Ca orange county area 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your legal first name, middle name, and last name in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in your current address, including city, state, and zip code. If you have a Permanente address, provide that information as well.
4. Indicate your gender by selecting either Male or Female. Then, enter your email address and cell phone number for communication purposes.
5. Select which year of medical school you will be in during the rotation period. Specify the rotation dates requested along with your preferred field of medicine.
6. Complete the Medical School Information section with your school’s name, address, start date, and anticipated graduation date.
7. Answer additional questions regarding previous Kaiser Permanente experience and language fluency. Be sure to check any required documents that need to be attached before submission.

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