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ESSENTIALS

How seeing a doctor works in Japan

Clinic or hospital, the "no referral" fee, what to bring, and how prescriptions work.

Illustration: Care Compass Japan (AI-assisted)

If you need emergency medical help in Japan, call 119 for an ambulance and seek immediate emergency care. The Japan Visitor Hotline, 050-3816-2787, offers visitor assistance 24 hours a day; it is not ambulance dispatch. JNTO: emergency numbers and visitor hotline

For a planned visit, the useful first step is to confirm how the facility accepts patients and what reception needs from you. This guide explains that process; it does not select a medical department, test or treatment for you.

In short

  • Contact the facility before visiting when possible, because opening hours, language support and acceptance can vary. JNTO: using medical institutions
  • Ask whether a referral is required and whether an additional charge applies without one. MHLW: additional hospital charges
  • Ask the clinic and your insurer how coverage, payment and any prescription will be handled.

PlanBefore the appointment

Use the official search in Finding a hospital in your language, then confirm details directly with the facility. A search listing does not guarantee availability. JNTO: facility search and contact guidance

These are questions to send reception, not promises about every facility:

  • Do you accept new patients for a first outpatient visit, and do I need an appointment?
  • Is a referral letter required, and which language and format do you accept for records?
  • Is English support available throughout the appointment, or should I arrange an interpreter?
  • Which identity and insurance documents should I bring?
  • What payment methods do you accept, and is a deposit or insurer authorization required?
  • Where should I arrive, and what time does registration close?

For travel insurance, ask the insurer whether it needs to approve the visit first, whether it can arrange direct billing and which documents to keep. JNTO explains that cashless arrangements depend on the insurer. JNTO: insurance and payment

CheckReferral letters and the extra charge

A referral letter passes information from another medical institution to the hospital you will visit. Some hospitals charge an additional fee when patients attend without a referral; this is separate from the usual patient share for insured care. The policy does not mean every clinic visit requires a referral. MHLW: additional charges without a referral

You may see 選定療養費 (sentei ryoyohi) on the hospital's information sheet. MHLW's English form explains the additional first-visit charge without a referral but leaves the amount for the hospital to fill in. Ask the hospital which current rule and exceptions apply to you. MHLW: English explanation form

An appointment, a referral and confirmation of insurance are separate things to check. Ask reception about each one before travelling for a planned visit.

PrepareWhat to take

Confirm this packing checklist with the facility:

  • Passport, residence card or other identification it requests.
  • Current proof of Japanese public health insurance, if enrolled.
  • Travel insurance details and any insurer approval or claim form.
  • Appointment confirmation, referral letter and records it has requested.
  • Your current medicine list or medicine notebook, plus questions for the clinician.
  • An accepted payment method and your contact details in Japan.

Residents can use Health insurance documents for residents to identify their current proof of coverage. If you will bring medicine from abroad, check Bringing medicines into Japan before travelling.

At the facilityFrom reception to payment

JNTO describes a common sequence: reception, a medical questionnaire, consultation, payment and collecting prescribed medicine. Ask reception where to go next because facilities may organize the steps differently. JNTO: reception to payment

If you need help understanding, ask how language assistance can be arranged before discussing medical decisions. MHLW publishes multilingual questionnaires and explanation forms for medical institutions; confirm which forms your facility accepts. MHLW: multilingual medical forms

Before leaving, ask how you will receive results, who to contact with questions, how to arrange any requested follow-up and which receipts or documents your insurer needs. The healthcare professional determines what examination or treatment is appropriate.

After the visitIf you receive a prescription

Ask where to take the prescription and check its expiry date before leaving. Prescriptions issued by Japanese insurance medical institutions are usually valid for four days, including the issue date, weekends and holidays; a doctor or dentist may specify a different period in particular circumstances. MHLW: prescription validity

An outside pharmacy may charge separately, while some facilities supply medicine in-house. Ask what is included in the facility's bill. JNTO: prescriptions and pharmacy payment

Ask the pharmacist to explain the instructions and answer questions about using the medicine. Do not change a prescribed regimen based on this guide.

Questions before you go

Can I walk into any hospital without an appointment?

Contact the hospital first when possible; its listing does not confirm that it can accept you. JNTO: contact facilities before visiting

Does paying the extra fee guarantee an appointment?

Treat the charge and the acceptance decision as separate questions: ask whether the facility will accept your visit before making travel arrangements.

Can Care Compass Japan tell me which department I need?

Care Compass Japan provides navigational guidance, not medical diagnosis or treatment advice. If you are experiencing symptoms, please consult a qualified healthcare professional or visit an accredited hospital/clinic.

Sources checked on 18 October 2026. Next review: 18 January 2027, or earlier if official guidance changes. Written with AI-assisted research and drafting. No sponsorship.

Information provided for planning purposes only. No diagnosis, treatment recommendations, or direct booking services.

PRACTICAL SUPPORT

Help with the arrangements.

Contact the healthcare provider or responsible public office first. If you need language support, ask which interpreting arrangements it accepts. Confirm availability and any fees directly.

Care Compass Japan does not book care, make a referral or send your medical records through these links.

Not sure where to start?

Ask a practical question about finding care, coordination or language support in Japan.

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Please do not include medical records, test results or detailed diagnoses.