MEDICAL TRAVEL FORUM
Compliance Guidelines
July 2023

Medical Excellence JAPAN (MEJ)Compliance Guidelines
MEDICAL TRAVEL FORUM (MTF)
Compliance Declaration
In accordance with the Code of Conduct related to the MTF Constitution, as MEDICALTRAVEL FORUM (“MTF”) members, we hereby are committed to taking actions with highethical standards and a law-abiding spirit so that Medical Traveler will be able to receive
Patient centered rational medicine, and we will provide higher-quality medical travelassistance. In this way, we will aim at contribution to the medicine in Japan anddevelopment of medical travel to Japan.
Outline

Structureand Purpose

These Compliance Guidelines are regulated under the MTF constitution and are
based on the Code of Conduct in Article 4 of the MTF Constitution. Moreover, in orderto prevent difference in, misunderstanding, and misrecognition of interpretation,
specific case examples are also included in these Compliance Guidelines to the
maximum extent possible. This is the purpose of these Compliance Guidelines is torecognize roles of Medical Travel Assistance Companies and to form compliancepolicies for daily services of the MTF members.

Members’
DutiesIn according with the MTF Constitution, the MTF members shall be required to observe
these Compliance Guidelines. In case that breach of such Compliance Guidelines has
been identified, corresponding members shall be subject to guidance or dismissal from
the MTF Bureau. Moreover, the MTF members shall verify observance of theseCompliance Guidelines by themselves from time to time. Simultaneously therewith,they shall follow verification operations conducted by the MTF Bureau.

CreationandRevision

According to the on-site actual situation at all times, such as social environments andinternational affairs and in light of the purpose of the MTF, if some MTF members
propose to do so, establishment of additional regulations or revision of the content ofthese Compliance Guidelines shall take place at any time through mutual consultation
among MTF members including the MTF Bureau. In addition, when establishment ofadditional regulations or revision of the content of these Compliance Guidelines takes
place, approval of the MEJ’s Chief Executive Officer shall be obtained.

Terms used in these Guidelines are defined as follows.
Medical Traveler: Travelers visiting Japan to receive medical services in Japan
Medical Travel Assistance Companies: Companies communicating closely with medical institutions
and providing necessary assistance for Medical Traveler
MTF: Abbreviation for MEDICAL TRAVEL FORUM
JIH (Japan International Hospitals): Hospitals with the intention, systems, and efforts to accept
Medical Traveler
AMTAC(Accredited Medical Travel Assistance Companies): Companies certified as satisfying
guidelines standards in relation to a series of services concerning the acceptance of Medical Traveler.

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Compliance Guidelines
１．Complying to laws and rules (Principle of Good Faith)
1.1 Understanding of the Laws of Japan
Insofar as Medical Traveler will undergo medical acts in Japan, it shall be natural forthem to observe laws and regulations in Japan. Medical Travel Assistance Companies
shall play the role of appropriately conveying information to such effect to Medical
Traveler and of having them understand it.
• Legal actions in countries in which Medical Traveler reside may be illegal under thelaws of Japan.
• Under the Medical Practitioners' Act, medical practitioners may not prescribe
pharmaceuticals without diagnosing patients.

