KAISER PERMANENTE (“KP”) ALL-PURPOSE Release and Consent AgreementRelease and Consent Agreement • October 6th, 2015
Contract Type FiledOctober 6th, 2015I, (print name), in exchange for valuable consideration* received, hereby irrevocably consent to the unrestricted use for or by Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals, the Permanente Medical Groups, and each of their affiliates and subsidiaries and their respective directors, officers, employees, agents, customers, successors and assigns (collectively “KP”) of the following (mark below only those items that you are releasing):