International Patients Reservation Clinic/Second Opinion Service
First-visit Consultation Application Form
To international patients who are living overseas and not enrolled in the Japanese National Health Insurance system
*This consultation application is for the use of medical coordinators.
For detailed information of Reservation Clinic or Second Opinion Service, please refer to “Reservation Clinic for International Outpatients” and “Second Opinion Service for International Outpatients”.
International patients who want to make a Reservation Clinic/Second Opinion Service appointment should always apply through a medical coordinator. Please note that we cannot accept applications from individuals. If you do not yet have a medical coordinator, please see the List of Registered Guarantors approved by the Ministry of Foreign Affairs.
身元保証機関(登録医療コーディネーター等)のリスト
List of Registered Guarantors (Medical Coordinators, etc.)身元保証機関(登録旅行会社)のリスト
List of Registered Guarantors (Travel Agencies)
If you require urgent medical treatment, please contact the Department of International Healthcare for a consultation.
To Registered Guarantors (Medical Coordinators, Travel Agencies, etc.)
If you are applying from this site for the first time, please have your Ministry of Foreign Affairs registration number ready and contact the Department of International Healthcare first. We will provide you a password to access this application form.
Juntendo University Hospital
The Department of International Healthcare
Tel: +81-3-5802-1985
Email: intl@juntendo.ac.jp