1.2 Service Based on Law
In relation to services for medical travel assistance (i.e., activities to collect proceeds),
it shall be necessary to confirm whether or not the aforementioned relevant services(activities) are in violation of the Medical Care Act, the Travel Agency Act, or otherassociated laws or regulations of Japan.
Medical Travel Assistance Companies not licensed by the Japan Tourism Agency, in
accordance with the provisions of the Travel Agency Act, to collect the price of the pickup transfer arrangement for Medical Traveler shall constitute an illegal act (i.e.,“shirotaku” = a car illegally operating as a taxi). Moreover, for the aforementioned
Medical Travel Assistance Companies not licensed thereby to gain commissions byoffering services of pick-up transfer and accommodation etc. for Medical Traveler ,therefor shall be contrary to the Travel Agency Act and the like. Therefore, such
Medical Travel Assistance Companies not licensed thereby shall get the license(Registration for Tourism Agency Classes I, II, and III) or shall request that licensed
operators handle the actions described above.
1.3 Note for Activities for Collecting Information and Publicity
Images of medical practitioners and/or medical institutions (buildings, etc.), logos ofsuch institutions, or the like, shall not be used for the MTF members’ own activities forcollecting information or publicity without permission. Moreover, webpages and written
brochures of medical institutions shall not be used without permission.
Use if the aforementioned items arbitrarily and without permission from medical
institutions shall be contrary to the laws of Japan, such as infringement of portrait rights
and copyrights. Even if promotion activities are undertaken for targets located in foreigncountries only, such activities shall not be allowed. Most importantly, theaforementioned actions shall cause a loss of trust from medical institutions.

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Compliance Guidelines
1.4 Medical-related Information
Even if the MTF members have known certain medical-related information based on
their own experiences, they shall provide Medical Traveler with such information after
confirming it with medical institutions and medical practitioners without fail.
While MTF members shall be committed to shall fulfilling their own roles as Medical
Travel Assistance Companies, at the same time, they shall refrain from undertaking
actions beyond their authority. To give medical advice to Medical Traveler may becontrary to the Medical Practitioners' Act, or the like.
1.5 Protection of Personal Information
It shall be necessary to strictly manage all information related to Medical Traveler aspersonal information (the Act on the Protection of Personal Information). Close
attention shall be paid to handling such personal information and shall thoroughly
undertake countermeasures against leakage risk for the same.
When submitting personal information to medical institutions, such as referral
information concerning Medical Traveler, by email, such information shall betransmitted via password-protected files. Moreover, attention should be paid so thatthe names, etc. of Medical Traveler would not be easily included in titles and/or main
texts.
1.6 Difference in and Understanding about Culture, Religion, and Customs
It shall be necessary to understand differences in culture, religion, and custom so that
discord arising from such differences related to Medical Traveler will not occur.
Information necessary related to religion, etc. shall be obtained from Medical Traveler
in advance. Furthermore, sufficient consideration and explanations shall be provided to
Medical Traveler so that actions contrary to the laws and rules of Japan will not be
undertaken based on differences in culture and customs.
• It is required that information related to foods and medical actions restricted based on
culture, religion, and/or principles be collected, advisability of responses made byaccepting medical institutions be confirmed, relevant explanations be provided to
Medical Traveler , and approval thereof be obtained in advance.
• Preferential diagnosis requests made with donations to medical practitioners or the
like, negotiations for discount of medical expenses, etc. shall lack common sense inJapan, and they shall not be allowed at sites of medicine in Japan. Explanations to theeffect that even if Medical Traveler innocently conduct the aforementioned actions,such actions are prohibited shall be given to Medical Traveler , as needed.

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Compliance Guidelines
2. Protection (Appropriate Handling) of Medical Traveler
2.1 Collection of Information about Medical Traveler
In order to undertake diagnoses in Japan, information concerning reasons andpurposes of Medical Traveler , furthermore the information that medical institutions
need shall be firmly collected.
• Some Medical Traveler may hold excessive desire to undertake diagnoses in Japan.
Regarding whether or not it would be truly beneficial for given Medical Traveler toundertake such diagnoses in Japan, it shall be necessary to consult fairly without
acting in accordance with in-house convenience.
• It shall be necessary to convey to them that impossible actions are absolutely
impossible at the initial time without giving them ambiguous answers or allowing themto have excessive expectations.
2.2 Conveyance and Confirm of Requests from Medical TravelerWith regards to the information of Medical Traveler , which should not only be
responding to the requests from medical institutions, but also minor information
requested by Medical Traveler t shall be provided without omission to medical doctors
and institutions in Japan.
It is also the role of Medical Travel Assistance Company to ensure and determine to
the Medical Traveler 's request whether the medical institution is appropriate andcapable for not.
• In particular, when translation takes place, caution shall be exercised. The content of
information shall be conveyed accurately and without omission or leakage thereof.
• If the Medical Traveler would be specified the Medical Institution, it must be ensured
that the Medical Institution is appropriate and to safely be sent the Medical Traveler
and has an adequate emergency system, etc. If the system is inadequate, should
provide a detailed explanation to the Medical Traveler and reconsider referring toanother Medical Institution. If in any doubt, consult to the MTF.

