Book an Online Consultation — Yuushin Medical Clinic

Online consultation fee: ¥25,000 (pre-authorized at booking, charged after consultation).

1. Personal Information

Full name (as on passport) *Passport number *Date of birth *Gender *Email address *Hotel name, room number & address *

Include floor/room, e.g. "Sapporo Grand Hotel, Room 502, 1 Kita 1-jo Nishi, Chuo-ku"

2. Medical Information

Symptoms / reason for consultation *Past medical history (illnesses or surgeries)

Leave blank if none.

Current medications

If yes, please list all medications. Leave blank if none.

Allergies (food or medications)

Leave blank if none.

Are you pregnant or is there any possibility of pregnancy? *Do you need a medical certificate? *

Medical certificate fee: ¥5,500 (charged separately after consultation if needed)

3. Select Date & Time (Japan Standard Time)

4. Payment

¥25,000 hold on your credit card

You will be redirected to Stripe's secure payment page. ¥25,000 is pre-authorized (held) on your card now, and charged after your consultation. If you cancel before the consultation, the hold is released at no charge.

You will be redirected to Stripe's secure payment page.