First Visits

First Visits

Information for foreign nationals attending this hospital for the first time

Please be advised that in cases where urgent communication is required in a foreign language at this hospital, tablet devices may be used for daily conversation, which may require some time in correspondence. Also, sufficient communication between the patient and the medical professional is required in order to provide safe, high-quality medical care. If you are unable to communicate at all in Japanese or have restrictions in this regard, please make prior arrangements to have a medical interpreter attend the consultation with you.

Information on the outpatient consultation at this hospital

  • As a general rule, a referral is required for the first visit at this hospital. If you are attending this hospital for the first time, you will need to obtain a letter of referral from another medical institution (treating doctor).
  • After the symptoms have settled from treatment at this hospital, we recommend that you see your treating doctor or another medical institution.
  • For consultations, the patients with referrals are seen first. If you have a letter of referral from another insurance medical care institution, we recommend making a reservation at the reservation center for referred patients beforehand to shorten the waiting time for administrative processes.
  • Please be advised that while we always make the best effort to see you as soon as possible, the patients without reservations may be required to wait for a long period of time.
  • See here for how to attend consultations at a medical institution in Japan (you will be directed to the Japan Tourism Agency website).

If you are not clear about which clinical department to visit

A nurse at the clinical care inquiry section next to Reception No. 1 on 1F (general information) will be able to answer your questions.

  • Reception hours: 08:30 a.m. to 11:00 a.m.

Clinical departments where the first visit is only available with a referral

A letter of referral from another insurance medical care institution (your treating doctor) will be required to attend the following departments. These departments are not available for consultations without a referral unless urgent medical care is considered necessary.

Department with first visit only available with referral

Clinical departments where first visit is only available with a reservation

A letter of referral from another insurance medical care institution (your treating doctor) will be required to attend the following departments. These departments are not available for consultations without a referral unless urgent medical care is considered necessary.

Department with first visit only available with a reservation (please contact the applicable specialist outpatient department beforehand.)
Department with first visit only available with a reservation

What to bring to your visit

  1. Passport or residency card
  2. Documents to show what type of insurance you are covered by (certificate of insurance if you are covered by travel insurance or medical insurance) These two items are checked at the time of reception. These items need to be checked to prevent errors in patient identification during the examination and treatment and for preparation of statistical documents required for reporting of nationalities and languages used. We ask for your cooperation in this matter.
  3. Health insurance certificate in Japan *Please see the following section if you do not have a health insurance certificate in Japan.
  4. Letter of referral from another medical institution (for first visit)
  5. Documents showing the symptoms, such as X-ray images (for first visit)
  6. Patient registration card (if you have attended this hospital before)
  7. National Health Insurance Recipient Card for Seniors (original) (if applicable)
  8. Public Funding Recipient Card (original) (if applicable)
  9. Drug history handbook and prescriptions (if you are taking any medication)

Emergency medical care at this hospital

Health insurance certificate and patient registration card

In the Japanese medical care insurance system, medical remuneration points are assigned to each type of medical care performed, such as diagnosis, treatment, consultation fee, and hospitalization fee, and the unit price of each remuneration point is calculated as 10 yen. The expense for medical care is calculated from the total price calculated, and you will be asked to pay the out-of-pocket expense at the ratio specified according to the type of insurance you currently carry. If you have an insurance certificate, you will be paying 10% to 30% of the medical expenses; however, the entire medical expense will need to be paid if you do not have an insurance certificate.

  • If you are staying in Japan for a short period of time (less than three months) on holiday or business trip and do not have a Japanese health insurance certificate
    -› Please bring your passport and documents that show the membership number of the traveler’s insurance and medical insurance you are covered by to this hospital.
  • If you are staying in Japan for a long period of time (three months or longer) for study and work and are covered by Japanese health insurance
    -› Please bring your passport, residency card, and health insurance certificate to this hospital.
  • If you have unpaid insurance premiums, this may cause problems in the payment of medical expenses. Please be sure to check that there are no overdue payments.