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Compliance Guidelines
2.3 Confirmation of Content of Medical Examination
In the case of medical check-ups, detailed information regarding the same, such as
items included or not included in such medical check-ups, shall be appropriately andbeforehand confirmed with and accurately conveyed to Medical Traveler .

In the case of Medical Treatment, it would be not guaranteed to be able to receive
medical treatment according to the desired content and the conditions for which thetreatment is indicated are stipulated.
Obtaining accurate and up-to-date medical information on the Medical Traveler , aswell as ascertain the progress of the disease, and confirm with the medical institution
or consulting physician whether the desired treatment of the Medical Traveler will beeffective for the disease, before deciding to come to Japan.

・In relation to what Medical Traveler expect from health check-ups and Medical
treatment, in particular, if persons applying for medical check-ups differ from Medical
Traveler , special attention shall be required. Sufficient caution shall be exercised
because changes to the content of medical check-ups immediately before they takethe same after their arriving in Japan will cause enormous difficulties to medical
institutions.

・If there is a particular treatment method that the Medical Traveler wish, it should
check with the medical institution whether it is indicated and available at the receiving
facility and provide accurate information on the details of the treatment.
・Many Medical Traveler s have excessive expectations of the latest treatment
methods through SNS etc.. If necessary, the doctor or consultant physician of the
medical institution to be consulted should explain the benefits, safety and risks of thevisit in advance to makes convinced the Medical Traveler before arriving in Japan andprevents any problems after arrival.

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Compliance Guidelines
2.4 Confirmation of Points to Note for Medical Examination
In the case of medical check-ups、。Differently from medical care, some Medical
Traveler believe that it would be easy to receive medical check-ups without muchconsideration. If points to note for taking medical check-ups are not matched, it may
not be possible to receive the same.
In the case of treatment, precautions are also set out when undergoing tests andtreatment. Ensure that the precautions are communicated and adhered to, for example,
by asking the Medical Traveler to check the consent form of the medical institution
before coming to Japan.
In addition, make sure to clarify the position of the ‘Online Medical Consultation', whichis increasing in recent years.

・Medical Travel Assistance Companies shall play the important role for the following
matters as well: (i) to firmly and thoroughly explain to Medical Traveler about dietary
restrictions prior to medical check-ups, precautions at the time of taking inspections,etc.; (ii) to have them observe comply them; and (iii) if they have any physical concerns,
to have them declare information to such effect accurately. One example is that if,
despite the fact that Medical Traveler had metals within their bodies, they desired totake MRI examinations. Another example is when it was impossible to performaccurate and precise examinations of Medical Traveler because they did not comply
with dietary restrictions prior to such examinations.
・In the case of treatment, it may not be possible to receive the planned treatment due
to a full examination after arrival in Japan or changes in own medical condition.
・In the case of Online Medical Consultation, it is important to confirm in advance toboth the Medical Institution and the Medical Traveler whether this is a preparation
before coming to Japan (e.g., diagnosis of admissibility) or an alternative in case theMedical Traveler cannot come to Japan (e.g., second opinion), to avoid
misunderstanding.

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Compliance Guidelines
2.5 Monetary Amounts for Medical Traveler
Appropriate prices for the monetary amounts billed to Medical Traveler shall becomputed based on confirmation with medical institutions.
(In case that relevant contacts have been executed with medical institutions, suchcontracts shall be in accordance with that contract)

Even if another local intermediaries are involved between the MTF members andMedical Traveler , supervision shall be necessary to ensure that monetary amounts
extremely differing from those approved by medical institutions will not be paid by
Medical Traveler .

