax Number
(888) 866 – 6737
Twitter
@keystonemed
Email
keystonemedicine@gmail.com
Instagram
@keystonenaturalfamilymedicine