Effective Revised Date: December 12, 2014 – Original Effective Date: April 14, 2003




This joint notice of privacy practices (this “Notice”) applies to all of the health information created or received by the medical staff members, health care workers, employees, contract staff, students, trainees, and volunteers at all Northwest Kidney Centers buildings and programs, including:

Auburn Kidney Center, Auburn

Broadway Kidney Center, Seattle

Elliott Bay Kidney Center, Seattle

Enumclaw Kidney Center, Enumclaw

Kent Kidney Center, Kent

Kirkland Kidney Center, Kirkland

Lake City Kidney Center, Lake Forest Park

Lake Washington Kidney Center, Bellevue

Port Angeles Kidney Center, Port Angeles

Renton Kidney Center, Renton

Scribner Kidney Center, Seattle

SeaTac Kidney Center, SeaTac

Seattle Kidney Center, Seattle

Snoqualmie Ridge Kidney Center, Snoqualmie

West Seattle Kidney Center, Seattle

Northwest Kidney Centers Pharmacy

Northwest Kidney Centers Home Care Programs

Northwest Kidney Centers Hospital Services

NKC Blagg Pavilion, Haviland Pavilion, SeaTac Pavilion

Northwest Kidney Centers Distribution & Service Center


Solely for purposes of complying with the federal privacy laws, Northwest Kidney Centers and its medical staff, which includes members of the Division of Nephrology from the University of Washington, characterize themselves as an “organized health care arrangement” and have agreed to follow this Notice for services provided by, at, or through Northwest Kidney Centers. These providers may share health information with each other for treatment, payment, and the health care operations of the organized health care arrangement and as described in this Notice. Northwest Kidney Centers is not responsible for actions by independent medical staff members not employed by Northwest Kidney Centers. These independent medical staff members will follow their own privacy practice policies when delivering care.


Personal Health Information About You

When you are first admitted, and each time you visit a center, a record of your visit is made. We are required to retain our records of the care that we provided to you. The following list/categories identify different ways we use and disclose health information. Not every use of disclosure in a category will be listed. In most of these situations, we will use and disclose only the minimum health information necessary for the intended purpose.


Uses and Disclosures of Health Information About You for Treatment, Payment and Health Care Operations

To Treat You: We may use and share health information about you to give you care and to coordinate and manage your treatment or other services. For example, a doctor needing to perform surgery on you may need to know if you are on dialysis because this may affect the surgery care plan. Also, we will provide health information about you to a doctor who is seeing you in his or her office.

To Be Paid for Our Services: We may use and share health information about you to bill and collect payment from you or your health insurance plan for services received. We will get your authorization to disclose this information. For example, we may give information about your dialysis to your health plan or Medicare so we can be paid. We also may share information about you with other providers who are involved in your care for their payment purposes.

To Run Our Organization: We may use and disclose information about you for our business operations (and for the operations of our organized health care arrangement). For example, our quality improvement teams may use health information about you to review the care and outcomes in your case and others like it.


Uses and Disclosures of Health Information Unless You Object

The following categories describe different ways we use and disclose health information about you but we will give you an opportunity to object to any disclosures for these purposes, unless otherwise permitted by law:

  • To family and friends who are involved in your care or to notify family and friends of your condition or location.
  • To provide directory information.
  • For emergency and notification purposes, such as to a disaster relief agency to coordinate disaster relief efforts.


Other Uses and Disclosures of Health Information

The following categories describe different ways we use and disclose health care information without your authorization. We may use and disclose health information about you:

