Doctor in scrubs

Registering For Online Affiliate

New Group Registration

Step 1:

The first step in gaining access to Kaiser Permanente’s Online-Affiliate tool for your authorized Practice, Group, or Facility is the Completion of our Affiliated 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 Affiliated Agreement to the following location:


New User Registration

Step 2:

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

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

Instructions for Completing Registration*

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