This page is for medical institutions.Patients can make their first appointment on this pagePlease refer to.

Consultation appointment

How to make an appointment

1. Fill out the necessary information on the medical treatment request form and submit it to the Regional Medical Service Center.FAX: 06-6312-8620(Available weekdays from 8:45 to 19:00)
   Please be sure to attach a medical information sheet.
   • Download the consultation request form (PDF)
   • Download the consultation request form (Word)
2. We will arrange a date and time for your appointment and send you a reservation notice by fax.
   • On the day of their appointment, please tell the patient to bring their medical information form, My Number card (health insurance card), and appointment notice to the referral patient desk (next to the initial consultation desk on the first floor of the main building).
   • If it is determined that a second opinion is required during the examination, the cost of the second opinion will be 33,000 yen, as it will not be covered by insurance.

Online referral booking

Patients can be referred to our hospital from the original medical institution using the web tool "Yakubato Hospital-Clinic Collaboration." Please use this in addition to the traditional fax referral system.

• Yakuba and hospital-clinic collaboration

Examination reservation

Our hospital receives inquiries from medical institutions.Radiological examination・Other testsWe accept reservations for the following. Test results will be promptly mailed to the requesting medical institution. The requesting medical institution is asked to explain the results to the patient.

Also,Tests that require a pre-examinationPlease check when booking your test.

Appointment for radiology examination

Our strengths

• We will reply to you within 15 to 30 minutes to confirm your reservation.
• If the test results show that early treatment is necessary, we will provide this at our hospital upon request.
• Requests for same-day testing can be made by phone.Phone 06-6131-2955(Available weekdays from 8:45 to 19:00)

How to book a radiology examination

• ^* If you request, we can fax you the test results on the same day.

Inspection contents		Test day	How to apply
PET-CT		Mon-Fri	To make a reservation for PET-CT, please visit our dedicated pagePlease check.
CT *		Mon-Fri	Radiation Examination Application Form and Medical Information Form(PDF)・(Excel)Please download and fill in the required information. In the "Purpose of referral" section, please enter the test items you would like to request. To the Regional Medical Service CenterFAX: 06-6312-8620(Available weekdays from 8:45 to 19:00)
MRI *
RI *	Cerebral blood flow scintigraphy	Tuesday/Friday	To the Radiology DepartmentPhone 06-6312-8840(Available on weekdays from 8:45 to 17:25) and decide on the test date and time in advance. Radiation Examination Application Form and Medical Information Form(PDF)・(Excel)Please download and fill in the required information. Please enter the determined test date and time in the "Desired Date and Time" field, and the test items you would like to request in the "Purpose of Referral" field. To the Regional Medical Service CenterFAX: 06-6312-8620(Available weekdays from 8:45 to 19:00)
	Dat Cinch
	Myocardial scintigraphy (Rest) MIBG	water
	Bone scan	Tuesday/Friday
bone density		Mon-Fri
gastric fluoroscopy		Tuesday and Thursday	"Consultation Request Application Form(PDF)・(Word)Please download and fill in the required information. In the "Purpose of referral" section, please enter the test items you would like to request. To the Regional Medical Service CenterFAX: 06-6312-8620(Available weekdays from 8:45 to 19:00)
enema fluoroscopy

Radiation examination reservation process

If you would like a test information sheet, please feel free to contact the Regional Medical Service Center. After making your reservation, we will fax it to you along with your reservation notice.
If you are unable to download the examination information sheet, we will mail it to you in advance. If you need one, please feel free to contact the Regional Medical Service Center.

Other examination reservations

• ^* Endoscopic treatments such as polypectomy are generally performed while hospitalized.

Inspection contents	Test day	How to apply
Abdominal ultrasound	Mon-Fri	"Consultation Request Application Form(PDF)・(Word)Please download and fill in the required information. In the "Purpose of referral" section, please enter the test items you would like to request. If you would like to have a colonoscopy, we will first ask you to make an appointment with a gastroenterologist. To the Regional Medical Service CenterFAX: 06-6312-8620(Available weekdays from 8:45 to 19:00)
Thyroid ultrasound
Gastroscopy *

Tests that require a pre-examination

• If you wish to undergo any of the following tests, you must first be examined at the appropriate department.
• The doctor will decide whether or not to perform the test and the date.

Inspection items	Department where you will be examined
Colonoscopy	Gastroenterology
Bronchoscopy	Respiratory internal medicine
Cerebral angiography Auditory and sensory evoked potentials	Neurology or neurosurgery
EEG visual evoked potentials electromyography	Neurology
Echocardiogram Holter ECG Treadmill Cardiac catheterization	Cardiology
Facial function test, balance function test Hearing test, auditory brainstem response	Otolaryngology

How to request an emergency consultation

[Weekdays] 8:45-17:25	Please call the Regional Medical Service Center (06-6131-2955).
[Weekdays] 17:26 - 8:44 the next day [Saturdays, Sundays, holidays, New Year's holidays] All day	Please call the emergency/after-hours reception (06-6312-1221).

Kitano Hospital Medical Information

We have published a booklet introducing each department and division of our hospital. Please refer to it when referring patients to our hospital.
Please note that some information is omitted from the online version, so if you require a booklet, please contact the Regional Medical Service Center (06-6131-2955).