  • For public health and safety.
  • For health and safety oversight activities.
  • To other entities that we contract with to assist us. We require these businesses to protect the privacy and confidentiality of health information about you.
  • As incidental disclosures that may occur as a by-product of permitted uses and disclosures, such as someone in the waiting room may hear your name called.
  • For education. We may send educational materials and newsletters to you to keep you informed about your care.
  • For fundraising. We may contact you as part of a fundraising effort but you have the right to opt out of receiving fundraising communications.
  • For research, in very limited situations and as we are permitted by law. Most clinical research studies require your authorization.
  • To avert serious threat to health or safety.
  • In response to court orders, subpoenas, search warrants, discovery requestsand similar legal proceedings.
  • For law enforcement purposes.
  • As de-identified information and limited data sets, in which certain identifiers (such as your name and address) have been removed, making it unlikely that you could be identified, as allowed by law.
  • To organ procurement organizations or persons who obtain, store, or transplant organs for organ donation purposes.
  • For specialized government functions, such as for national security purposes.
  • To correctional institutions if you are in prison or in police custody.
  • To report suspected child abuse or neglect or other abuse or neglect
  • To military or veteran’s authorities if you are or were affiliated with the military.
  • To coroners, medical examiners, and funeral directors so they can perform their duties.
  • To comply with workers’ compensation laws for a workers’ compensation claim.
  • As otherwise required by law.
  • To personal representatives for minors and incapacitated adults. Personal representatives may be able to act on your behalf.


Additional Protections

Certain health information about you may be subject to additional confidentiality protections, and we provide these additional protections. This information includes such things as AIDS/HIV, sexually transmitted and other communicable disease, drug and alcohol abuse, and mental health services. Laws often require us to get special written permission from you to share this information.



Other uses and disclosures will be made only with your written permission or authorization. Generally, we would need an authorization to use and disclose health information for: marketing; if we are receiving something of value for the health information; or psychotherapy notes. In most cases you have the right to revoke or cancel your authorization, in writing, at any time.


Your Rights

You have personal rights concerning health information about you. You may act on these rights by contacting your Northwest Kidney Centers Social Worker (Social Services Department) or the Northwest Kidney Centers privacy officer at 206-720-8505, by email or by mail at:

Attn: Privacy Officer Northwest Kidney Center 700 Broadway
Seattle, WA 98122

You have the right to:

Ask us to limit information that we use and share: You may ask in writing that we restrict uses or disclosures of information about you for treatment, payment, and business purposes, or for people involved in your care. We will consider your request, but we may deny your request in certain situations. If we do agree, then we will comply with your request except in certain circumstances, such as in an emergency. We will agree to a request to not disclose health information about you to a health plan if the disclosure is for payment or health care operations (and is not required by law) and the information is about a health care item or service for which you (or someone on your behalf other than the health plan) has paid in full.

Request confidential communications: You have the right to receive confidential communication in other ways or at other locations. This includes a different mailing address or an email address.

Inspect and copy: In most cases, you have the right to look at health information about you or request a paper or electronic copy of it. You also may ask us to send an electronic copy of information about you to another person (as long as your request is in writing, signed by you, and clearly says who the person is where to send the health information).

Request changes: You have the right to request that we correct information in the record that is incorrect or that we add information that you believe is missing. We will consider your request, but we may deny your request in certain situations.

Know about disclosures: You have the right to ask for and receive a list (called an accounting) of times where we have disclosed information about you, except for disclosures for treatment, payment, related business purposes, or other disclosures specified by law.

Receive a copy of this Notice: You have the right to receive a paper copy of this Notice, even if you received an electronic copy of this Notice.


Our Duties

We are required by law to keep health information about you private. We must give you this Notice of our legal duties and privacy practices, and we must follow the practices that are stated in the Notice. We will notify you if there is a breach of unsecured health information about you.


Concerns or Questions

If you are concerned about your privacy rights or have any questions, then please contact our Privacy Officer at 206-720-8505, through email at or by mail at: Attn: Privacy Officer, 700 Broadway, Seattle WA 98155. You also may file a complaint with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.


Changes to This Notice

We reserve the right to change this Notice. The revised Notice will be effective for information we already have about you as well as any information we receive in the future. Unless required by law, the revised Notice will be effective on the new effective date of the Notice. For a copy of the current notice, please ask at one of our registration areas. The current Notice also is posted on our website ( and in our facilities. The notice will state an effective date.