Monday - Saturday - 9:00 - 16:00 - info@lakemedicalgroup.com

  • Ajijic, Mx:(376) 766-0395
  • Puerto Vallarta, Mx: (322)-308-0022
  • Mazatlán: (669)-226-0507
  • Mérida: (999)-316-7025
  • Cabo San Lucas / La Paz / Loreto: (624)-980-0503

Registration

HealthCare

The finest in managed health care in Mexico. Use your US and Canada insurance in Mexico

Lakeside Medical Member Registration

Use the form below to register as a member with Lakeside Medical Group. All information will be handled confidentially within a HIPPA compliant system. There are no costs to join Lakeside Medical Group. As a member you would have access to our entire hospital and doctor network in Mexico. However your benefits and coverage with us are based on the policy benefits of your existing US or Canadian medical insurance or health plan.

Patient members of our medical group are not responsible for deductibles or co-insurance.

Insurance Card Front
Invalid Input

(Front of Card) For your convenience and faster processing, please scan or take a picture of the front of your insurance card and upload it here.

Insurance Card Back
Invalid Input

(Back of Card) Please scan or take a picture of the back of your insurance card and upload it here.

Gov Issued ID Front
Invalid Input

Gov Issued ID Back
Invalid Input

First Name(*)
Please type your full name.

Last Name(*)
Invalid Input

E-mail(*)
Invalid email address.

Phone(*)
Invalid Input

Insurance Carrier(*)
Invalid Input

Policy/Member ID(*)
Invalid Input

Policy Number or Member ID

Date of Birth(*)
Invalid Input

Please click the calendar icon and then click the Month/Year to easily enter your birth month and year

Other policy Information
Invalid Input

Address in Mexico
Invalid Input

How should we contact you?

Are you a Human?(*)
Invalid Input