2.6 Travel Management and Visas for Medical Traveler
Types of visas for Medical Traveler to visit Japan shall be confirmed without fail.
Caution shall be made such that the MTF members will not result in having a part inillegal overstaying by understanding the expiry dates, types (purposes), etc. of such
visas. Always be aware of the weight of responsibility when providing guarantees ofidentity for a Medical Stay Visa.

• Medical Traveler with the Visa for Medical Stay shall take diagnoses in Japan atmedical institutions that agree to guarantee such persons, in principle (“certificate fromthe medical institution about the planned medical services and references from theguarantor”).
• When it has been determined that the MTF members undertake coordination
services for Medical Traveler who have been guaranteed by other institutions(originally, it would be impossible for such cases to take place; however, there havebeen several related case examples in the past), information to such effect shall bereported to the MTF Bureau.
• When providing a medical stay visa guarantee, it is necessary to ensure carefully
whether the medical institution concerned can fulfil its medical responsibilities towards
the Medical Traveler during their stay in Japan. Be attention enough to be taken not
to give a guarantee easily as some medical institutions are not designed to deal withemergency case in own hospital and cannot handled.

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Compliance Guidelines
2.7 Understanding the Behavior of Medical Traveler
Even if the MTF members are not involved in travel arrangements, locations in Japanin which Medical Traveler are planning to stay and their behavior shall be understood.
Medical Travel Assistance Companies shall play the role to maintain a state in which
they are able to contact such persons at least at all times for contingency.
In the case of emergencies, when the MTF members are guarantors of Visas for
Medical Stay, such MTF members shall understand behaviors while they stay in Japanas a matter of course. Moreover, even when the MTF members are not suchguarantors, they shall do so. If prohibited actions (e.g., taking treatment at separate
medical institutions) are undertaken without the MTF members’ knowledge, physicalrisks may be caused to Medical Traveler, and it shall be caused trouble to medical
institutions that the MTF members have requested.
2.8 Communication with Medical Traveler
In relation to communications with Medical Traveler, miscommunications caused due tolanguage barriers shall not take place and smooth prior preparation shall be conducted using
high-quality medical interpreters.
Caution shall be exercised so that troubles caused due to daily misinterpretation (includingtranslation of Medical Traveler referral information) will not be caused. For example, the term
“immunotherapy” in one word―what does it especially designate? Attention shall benecessary concerning whether or not Medical Traveler are able to have correctunderstanding through use of high-quality medical interpreters who are familiar with difficult
medical terms and accurate communication.
2.9 Follow-ups following Diagnoses
Even after Persons Intending to Diagnoses in Japan have completed diagnoses in Japan andhave returned home safe and sound, follow-ups of such persons shall be conducted, such as
through observation.
Even without instructions by medical institutions, follow-ups after returning home shall be
conducted. If there are abnormal symptoms, feedback shall be given to medical institutions
that have provided the relevant diagnoses.
2.10 Case of Death
Cases of death during a treatment stay in Japan are also possible. In the midst of grief at theloss of a family member, be there for the bereaved family members who have to deal withvarious matters in an unfamiliar foreign country, in good faith and to the best of your ability.
• As Medical Travel Assistance Company, be aware to have a moral responsibility to support
the bereaved family at your best.
• Preparation should be made in advance to ensure that formal paperwork and the transfer ofthe body can be carried out smoothly.

