Booking Form
Tell Us About Your Symptoms
Answer a few quick questions — we'll identify the right medical department for you.
Pre Step
Basic info
1
Select Symptoms
Choose what applies
2
More Detail
Narrow it down
3
Confirm
Review & proceed
Life-threatening emergency?
Call 119 immediately.
Chest pain, difficulty breathing, loss of consciousness, or stroke symptoms require an ambulance.
Call 119 immediately.
Chest pain, difficulty breathing, loss of consciousness, or stroke symptoms require an ambulance.
Pre Step — A few quick questions before we begin
Who is this appointment for?
Please select who will be receiving medical care.
Where are you currently staying?
Please select your current prefecture in Japan.
Step 1 — What symptoms do you have?
(Select all that apply)
Internal Medicine
Fever
Headache
Cough / Phlegm
Abdominal Pain
Fatigue
Nausea / Vomiting
Breathing Difficulty
Dizziness
Palpitations
Diarrhea
Painful Urination
Constipation
Orthopedic
Lower Back Pain
Joint Pain
Numbness / Tingling
Skin / ENT / Eye
Rash / Eczema
Nasal Symptoms
Sore Throat
Ear Symptoms
Eye Symptoms
Surgical
Cut / Abrasion
Bruise / Impact
Step 2 — Tell us more about each symptom
Step 3 — Confirm & Create Account