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- Guide for International Patients
Guide for Patients
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Request for a referral letter
We ask those who visit us as outpatients to bring a referral letter (patient's referral document) issued by primary care doctors or neighboring hospitals or clinics. Alternatively if you are English speaking and wish to make an appointment with one of our bilingual English speaking primary care physicians please call our Department of International Healthcare on +81-3-6721-6239.

Consultation Hours
Reception Hours
8:30a.m.-11:00a.m
1:00p.m.-3:00p.m.
Please confirm the outpatient consultation schedule in advance (Outpatient Consultation Schedule), as some clinical departments may be closed for examinations or operations.
Closed
Every Saturday, Sunday, National Holidays, Substitute Holidays, and the year-end and New Year holidays
For International Patients Wishing to Visit Our Hospital
At our hospital, we verify the identity of all patients during their appointment registration. Please bring a form of official ID, such as a My Number card, health insurance card, driver’s license, passport, or residence card when you visit. Our clinic is accredited by JCI (Joint Commission International), an international healthcare quality assessment organization, and we enforce strict patient identification protocols to ensure patient safety. We appreciate your understanding and cooperation.
Residency Status
- For Residents: Please bring a My Number card (or health insurance card) and a referral letter when booking an appointment.
- For Non-residents without my number card or health insurance (e.g., visitors for business, tourists): As consultations are considered self-funded, please note that fees for services like MRI or CT scans may exceed 100,000 yen. If hospitalization or surgery is necessary, a deposit equal to the estimated cost may be required.
- For Patients Visiting Japan for Medical Purposes (Medical Tourism): A medical stay visa is required for patients traveling from overseas specifically for treatment. If translation of documents is needed on the consultation day, an additional translation fee may apply.
- First visit to the NTT Medical Center Tokyo
- First dental appointment (Note 1)
- First medical appointment (Note 1)
- Reappointment following treatment completion or voluntary discontinuation of care (Note 2)
- Document review only
- Proxy or online consultation
- Eligibility for medical treatment (with a brief reason if ineligible)
- Type of treatment (outpatient or inpatient)
- Treatment method (name of treatment or surgery)
- Estimated treatment costs
- Medical information summary
- Image data of test results
Documents in English
For English-language medical certificates or referral letters, the fee is 13,200 yen (including tax) for documents using our hospital’s template, and 16,500 yen (including tax) for external templates. Translation may take additional time, and additional fees may apply if extensive translation is required.
Note: We currently do not provide translations other than English-Japanese.
Referral Letter
We kindly request that outpatients bring a referral letter from a nearby clinic or primary care physician when visiting our clinic.
Note:A “primary care physician” refers to a local doctor who can be consulted easily for regular health management and advice. For first-time patients at our clinic, consulting with a primary care physician to assess your condition and recommend the most appropriate specialty helps ensure a smooth treatment process.
Providing Advanced Medical Care
Our hospital provides acute care services, specializing in advanced medical treatment. To promote collaboration with local medical institutions, routine medical care is handled by primary care physicians, while non-routine conditions requiring specialized care are referred to our specialists. We recommend a complete health checkup for general screenings. For stable, post-surgical, or post-treatment conditions, we encourage referrals to local medical institutions, as directed by the national healthcare policy. We appreciate your understanding of our role as an acute care hospital, especially in a rapidly aging society.
For emergency or follow-up appointments due to condition changes after being referred to a local clinic, please bring a new referral letter from your primary care physician. We apologize for any inconvenience this may cause our long-time patients.
“System for Expenses Related to Combined Medical Services Outside of Insurance Coverage”
This system, established by the Ministry of Health, Labor, and Welfare, supports role-sharing between clinics and hospitals with over 200 beds, designating that initial consultations are to be performed at clinics for basic care, while advanced or specialized care is provided by hospitals.
Note: Patients who have previously been seen at our clinic but are being considered for an initial consultation without a referral letter will be subject to a special fee under this system.
Initial Consultation
An initial consultation applies in the following cases:
(Note 1) Dental and other medical specialties are considered separately for reimbursement purposes. (Note 2) If more than six months have passed since your last visit, the case will be treated as an initial consultation.
Patients without a referral letter will be charged a special fee under the system for expenses related to combined medical services outside of insurance coverage.
International Patients (for Those Residing Abroad)
Providing Medical Services for Foreign Patients Residing Abroad
Overseas Online Consultations
Medical tourism (medical visits to Japan, etc.) and online consultations for overseas residents aim to assist individuals who cannot easily travel to Japan by providing opinions on the diagnoses and treatment plans they have received from other medical institutions. This service helps assess whether medical treatment in Japan would be possible.
To use this service, patients must go through a registered guarantor organization. Please note that consultations may be declined based on the judgment of the relevant physician.
Fees
Assessment of Eligibility for Medical Treatment in Japan: 110,000 yen per case (including tax)
Method of Implementation
Primary Information Provided
Required Documents
If the submitted materials are insufficient for assessment and a direct consultation with the patient is needed, information on additional tests and fees will be provided. The estimated costs are for reference only and may vary.
Please contact one of the guarantor organizations listed below (registered with the Ministry of Foreign Affairs to issue medical visas) to assist with travel arrangements.
Please Note: Restrictions may apply to the medical departments and treatments available for medical visits to Japan. For specific diseases and conditions, please refer to the Japan International Hospitals website.