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Kern Family Health Care
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Request New ID Card

You may request a new ID card if you have lost yours by filling out the requested form below completely. After filling out the entire form click the SUBMIT button After submitting your request you should receive your card within seven business days.

 

Member I.D. Number
(KFHC or CIN)
First Name
M.I.
Last Name
Date of Birth
Member Address
City
State
Zip
Phone Number
Person requesting card
(if other than member)
Relationship to Member Self Mother Father Grandparent Guardian Other: