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![/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Our Services” _builder_version=”4.19.4″ custom_padding=”50px|0px|50px|0px|false|false” saved_tabs=”all” global_colors_info=”{}”][et_pb_row admin_label=”Title Row” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Title” _builder_version=”4.19.4″ text_font=”Ubuntu||||||||” text_font_size=”16px” text_line_height=”1.8em” header_font=”||||||||” header_2_font=”Montserrat|700|||||||” header_2_font_size=”40px” header_2_line_height=”1.4em” text_orientation=”center” max_width=”601px” module_alignment=”center” global_colors_info=”{}”]
Documents
Here’s all the main paperwork you might need along the way or to get started!
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ make_equal=”on” admin_label=”Services” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”New Patient Paperwork” admin_label=”Service” _builder_version=”4.16″ header_font=”Montserrat|600|||||||” header_text_align=”center” header_font_size=”20px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.7)” body_font_size=”17px” body_line_height=”1.8em” background_color=”#1fb6ea” background_image=”https://cade1d.p3cdn1.secureserver.net/wp-content/uploads/2020/09/Screen-Shot-2020-09-29-at-9.26.28-AM-1.png” background_layout=”dark” custom_padding=”60px|30px|60px|40px” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”10%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]Click below for the New Patient Paperwork for Adults, or the New Patient Pediatric Paperwork for kids!New Patient Pediatric Paperwork[/et_pb_blurb][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Record Release Form” admin_label=”Service” _builder_version=”4.16″ header_font=”Montserrat|600|||||||” header_text_align=”center” header_font_size=”20px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.7)” body_font_size=”17px” body_line_height=”1.8em” background_color=”#3644AF” background_image=”https://cade1d.p3cdn1.secureserver.net/wp-content/uploads/2020/09/Screen-Shot-2020-09-29-at-9.26.28-AM-1.png” background_layout=”dark” custom_padding=”60px|30px|60px|40px” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”10%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]If you need to request records from your previous physician, please fill this out and email it to keystonemedicine@gmail.com !
[/et_pb_blurb][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Patient Responsibility and HIPAA” admin_label=”Service” _builder_version=”4.16″ header_font=”Montserrat|600|||||||” header_text_align=”center” header_font_size=”19px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.7)” body_font_size=”16px” body_line_height=”1.8em” background_image=”https://cade1d.p3cdn1.secureserver.net/wp-content/uploads/2020/09/Screen-Shot-2020-09-29-at-9.26.28-AM-1.png” background_layout=”dark” custom_margin=”0px||0px” custom_padding=”60px|30px|74px|40px” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”10%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]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
[/et_pb_blurb][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Web Design CTA” _builder_version=”4.16″ custom_padding=”6px|0px|0px|0px|false|false” box_shadow_style=”preset7″ box_shadow_horizontal=”0px” box_shadow_vertical=”-20px” box_shadow_color=”#f3f5f9″ global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ custom_padding_last_edited=”off|desktop” admin_label=”Contents” _builder_version=”4.16″ width=”100%” max_width=”100%” custom_margin=”|||” custom_padding=”||0||false|false” custom_padding_tablet=”|||10%” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”||60px|10%” custom_padding_tablet=”|10%||10%” custom_padding_phone=”” custom_padding_last_edited=”on|tablet” global_colors_info=”{}” padding_tablet=”|10%||10%” padding_last_edited=”on|tablet” custom_padding__hover=”|||” padding_phone=”|10%||10%”][et_pb_text admin_label=”Title” _builder_version=”4.19.4″ text_font=”Ubuntu||||||||” text_font_size=”13px” text_line_height=”0em” header_font=”||||||||” header_2_font=”Montserrat|700|||||||” header_2_font_size=”40px” header_2_line_height=”1.1em” max_width=”500px” module_alignment=”left” custom_margin=”|||” locked=”off” global_colors_info=”{}”]
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!
