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Get Fax Number For Triggering Dicuments Kaiser Form
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How to fill out the Fax Number For Triggering Documents Kaiser Form online
This guide provides essential instructions on how to complete the Fax Number For Triggering Documents Kaiser Form online. By following these steps, users can ensure that they submit their form accurately and effectively, supporting their enrollment process.
Follow the steps to complete your form correctly.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering your first name, middle name, last name, and gender in the applicant information section. Ensure that the date of birth is entered in the format mm/dd/yyyy.
- Provide your Social Security number and any online application ID number if you applied online. Fill in your complete street address, including city, state, and ZIP code.
- Next, enter your phone number. If applicable, list the name of a parent or guardian, as well as the name of your broker if you are working with one.
- Proceed to the triggering event information section. Clearly state your triggering event and the date it occurred, again using the mm/dd/yyyy format.
- In the triggering event documentation section, review the documentation requirements for your specific event. Check the boxes corresponding to your triggering event and the documentation you are submitting.
- Ensure all information is accurate and complete. Review your form, making any necessary updates before finalizing.
- Once you are satisfied with the form, save your changes. You can then download, print, or share the form as needed.
Complete your documents online to ensure a smooth enrollment process.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096.
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