First visit

First visit

New patients

A Patient Referral Document (referral letter) is required.
Osaka Metropolitan University Hospital is designated as "Advanced Treatment Hospital” by Ministry of Health, Labor and Welfare to provide mainly advanced medical care.
If you are visiting our hospital for the first time or making your first visit to a department you have never visited, a patient referral document (referral letter) from other medical institution such as your primary care clinic or hospital is required for your initial consultation.
*All referral letters must be either in Japanese or in English.

First visit

A visit to a medical institution for the first time is generally called first visit. In addition, if you have not been examined for at least one year without an appointment after your previous visit or have completed treatment at the department, your visit will be considered as a first visit.
Please bring your passport, residence card, or other valid photo ID for verification.

How can I obtain a "referral letter (Patient Referral Document)"?

Please first visit a medical institution that you normally use, such as your local clinic or hospital (your primary care physician) to see a physician. If, based on the physician’s judgment or your own wishes, more advanced and specialized diagnosis or treatment is found to be necessary, that medical institution will prepare a "referral letter (Patient Referral Document)" addressed to our hospital.

Booking an appointment

You can book your appointment only through your primary care physician or other local medical institutions (hospitals or clinics). We do not accept direct bookings by patients.
If you come to our hospital without booking an appointment, you may have to wait for a long time. Please also note that you may not be able to see a doctor on the same day.

Appointment-only departments

The following departments need a letter of referral (patient introduction form) and an appointment.

  • Orthopedic Surgery
  • Oral and Maxillofacial Surgery
  • Clinical Immunology and Rheumatology
  • Clinical Genomics
  • Ophthalmology
*The first appointment can be made only by a medical clinic or institution through our Community Healthcare Liaison Office.
Appointments from patients are not accepted.

Selective medical treatment charge

In order to fulfill our role as "Advanced Treatment Hospital”, we provide medical care in cooperation with local medical institutions. If you do not have a patient referral document (referral letter), you are required to pay 11,000 yen (10,000 yen for tax exemption) for the first visit and 3,300 yen (3,000 yen for tax exemption) for the re-visit as "selective medical treatment charge” (excluding emergency patients and patients on benefits).
The same applies to patients who have not been examined for at least one year without an appointment. (as of December 2025)
* You may not be able to see a doctor depending on your symptoms, etc.

What you need

  • A letter of referral (patient introduction form)
  • Graphic data, such as CD-R (if you have one)
  • My Number Card as a Health Insurance
    Certificate (card/smartphone)/Qualification Confirmation Certificate, certificate for medical benefit recipients, or medical ticket (for welfare recipients)
  • Medication notebook or instructions indicating the drug name and dosing regimen (if you have one)
  • Medical Interview Sheet Common to All Departments (if you have one)

Flow of check-in

Reception hours for the first visit: 8:45 a.m.-10:30 a.m
  • Those who are examined for the first time
  • Those who have not been examined for over a year
  • Those who have been examined within the year and have completed treatment at the department
  • Those who are visiting another department(s) for the first time

*There are special intake procedures for patients who need accomodation for religious reasons, who are not fluent in Japanese, or who are not enrolled in public health insurance in Japan (except for receipients of public assistance payments).

Those who do not have an appointment

Take a new patient call number ticket.

Please take a new patient call number at the numbered ticket machine.

予約のない方
Fill out the patient registration form.

Please fill out the patient registration form provided at the registry stand.

At the First Visit Reception Counter (5)

When your new patient call number is displayed on the reception monitor, please go to the First Visit Reception Counter (5).
tems to submit

  • Patient registration form
  • A letter of referral (patient introduction form), CD-R, etc.
  • My Number Card as a Health Insurance Certificate (card/smartphone)/Qualification Confirmation Certificate
  • If you have, certificate for medical benefit recipients, etc.

Those who have an appointment

Take a new patient call number ticket.

Please take a new patient call number at the numbered ticket machine.
*If you have an appointment, you do not have to fill out a patient registration form.