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Compliance Guidelines
3. Collaboration with Medical Institutions(Contribution to Sound Operation)
3.1 Corporate Partnership with Medical Institutions
When transactions occur with medical institutions, necessary contracts, memorandums,
etc. shall be executed and mutual roles and responsibilities shall be clarified
beforehand.
• When medical institutions undertake transactions with designated operators only,
consultation shall be made with designated operators or the MTF Bureau.
• In relation to medical institutions that do not require contracts or memorandums,
meetings with such medical institutions shall be firmly conducted to avoid future trouble(it is requested that such cases be reported to the MTF Bureau).
3.2 Selection of Medical Institutions (Prior Determination)
Medical Traveler shall be required to obtain confirmation for acceptance thereof by
medical institutions at which they receive diagnoses. They shall not be allowed to visit
Japan before such confirmation. Abusing of the “duty not to refuse any request for
examination or treatment” shall constitute a breach of compliance.
In case that Medical Traveler have visited Japan prior to confirmation of accepting
medical institutions under unavoidable circumstances, taking Medical Traveler tomedical institutions without providing them with any notification that such persons are
Medical Traveler shall be deemed to constitute a breach of compliance.

3.3 Request for Acceptance of Medical Traveler
Many medical institutions shall retain the separate systems for accepting Medical
Traveler from those for general domestic persons intending to receive diagnoses.
When making requests for acceptance, first of all, the information to the effect that
relevant applicants are Medical Traveler shall be provided and requests for
acceptance thereof shall be made via appropriate liaison departments.
Names of liaison departments accepting Medical Traveler shall differ from those of
medical institutions. No departments exclusively for such purpose may exist. Relevant
responses shall be made according to each medical institution.

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Compliance Guidelines
3.4 Rules for the acceptance of Medical Traveler
In relation to acceptance of Medical Traveler, the referral information and processes
necessary for medical institutions differ from each other. For smooth acceptance, rules
and processes for acceptance shall be confirmed with medical institutions andacceptance of such persons shall be moved along with.
• Rules and procedures for medical institutions differ from each other, such as medical
institutions requiring expenses for judging advisability for acceptance, the ones thathave created their own unique application forms, and others requiring special patientreferral information. In relation to what is required for acceptance by relevant medical
institutions, it shall be necessary to confirm their own rules and procedures in advance.
• Sufficient caution shall be exercised concerning the fact that Medical Travel
Assistance Companies shall be responsible for troubles caused due to omission ofcommunications, mistranslation/misinterpretation, and misrecognition.
3.5 Organization of Patient Medical Referral Information Required for Diagnoses
Upon diagnosis, much information shall be desirable, provided that in lieu of translating
patient referral information (e.g., medical results obtained by Medical Traveler in theirhome countries or other counties) as it is and delivering the same to medical
institutions, Medical Travel Assistance Companies play important roles for organizing
necessary information and delivering such organized information to the medical
institutions.
Medical institutions that receive such information shall be able to immediately confirm
organized information. As a result, it shall be possible for them to give replies to
Medical Traveler quickly. In addition to patient referral information provided by local
medical institutions, it shall be acceptable for the MTF members who are Medical
Travel Assistance Companies to organize the information about names of illnesses,
chronological medical records, current physical problems, and requests made by
Medical Traveler on a single page in a clear and concise manner.
3.6 Conveyance of Information from Medical Institutions
The MTF members shall deliver notification and guidance from medical institutions to
Medical Traveler without excess or deficiency and in an accurate manner such thatneither misunderstanding by Medical Traveler nor misrecognition thereby will occur.
The MTF members shall be sufficiently cautious regarding the fact that Medical Travel
Assistance Companies assume responsibilities for troubles based on omission ofcommunications, mistranslation/misinterpretation, misrecognition, etc.

