Registration - Lakeside Medical Group

Monday - Saturday - 9:00 - 16:00

info@lakemedicalgroup.com

Registration

HealthCare

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

Member Registration



Our membership spots are almost filled to capacity in most areas in Mexico. Currently we are accepting new registrations for membership however your registration will be put on a wait list. In order to provide the highest of medical standards meeting the AMA (American Medical Association) Standards of Care we can only accept a limited number of memberships in each area of Mexico. 

 

As spots open up in your specific area we will let you know when a spot is available for you. The current wait list time is approximately 4 to 6 weeks. Wait List entries are entered on a first come-first served basis. Thank you for your understanding

 

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.



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?

Invalid Input
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
Are You Human?*
Are You Human?

Invalid Input