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Next: Set up security questions

Registration

Personal information

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What's this?

We collect only the last 4 digits of your Social Security number to verify your identity.

Work information




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Supervisor or Group Administrator information

What's this for?

For Kaiser Permanente Compliance purposes, we need to have information for the individual who has the authority to validate the user's need to have continued access on regular basis

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Sign on information

Rules for creating password
  • Password must not match or contain first name.
  • Password must not match or contain last name.
  • Password must not be longer than 30 character(s).
  • Password must be at least 8 character(s) long.
  • Password must contain at least 1 numeric character(s).
  • Password must contain at least 1 lowercase character(s).
  • Password must contain at least 1 uppercase character(s).
  • Password must not be one of 5 previous passwords.
  • Password must not match or contain user ID.
  • Password must not contain special characters.
  • Password must not contain space(s).


  • Security check

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    Terms and Conditions

    You must accept Kaiser Permanente's End User Agreement to use this Web site.
    * I have read the Terms and Conditions and agree to the terms stated.

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