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Corridor Primary Care Pediatrics 601B Leah Avenue San Marcos, TX 78666 Phone: (512) 3921700 Fax: (512) 3968743Patient Information Patient's Name: Gender: Male Female Race: African American White/Hispanic
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01
Obtain the new member form from the Kaiser website or visit a Kaiser location.
02
Fill out the personal information section, including the member's name, date of birth, and contact information.
03
Provide the necessary identification documents, such as a driver's license or passport.
04
Select the appropriate plan option based on the member's needs and eligibility.
05
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Review the completed form for accuracy and completeness.
07
Submit the form either online or in person at a Kaiser location.
08
Follow any additional steps or instructions provided by Kaiser to complete the new member enrollment process.

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Anyone who wants to become a member of Kaiser healthcare services can fill out the new member form.
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