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 along the way or to get started!
New Patient Paperwork
Click below for the New Patient Paperwork for Adults, or the New Patient Pediatric Paperwork for kids!
Record Release Form
If you need to request records from your previous physician, please fill this out and email it to keystonemedicine@gmail.com !
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
Our Contact Information
Phone Number
Mesa: (480) 535 – 5688
PHX: (623) 254 – 0760
Keystone Natural Family Medicine
Fax Number
(888) 866 – 6737
@keystonemed
keystonemedicine@gmail.com
@keystonenaturalfamilymedicine