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Appointment of Representative Section 1: Appointment of Representative To be completed by the Kaiser Permanente member seeking representation I appoint this person: ___ to act as my representative
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Individuals who are seeking access to specific member-related information or services may need to fill out member relations authorization forms.
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This could include family members, legal representatives, or other authorized individuals who require access to such information.
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Member relations authorization is a form that grants permission for one member to act on behalf of another member in a particular organization.
Any member who wishes to delegate authority to another member within the organization.
The form can typically be filled out electronically or on paper, and must include the names of both members, the specific authority being granted, and any relevant dates.
The purpose is to ensure that decisions and actions made by one member on behalf of another member are authorized and legitimate.
Information such as the names of both members, the specific authority being granted, and any relevant dates.
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