Clinical Guidelines

Kaiser Permanente's Clinical Guidelines are systematically developed statements* to assist patients and providers in choosing appropriate health care for specific clinical conditions. While guidelines are useful aids to help providers determine appropriate practices for many patients with specific clinical problems or prevention issues, these guidelines are not meant to replace the clinical judgment of the individual provider or establish a standard of care. The recommendations contained in the guidelines may not be appropriate for use in all circumstances. The inclusion of a recommendation in a guideline does not imply coverage. A decision to adopt any particular recommendation must be made by the provider in light of the circumstances presented by the individual patient.

While the general recommendations in these guidelines will be applicable to your practice, most of the guidelines include some content specific to the Kaiser Permanente delivery system. We are confident that, for the most part, the information you find here will be both useful and relevant.

For questions, please contact David K. McCulloch, MD, medical director for Clinical Improvement, Clinical Improvement & Prevention, at

All materials are in print-friendly PDF format.

* The evidence-based process of clinical guideline development includes review of peer-reviewed medical literature, defined as: Medical literature published in professional journals that submit articles for review by experts who are not part of the editorial staff. Peer-reviewed medical literature does not include publications or supplements to publications primarily intended as marketing material for pharmaceuticals, medical supplies, medical devices, health service providers, or insurance carriers.

Revised 5/17/2017

The Provider Manual is not intended for any use by any party other than as a resource for Kaiser Foundation Health Plan of Washington's contracted providers in fulfilling their obligations under provider contracts. Kaiser Permanente intends for the manual to be accurate for its intended purpose but doesn’t guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.