Confirmation of the insurance certificate

  • Please be sure to bring the insurance certificate to the first visit.
  • If you are attending this hospital for a return visit, please be sure to bring the insurance certificate for your first visit of the month. If you are unable to present your certificate, you will be required to pay the same amount as those without an insurance certificate.
  • If your insurance certificate is renewed or if the details are changed, please present your certificate to Reception No. 3 on 1F (outpatient accounts reception).
If you have forgotten to bring your insurance certificate
  • You will be required to pay the full amount if you have forgotten your insurance certificate.
  • The medical expense will be recalculated and refunded if you bring your insurance certificate to Reception No. 3 on 1F (outpatient accounts reception) by the end of the month after the month of the consultation. A refund will not be given at hospital reception after this date.

Patient registration card

  • Please be sure to bring your patient registration card to your visit
  • The card will be reissued if you misplace or forget to bring the card (with the handling fee of 200 yen). Please inquire at Reception No. 1 on 1F (general information).
  • The same patient registration card is used for all departments.

If you do not have a referral from another medical institution

  • If you attend this hospital for a first visit without a letter of referral from another insurance medical institution, you will be required to pay 5,400 yen (tax included) in addition to the out-of-pocket expenses for insurance medical care.
  • Also, if you are referred to another medical institution by this hospital and attended this hospital again without a letter of referral, you will be required to pay 2,700 yen (tax included) for each visit.
  • A letter of referral from a medical institution (treating doctor) is mandatory for consultations at the Department of Orthopedics. Consultations are not available without a referral unless urgent medical care is considered necessary.

Medical certificates

Method of application for medical certificates

Fill in the necessary items in the application for medical certificates and submit this to document reception next the blood collection room on 1F. If you are an inpatient, please submit the application at Reception No. 8 on 1F.

  • Application is not accepted via phone, post, or e-mail.
  • If you already have a form for a medical diagnosis, fill in the address, name, sex, date of birth, age, and other information on this form and submit the completed form.
    [Warning] You may be handed a medical certificate prepared at this hospital using a different form than what you have.
  • Application for medical certificate needs to be submitted for each department.
  • If you wish to receive the medical certificate by post, you will need to pay the postal expense (392 yen, or 402 yen if five pages or more of documents are posted) in addition to the expense of the medical certificate. We do not post the medical certificate for liability purposes.
  • A power of attorney letter is required if the application is being submitted by those other than the patients or their family members living in the same household.

Location of submission

Please submit the application at document reception next to the blood collection room on 1F.

Payment method

  • The fee for the medical certificate needs to be paid on the day of application, except the medical certificate for liability purposes.
  • Cancellations and refunds are not available for completed medical certificates. However, a refund will be given in cases where the medical certificate cannot be prepared as a result of a decision by the doctor.
Fee for medical certificate (in Japanese)
Category Fee (tax included)
Medical certificate available at the hospital 2,700 yen
Medical certificate of the insurance company 7,560 yen
Medical certificates for pension and physical handicap 5,400 yen
Statement of medical expenses for liability purposes 2,700 yen
Claim form for the allowance for the sick and wounded 0 to 1,000 yen
Others 0 to 7,650 yen

Receipt of medical certificates

Preparation period
  • About two to three weeks are required for preparation.
  • You will need to attend the hospital again if a medical examination is required to prepare the medical certificate
Notification after preparation of the medical certificate
  • You will be notified at the contact details provided in the application when the document is complete.
  • No phone notification will be provided if you requested to receive the medical certificate by post.
Location and time of receipt
  • Please go to document reception (link to the floor map) on weekdays between 08:30 a.m. to 05:00 p.m.
  • Be sure to bring your patient registration card when receiving the medical certificate.

Information for those refusing to receive blood transfusions

  • We provide medical care services based on a relationship of mutual trust with patients and, therefore, make the best effort in implementing informed consent when providing medical care.
  • We make the best effort in providing treatment without blood transfusions or the minimal procedure necessary. However, in cases where patients who refuse blood transfusions for reasons of religious beliefs are in a condition where their lives are at risk without the blood transfusion, the blood transfusion will be performed according to medical ethics.