Use the tools below to figure out how urgent your situation is, which specialist you need, and what to do in an emergency — all in one place.
Step 1
Match your symptoms to the right type of doctor before searching the Clinic Finder.
Step 3
These bilingual forms are used by clinics and hospitals across Japan. Print the one that matches your appointment, fill it in before you go, and hand it to the receptionist — it removes the language barrier before you even see the doctor.
Each form below opens the official PDF. Print it, fill it in at home, and bring it to your appointment. All forms are bilingual — English on the left, Japanese on the right. The Japanese version takes priority in case of any translation discrepancy.
General & Internal Medicine
Use this form when visiting a general clinic for symptoms like fever, cough, fatigue, nausea, weight loss, or any concern that doesn't fit a specific specialty. Covers current symptoms, medication history, and past conditions.
Print and fill in before your appointment. Bring it alongside your insurance card.
Use this form for respiratory concerns including cough, wheezing, shortness of breath, chest pain, or phlegm. Includes phlegm characteristics and symptom patterns.
Specialist Forms
For chest pain, palpitations, shortness of breath, irregular pulse, dizziness, or swelling. Includes a body diagram to mark where pain occurs and detailed pain type options.
For nausea, vomiting, diarrhea, constipation, heartburn, bloody stool, appetite loss, or weight loss. Includes detailed stool characteristics and body diagram.
For rashes, hives, eczema, itching, dry skin, moles, burns, insect bites, athlete's foot, or any skin concern. Includes a body diagram to mark affected areas.
For children's clinic visits. Covers fever, rash, vomiting, ear pain, and developmental concerns. Includes vaccination history, feeding method, birth conditions, and current spreading illnesses at school or nursery.
For anxiety, depression, insomnia, low energy, concentration difficulties, or other mental health concerns. Includes current symptom trend and work, school, or family stressors.
For injuries, lumps, swelling, hemorrhoids, or any concern requiring surgical evaluation. Includes stool details and a full body symptom diagram.
For varicose veins, cold hands and feet, leg cramps when walking (intermittent claudication), or other circulation concerns.
For frequent urination, difficulty urinating, blood in urine, pain when urinating, or urinary incontinence. Also covers sexual health concerns.
For headaches, dizziness, numbness, paralysis, vision disturbance, difficulty speaking, or stroke-related concerns. Distinguishes between ongoing symptoms and temporary episodes.
For joint pain, sprains, injuries, stiff shoulders, numbness, dislocation, or difficulty moving limbs. Includes body diagram to mark affected area and severity scale.
For blurry vision, eye pain, redness, discharge, floaters, double vision, dry eyes, or foreign object in the eye. Specifies which eye is affected.
For ear pain, hearing loss, ringing, dizziness, nosebleed, nasal congestion, sore throat, difficulty swallowing, or hoarse voice. Covers all three areas in one form.
For pregnancy check-ups, menstrual concerns, vaginal discharge, abnormal bleeding, or fertility consultations. Includes full menstrual history and pregnancy history sections.
For toothache, gum pain, loose teeth, bleeding gums, lost fillings, jaw pain, or dental alignment concerns. Also includes past reactions to anesthesia or treatment.
Emergency Reference
Save this page or screenshot it before you need it. In an emergency, every second counts.
Free English interpretation for clinic visits
Emergency Card
Select your conditions and allergies below. A printable emergency card will be generated in Japanese and English — ready to carry in your wallet or save to your phone.
Conditions
Allergies
Common Cards
Browse the most common conditions and allergies carried by English-speaking residents in Japan. Use the builder above to create your own.