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Compliance Guidelines
3.7 Medical Plans and Prior Explanations and Consent (“Informed Consent”)
Diagnostic agreements and informed consent processes are to be directly achieved
between medical institutions and Medical Traveler; however, the content and points of
the aforementioned agreements and informed consent processes shall be conveyed tothe aforementioned persons before they visit Japan. Medical Travel AssistanceCompanies shall be required to understand positions on the side of medical institutions
and awareness on the side of Medical Traveler and to convey the same to Medical
Traveler beforehand.
In addition, in case of Online Medical Consultation, it should explain well in advanceabout conditions of Medical Institution side, and adjust the Medical Traveler 's wishes,and other preparations such as prior explanations should be properly made.
• Medical institutions have always tried their best. However, it shall be necessary toadvise Medical Traveler that radical cures may not be promised, and that Medical
Traveler will have to trust medical institutions and be required to undertake endeavors
and provide cooperation to try to cure themselves, rather than leaving treatment of
their illnesses up to medical institutions in a passive manner.
• It shall be important to make Medical Traveler understand well that contingencies
that are totally impossible to be foreseen prior to commencement of treatment may
occur even though medical institutions conduct treatment considering all possibilities.
3.8 Thorough Dissemination concerning Etiquette and Hospital Rules
Medical Travel Assistance Companies shall play the role of guiding Medical Traveler
about etiquette and rules within medical institutions in Japan in advance for avoiding
any troubles will not occur within facilities of medical institutions.

Sufficient instructions shall be given in advance such that it will be absolutely not
permitted for Medical Traveler to talk aloud in public locations, such as hospital waiting
rooms, or eat and drink, smoke cigarettes, and use cellular phones in locations where
the same is forbidden. Moreover, if troubles have occurred, the MTF members shall be
required to respond thereto for solution of the same at their own responsibilities.

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Compliance Guidelines
3.9 Japan’s Health Care System (Medical Treatment Not Covered by Insurance)
Japan has a public health insurance system and the prices of medical services
provided by such insurance have been regulated as medical service fees. Such prices
are those through which insured persons who have joined public medical insurance
receive benefits, which is called “medical treatment covered by insurance.” When
Medical Traveler receive diagnoses in Japan, medical treatment not covered byinsurance shall become applicable, and the prices shall differ from those for persons
who have joined public medical insurance. If Medical Traveler question the fact of
medical expenses differing from those for medical treatment covered by insurance,correct information shall be conveyed such that no subsequent troubles will occur.
After Medical Traveler have visited Japan for receiving diagnoses in Japan, changes
to their medical treatment not covered by insurance to medical treatment covered byinsurance shall not be allowed in the middle through becoming dependents of those
who reside in Japan, etc., in principle. In relation to Medical Traveler who are likely to
do so, the information to the effect that it is impossible for them to do shall be given tosuch persons in advance so that it will not take place before the actual occurrence
thereof. For the MTF members to be involved into this shall be absolutely inexcusable.
If such involvement (e.g., giving relevant advice) has been recognized, the relevant
MTF members may be subject to expulsion from the MTF.
3.10 Settlement Services (Representative Settlement)
When Medical Travel Assistance Companies make payments to medical institutions(i.e., representative settlement) in lieu of Medical Traveler , relevant payment-related
information, such as about the method of payment and period therefor, shall be
confirmed with medical institutions beforehand. (And in case that there exist
descriptions in contracts, such descriptions shall be followed.)
Additional expenses may accrue during the diagnoses, such as for admission tohospitals. Portions up to detailed parts concerning representative settlement shall beassumed and prior consent with medical institutions shall be required.
3.11 Settlement Services (Settlement by Medical Traveler )Some medical institutions may not allow agents to make relevant payments. In suchcase, relevant support shall be necessary such that Medical Traveler will makerelevant payments via a method and in a period required by medical institutions.
Some medical institutions may not be accustomed to methods for settling medical
treatment not covered by insurance. In such case, it shall be necessary that
meticulous explanations be given, and settlement be conducted via methods approvedby both parties.

