Visitor Request Form

Planning a visit to the Seattle area? If you’re traveling to the greater Puget Sound region, we’ll happily host your treatments at one of our 20 dialysis centers. Please get in touch at least 30 days before you arrive so that we can arrange times and dates that work for you.

 

    Please fill out all fields in this form to request visitor dialysis at Northwest Kidney Centers. If you do not hear back from us within 2 days of your email, please try again or call us at 206-720-8501.

    Patient information




    Dialysis dates


    to


    Location



    Your current dialysis provider





    Additional information


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