St. Luke’s International Hospital

St. Luke’s International Hospital

First-Time Patients

First-time patients without a medical record or referral letter from a previous clinic or medical institution are required to pay an additional 8,800 yen for a selective treatment (i.e. non-referral) fee at the first visit. This system was established by the Ministry of Health, Labour and Welfare to promote efficiency at medical institutions by encouraging initial visits at local clinics and further advanced and specialized medical care at hospitals with over 200 beds.

“First visit” is defined as below:

  1. When you visit St. Luke’s International Hospital as an outpatient for the first time.
  2. When you voluntarily decide not to continue consultation for your present illness, and one month has passed since your last visit.

* When receiving treatment from 2 or more medical departments, the First Visit fee applies only to the first department consulted.

Selective treatment fees will be revised starting October 1, 2022. Please see here for details.


Once your condition is resolved or if treatment is discontinued, this will be considered as a healed state. Depending on the condition, we may consider it healed one month after the final appointment date.

※ Those with a medical record from another clinic / medical institution, and those receiving medical assistance under the Public Assistance Act will be exempt from this system.

※ Those enrolled in subsidy programs for the elderly, infants, or single parent households will be required to pay the Specified Medical Care Coverage fee.

For the first-time patients, please bring this “Registration Form” with you:
You can download it online.