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Compliance Guidelines
3.12 Arrangement of Medical Interpreters and Quality Management
In order to manage quality for interpreters, based on approval of medical institutions,those who retain qualifications as medical interpreters shall be arranged or attendanceby those who have specialized medical knowledge, such as holding the license of a
medical practitioner or nurse, shall be provided.
In the case of medical treatment, highly specialized knowledge shall be necessary.
Therefore, Medical Travel Assistance Companies shall serve to manage quality forinterpreters, such as providing them with associated materials beforehand andallowing them to learn such materials.
3.13 On-site Roles of Medical Interpreters
When outsourced medical interpreters have concurrent positions as coordinators andvisit medical institutions as the agent for Medical Travel Assistance Companies, theyshall be required to observe these Compliance Guidelines.
Medical Travel Assistance Companies shall be aware that they will be responsible forthe site without leaving the site to outsourced medical interpreters completely and shallintend to conduct close coordination with medical institutions.
3.14 On-site Interpretation Services
When interpretation for oral interviews, medical practitioner’s diagnosis explanations,etc., takes place, for confirmation concerning omission or misinterpretation, recording
conversation as well as taking memos shall be conducted depending on the case.
Interpretation shall be carried out with the utmost attention to detail.
When recording conversation, the prior approval of medical institutions and Medical
Traveler shall be sure to obtain.
3.15 Check the system of the receiving Medical Institution
Check in advance whether the Medical Institution to where the Medical Traveler would
be in is equipped enough.
In the case of the Medical institution designated by the Medical Traveler or deal with a
Medical Institution as the first time, check carefully before the post-entry medical
examination whether the Medical Traveler can be accepted safely (e.g., administrative
procedures, emergency procedures) and whether they are able to deal withemergencies.

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Compliance Guidelines
4. Sound Development of Medical Inbound Services(Secure, Safe, and High-quality Assistance Services)
4.1 Position of Medical Travel Assistance Companies
The role of Medical Travel Assistance Companies shall make adjustments between Medical
Traveler and medical institutions. Therefore, they shall spare no effort to gain understandingof the counterparties from the standpoint of both parties at all times.
The MTF members shall not push either requests by Medical Traveler or medical institutions.
If the MTF members have had difficulties in judgment, they shall consult on such matters withother MTF members and the MTF Bureau.
4.2 Selection of Medical Institutions (Prohibition of Deliberately guiding)
The selection of a medical institution is solely the responsibility of the Medical Traveler in theend, and medical travel assistance companies shall only provide them the necessary
information.
Moreover, prioritizing intention by Medical Traveler , Medical Travel Assistance Companies
shall not guide them to specific medical institutions in order to pursue only their own benefits.

There have been cases in which, for the reason that Medical Travel Assistance Companies
did not have the close relationship with medical institutions desired by Medical Traveler , such
Medical Traveler were guided to medical institutions with which the Medical Travel
Assistance Companies were acquainted because the same type of diagnoses was possible.
This kind of action shall not to be allowed because it will lead to a loss of trust from medical
institutions.
4.3 Prohibition of Information Manipulation Related to Medical and competitor
When selecting medical institutions, neither false nor inaccurate information shall be provided
to Medical Traveler .
Moreover, information that would cause disadvantages to medical institutions (actions
equivalent to slander) shall not be subjectively dispatched.
• When information related to medical institutions and competitor is conveyed, the source ofsuch information shall be disclosed to Medical Traveler , leaving judgments of authenticity up
to the Medical Traveler . Medical Travel Assistance Companies shall not push their own ideas
or opinions on to the judgments by such persons.
• Strictly refrain from any act that intentionally transmits information to healthcare providers or
patients that may undermine other companies.
4.4 Sound Management and Deposit Management
Medical expenses, costs for staying, etc. that are deposited in advance, shall be surely
managed.
Actions that would cause disadvantage to Medical Traveler and medical institutions, such as
by applying deposited medical expenses to corporate operations, shall not be allowed.

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For building good cooperation between
Compliance Guidelines
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to contact us if you have any question and concerns.

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MTF Compliance Guidelines Consultation Desk
Medical Excellence JAPAN, MEDICAL TRAVEL FORUM Team （MTF)
Address: Ichibancho Hogenzaka Bldg. 3F, 13 Ichibancho,Chiyoda-ku, Tokyo JAPAN

TEL：+81(0)3-6261-3971 E-mail：mt-forum@me-jp.org©2023 Medical Excellence JAPAN

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