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Healthy together Care and coverage that fits your life Kaiser Permanent for Individuals and Familiesbuykp.org2018 Enrollment×CaliforniaWelcome to care that fits your lifelong doctor, your choice Choose
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Start by writing the name of the patient at the top of the form.
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Provide the patient's contact information, including phone number and address.
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Indicate the patient's date of birth and gender.
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Specify the primary caregiver's name and contact details.
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Fill in the patient's medical history, including any previous illnesses, surgeries, or medications.
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Provide information about the patient's current health conditions and any ongoing treatments.
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If applicable, include the patient's insurance details and coverage information.
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Finally, review the filled-out form for accuracy and completeness before submitting it.

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Welcome to Care form is required for individuals who are seeking medical or healthcare services.
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