DISCLOSURE

Fees & statutory disclosures

Our clinical systems, accepted facility standards and required notices under Japanese healthcare regulations.

About this translation This English version is provided for convenience. If any wording differs from the Japanese version, the Japanese version applies.

Information most relevant to patients appears first. The 19 facility-standard filings accepted by the Kyushu Regional Bureau of Health and Welfare are organized by topic below.

IMPORTANT INFORMATION

Notices for all patients

Care for patients with fever or suspected infection

We accept patients with fever or other symptoms suggesting infection, whether or not they have visited us before. To reduce transmission risk, we separate these patients from general care by space and time. Please call before coming.

Online eligibility verification, medical digital transformation and itemized statements

With the patient's consent, medication and health-check information obtained through online eligibility verification is used during consultation. We promote use of the My Number health insurance card and medical digital systems to improve care. An itemized statement showing billed medical-fee items is issued free of charge with the receipt.

Long-term prescriptions and refill prescriptions

Depending on the patient's condition and the physician's judgment, we may issue prescriptions for 28 days or longer or provide a refill prescription. This may not be suitable for every condition or medicine.

Contact outside clinic hours

For routine inquiries and appointment changes, call during clinic hours and select option 3 to reach reception. Option 4 is the director's direct emergency line; during clinic sessions, the director may be unable to answer immediately.

Telemedicine

Telemedicine is combined appropriately with in-person care, and we will change to an in-person consultation when the patient's condition requires it. Psychotropic medicines are not prescribed during a first consultation conducted by information and communication technology.

In preparation: Our completed statutory checklist will be posted after final review.

Patient-selected use of an original medicine when a generic is available

From June 1, 2026, when a patient chooses an original medicine for which a generic is available, an additional charge equal to one half of the price difference plus consumption tax applies, except where the original medicine is medically necessary or another exemption applies.

Ministry guidance in Japanese

Smoking cessation clinic and smoke-free premises

Standard smoking cessation treatment is available for patients who meet Japanese health-insurance criteria. Smoking is prohibited throughout the clinic and its grounds.

ACCEPTED FILINGS

19 accepted facility standards

Based on the Kyushu Regional Bureau of Health and Welfare register dated August 1, 2026. Each entry gives the filed name and the main service available to eligible patients.

Telemedicine & digital information sharing3 items

Standards for telemedicine using information and communication technology

Care follows national telemedicine guidance and is combined appropriately with in-person care. Psychotropic medicines are not prescribed at a first telemedicine consultation.

Add-on 1 for an electronic clinical-information collaboration system

Clinical information obtained through online eligibility verification is used during consultations. We promote My Number health insurance cards, information sharing between medical institutions and free itemized statements.

Add-on for providing test and imaging information, and electronic clinical-information evaluation fee

With patient consent, test results and imaging information are securely provided to or reviewed from other medical institutions and used in care.

Infection control & appropriate antimicrobial use3 items

Outpatient infection-control enhancement add-on

We appoint an infection-control lead, train staff, maintain a clinic manual and share information with partner hospitals. Patients with suspected infection are accepted regardless of previous attendance and are separated from general care.

Enhanced surveillance add-on

We participate in OASCIS, the clinic version of J-SIPHE, and continuously monitor infections and antimicrobial use.

Add-on for an appropriate antimicrobial-use system

We regularly review antimicrobial use, assess whether treatment is needed and work to prescribe appropriately.

Ongoing management & remote monitoring9 items

After-hours response system add-on 2

A system is in place to respond outside clinic hours to urgent health concerns from established patients. For routine inquiries and appointment changes, select option 3 during clinic hours. For emergencies, option 4 connects directly to the director.

Remote monitoring add-on under Note 5 of the cardiac pacemaker management fee

For eligible patients, pacemaker data is reviewed remotely as part of planned follow-up.

Ongoing secondary-fracture prevention management fee 3

After a fracture, we assess patients and continue osteoporosis treatment to reduce the risk of another fracture.

Enhanced management add-on 1—dyslipidemia as the primary condition

Eligible patients receive ongoing management that includes testing and review of lifestyle factors.

Enhanced management add-on 1—hypertension as the primary condition

Eligible patients receive ongoing management that includes testing and review of lifestyle factors.

Enhanced management add-on 1—diabetes as the primary condition

Eligible patients receive ongoing management that includes testing and review of lifestyle factors.

Nicotine dependence management fee

Patients who meet insurance criteria receive standard smoking cessation treatment and continuing support.

Enhanced CPAP management system add-on under Note 2 of the home CPAP guidance and management fee

For eligible patients with sleep apnea, we provide ongoing management while reviewing CPAP use.

Remote monitoring add-on under Note 3 of the home CPAP guidance and management fee

For eligible patients, CPAP use is reviewed remotely and planned treatment guidance is provided.

Cardiac rehabilitation2 items

Cardiovascular disease rehabilitation fee (I)

Physicians, nurses, physical therapists and other professionals jointly provide exercise therapy, lifestyle guidance and recurrence-prevention support for patients with heart disease.

Rehabilitation data submission add-on

Rehabilitation data is submitted in the prescribed format and used to improve the quality of care.

Staff pay improvement & oxygen purchase price2 items

Note 5 of the outpatient and home-care base-pay evaluation fee (I)

Income from this fee is used to improve wages for healthcare staff and support sustainable staffing and better care.

Oxygen purchase price

As listed in the accepted-filings register dated August 1, 2026, the calculated unit price for small cylinders is ¥2.35.

View the official accepted-filings register in Japanese

OUT-OF-POCKET FEES

Self-pay care and non-insurance charges

We explain the service and price in advance and obtain consent before charging any item not covered by public health insurance. The main confirmed charges are listed below.

Exercise guidance — 20 min¥2,000
Exercise guidance — 40 min¥4,000
Consultation & InBody¥2,000
General medical certificate¥3,000
Diving medical certificate¥5,000
Complete miSignal test¥71,000

Weight management: from October 2026

Injectable treatment will move from Mounjaro to Zepbound, with revised prices

From October 2026, our weight management clinic will generally prescribe Zepbound, which is approved in Japan for obesity, rather than Mounjaro, which is indicated for type 2 diabetes. Monthly prices will be revised because medicine acquisition costs differ.

DoseSupplyMedicineTotal incl. consultation
2.5 mg2 boxes of 2 pens each (4 pens / month)¥26,000¥28,000
5 mg2 boxes of 2 pens each (4 pens / month)¥44,000¥46,000
7.5 mg2 boxes of 2 pens each (4 pens / month)¥55,000¥57,000
10 mg2 boxes of 2 pens each (4 pens / month)¥60,000¥62,000
12.5 mg2 boxes of 2 pens each (4 pens / month)¥68,000¥70,000
15 mg2 boxes of 2 pens each (4 pens / month)¥75,000¥77,000

Zepbound is a tirzepatide medicine approved in Japan for obesity. Possible adverse effects include nausea, vomiting, diarrhea, constipation, abdominal pain and loss of appetite; serious adverse effects such as hypoglycemia, acute pancreatitis, gallbladder disease and intestinal obstruction have been reported. Self-pay treatment is explained in advance and provided only after consent.

Last updated: August 30, 2026