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Registering For Online Affiliate

Step 1: Provider Group Registration

The first step in gaining access to Kaiser Permanente’s Online-Affiliate tool for your Practice, Group, or Facility is the Completion of our Provider Entity Agreement* by an Owner, CEO, CFO, VP or other Executive. This agreement outlines the conditions and responsibilities that the owner must assume for any individual user who associates themselves with the Practice, Group or Facility.

Please Read, Sign and Return the Provider Entity Agreement to the following email:


Step 2: New User Registration

Once you have received "confirmation of receipt" of your entity agreement (via email from you may proceed with the user Registration process Step one of user Registration process*

Note: Receipt of Signed Provider Entity Agreement does not guarantee requests for Online Affiliate access will be granted

View Instructions* on how to complete User Registration.

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