[/et_pb_text][et_pb_button button_url=”https://phr.charmtracker.com/login.sas” button_text=”Patient Portal Login” button_alignment=”left” admin_label=”Button” _builder_version=”4.16″ custom_button=”on” button_text_size=”16px” button_text_color=”#ffffff” button_bg_color=”#3644af” button_bg_image=”https://cade1d.p3cdn1.secureserver.net/wp-content/uploads/2020/09/Screen-Shot-2020-09-29-at-9.26.28-AM-1.png” button_border_width=”0px” button_border_radius=”5px” button_letter_spacing=”2px” button_font=”Ubuntu|||on|||||” button_use_icon=”off” background_layout=”dark” custom_margin=”|||” custom_padding=”14px|28px|14px|28px” button_text_color_hover=”#ffffff” button_letter_spacing_hover=”2px” button_bg_color_hover=”#2a3443″ locked=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”on” button_text_color__hover=”#ffffff” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”2px” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”on” button_bg_color__hover=”#2a3443″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_button][/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https://cade1d.p3cdn1.secureserver.net/wp-content/uploads/2020/09/Screen-Shot-2020-09-29-at-11.54.30-AM.png” align_tablet=”center” align_phone=”” align_last_edited=”on|desktop” _builder_version=”4.16″ custom_margin=”-26px||0px|||” global_colors_info=”{}”][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Web Design CTA” _builder_version=”4.16″ background_color=”#f2f2f2″ background_position=”top_left” custom_padding=”55px|0px|0px|0px|false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ custom_padding=”29px|0px|0|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”||||||||” text_font_size=”1px” text_orientation=”center” inline_fonts=”Montserrat” global_colors_info=”{}”]Schedule an Appointment[/et_pb_text][et_pb_code _builder_version=”4.16″ text_orientation=”center” global_colors_info=”{}”][/et_pb_code][et_pb_code _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_code][et_pb_text _builder_version=”4.16″ global_colors_info=”{}”][/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Work Process Section” _builder_version=”4.16″ background_color=”#545454″ custom_padding=”116px|0px|100px|0px|false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Montserrat|700|||||||” text_text_color=”#ffffff” text_orientation=”center” inline_fonts=”Montserrat” global_colors_info=”{}”]
Our Contact Information
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure=”1_3,1_3,1_3″ admin_label=”Work Process” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Phone Number” admin_label=”Step” _builder_version=”4.16″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_font_size=”25px” body_line_height=”0em” text_orientation=”center” custom_margin=”||24px|||” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_intensity_slide=”20%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]
Mesa: (480) 535 – 5688
PHX: (623) 254 – 0760
[/et_pb_blurb][et_pb_blurb title=”Facebook” admin_label=”Step” _builder_version=”4.16″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_line_height=”1.8em” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_delay=”300ms” animation_intensity_slide=”20%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]Keystone Natural Family Medicine[/et_pb_blurb][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Fax Number” admin_label=”Step” _builder_version=”4.16″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_font_size=”25px” body_line_height=”1.8em” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_delay=”100ms” animation_intensity_slide=”20%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”](888) 866 – 6737[/et_pb_blurb][et_pb_blurb title=”Twitter” admin_label=”Step” _builder_version=”4.16″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_line_height=”1.8em” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_delay=”300ms” animation_intensity_slide=”20%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]@keystonemed[/et_pb_blurb][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Email” admin_label=”Step” _builder_version=”4.19.4″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_font_size=”24px” body_line_height=”1.8em” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_delay=”200ms” animation_intensity_slide=”20%” animation=”off” body_font_size_tablet=”24px” body_font_size_phone=”23px” body_font_size_last_edited=”on|phone” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]
keystonemedicine@gmail.com
[/et_pb_blurb][et_pb_blurb title=”Instagram” admin_label=”Step” _builder_version=”4.16″ header_level=”h6″ header_font=”Ubuntu|600|||||||” header_text_align=”center” header_text_color=”#ffffff” header_font_size=”30px” header_line_height=”1.7em” body_font=”Ubuntu||||||||” body_text_align=”center” body_text_color=”rgba(255,255,255,0.5)” body_line_height=”1.8em” custom_padding=”|||” animation_style=”slide” animation_direction=”bottom” animation_delay=”300ms” animation_intensity_slide=”20%” animation=”off” border_radii=”on|5px|5px|5px|5px” global_colors_info=”{}”]@keystonenaturalfamilymedicine[/et_pb_blurb][/et_pb_column][/et_pb_row][/et_pb_section]