Registering For Online Affiliate (Non Emory Users)
Activate Emory user accounts
Emory users, please follow the established Emory Lotus Notes access request process and if you have any questions contact your Emory administrator
Step 1: New 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.
Unsure whether we have an agreement on file for your provider group?
You may verify by sending your group name and Tax ID to your regional representative at the email address below. Someone will respond to confirm if we have an agreement on file.
Please Read, Sign and Return the Provider Entity Agreement to the following email:
***DO NOT PROCEED UNTIL STEP 1 IS COMPLETE***
Step 2: New User Registration
Once you have received a confirmation email from KP-GA-OnlineAffiliate@kp.org for your Provider Entity Agreement, you may proceed with the with the New 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 the User Registration Process*
View bulk user registration guide* for designated Group Administrator's
Frequently Asked Questions (FAQ)*
*This link will open a new window. Please ensure you have disabled any pop-up blockers on your computer.