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

  • Ajijic, Mx:(376) 766-0395
  • Puerto Vallarta, Mx: (322)-308-0022
  • Mazatlan: (669)-226-0507
  • Merida: (999)-316-7025
  • Cabo San Lucas: (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.
Insurance Card Front
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(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
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(Back of Card) Please scan or take a picture of the back of your insurance card and upload it here.

First Name(*)
Please type your full name.

Last Name(*)
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E-mail(*)
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Phone(*)
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Insurance Carrier(*)
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Policy/Member ID(*)
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Policy Number or Member ID

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

Other policy Information
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Address in Mexico
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How should we contact you?

Are you a Human?(*)
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