予約のある方
At the First Visit Reception Counter (3)-(4)

When your new patient call number is displayed on the reception monitor, please go to the First Visit Reception Counter (3) or (4).
Items to submit

  • A letter of referral (patient introduction form), CD-R, etc.
  • My number card (health insurance card)
  • If you have, certificate for medical benefit recipients, etc.

At the Patient registration card reception counter (6)

When your registration card is ready, it will be given to you at the registration card reception (6).

At the reception of each department

Please submit your registration card and letter of referral (patient introduction form) and medical interview sheet common to all departments (if you have one), at the reception of the department where you are to be seen.

Consultation/Examination

When your check-in slip number is presented on the information display of the outside waiting room, please go into the waiting room.
After the examination, please wait in the waiting room until the person in charge gives you a yellow file.

At the accounting reception counter

Please submit your yellow accounting file at the Accounting Reception Counter (7)-(12) on the first floor. *The CD-R that you submitted at the First Visit Reception Counter will be returned to you at the General Information Desk. Please bring the exchange ticket.

Automatic payment machine, payment counter or deferred payment service

When the bill is ready, your check-in slip number will be displayed on the accounting monitor. When you see your check-in slip number displayed, please pay your medical charges using an automatic payment machine. In some cases, you may not be able to pay using an automatic payment machine. In that case, please pay at the payment counter. Since the receipt cannot be reissued, please keep it safe.

Medicines

In principle, an external prescription will be issued. Please bring your prescription within 4 days, including the day of prescription (including Saturdays, Sundays and holidays), to a health insurance pharmacy.
*In the case of reissuing your prescription after it expires, it is not covered by health insurance, and you have to pay at your own expense.

Reception hours

  • Reception hours for first visit

    8:45 am–10:30 am
    (excluding non-consultation days)

  • Non-consultation days

    Saturdays, Sundays, holidays,
    and New Year holidays (12/29–1/3)

Reception, etc. Location Hours
General Information Near the entrance 8:30 am-4:45 pm
Insurance Certificate Verification Counter 1st Floor and 2nd Floor 1st Floor 8:30 am-4:45 pm
2nd Floor 8:30 am-12:30 am
Medical Consultation 1st floor, counter 1 9:00 am-4:45 pm
Medical Certificate Reception Counter 1st floor, counter 18 9:00 am-5:00 pm
Healthcare System & Cost Advice 1st floor, counter 2 9:00 am-4:45 pm
Various Advice & Support Center
(Core Hospital Operation)
1st floor, counter 1 9:00 am-4:45 pm
Automatic Payment Machine 1st floor 9:00 am-5:00 pm
Out-of-hours Cashier Basement 1 Weekdays: 5:00 p.m.-8:45 a.m. the next day
Saturdays, Sundays and holidays: All day

Billing & Insurance

Paying your bills

Your medical charges must be paid on the actual day of the examination.
1.After all examinations and tests are completed, please submit your file to the accounting reception counter (7)-(12).
2.When you see your receipt number displayed, please pay your medical charges with an automatic payment machine.
*You might be asked to pay at the payment counter if some administrative procedures are needed.

Payment method

  • By cash (Japanese yen only)
  • By credit card
    We accept the following credit cards:
    (Single payments, installment payments, revolving payments)

Available locations and hours

Accounting counters 14-18
(1st floor)
Weekdays: 9:00 am-5:15 pm
Automatic payment machine
(1st floor)
Weekdays: 9:00 am-5:00 pm
Out-of-hours reception
(1st basement floor)
Weekdays (outside accounting desk hours), Saturdays, Sundays, and holidays.

Patients without Japanese health insurance

  • If a patient not covered by the Japanese public health insurance is examined for a disease or injury, medical expenses will be calculated at 30 yen per point of medical remuneration points. (Consumption tax will be charged additionally) Total amount billed may be significantly higher compared to the average of the insurance card holders. Please be sure to ask your doctor or to contact the consultation counter 2 for information on the approximate costs before proceeding with your medical care.
  • In the case of hospitalization, those who do not have Japanese health insurance will be required to pay in full upfront for your total medical cost estimate.
  • If you have private insurance, please contact the insurance company for confirmation on your responsibility. We do not directly negotiate with private companies.