2016.12.20 改定

INITIAL INQUIRYINITIAL INQUIRY

Please feel free to contact us!

Free of charge

What is the Initial Inquiry Service?
If you wish to receive treatment and your initial examination in Japan——A service for the patient and his or her family
Foreigners wishing to receive treatment and their initial examinations in Japan face many rules, and even if they directly
contact hospitals themselves, their acceptance is often denied. Amongst other things, such as a lack of information
regarding the condition of their sickness, issues regarding payment, and the linguistic wall, the biggest problem is the Visafor Medical Stay. Even if acceptance for treatment is determined to be possible, the visa for their stay matching the periodof time for treatment will become an issue. In these cases, many will temporarily return to China to obtain a medical visa,
and thus waste time and money coming back to the hospital. Therefore, before going to Japan, we will carry out an inquiry
to Japanese hospitals as to whether or not acceptance is possible with the current condition of your sickness.

Content of Service
Our company's medical coordinator will
carry out a survey - negotiations for youracceptance for up to three hospitals, andarrange reservations for your acceptance atpossible times.

All submitted medical information will betranslated by our company's medicalinterpreters.

* Either the hospital of your choice in hospital of your choice or be matched with one of our suggested hospitals.
* Our service of matching the patient with a suggested hospital does not guarantee that treatment will be effectively* For every extra hospital we inquire to, we will add on a 1000 rmb charge.

Medical Institution Inquiry, Arrangement StepsSTEP 1 Survey form Entry
STEP 2 Receiving Medical Information from Hospital
STEP 3 Executing your Contract
STEP 4 Paying your FeesYour Acceptance – Beginning
STEP 5 Negotating
the Inquiries*We shall begin the day after we have confirmed that we havereceived your payment

Announcing the result of whether or not

STEP 6 you were accepted*We will provide an answer within 8 Japanese business days

1) Visual Materials → We recommend DICOM
Data formatting2) Results from all types of examinations
3) Prior Treatment Information
4) Letter of Recommendation(Medical Examination Submission Sheet)*For patents with cancer, we recommend that you
also obtain the results of your pathology report.
Your Intent to Come to Japan
STEP 7 Declaring
for Medical Treatment*Within 8 business days of our answer to you

STEP 8 Arranging Reservations*Only during times when acceptance is possible

INITIAL INQUIRY

For the best care – To realize your acceptance

1Along with your personal report and the information you submit
to the hospital, your prior information from the time that yoursickness first appeared to the present time is vital.

Information that the patient should be able to confirm – Example QuestionsWhat do you want from Japanese hospitals?
Are you currently hospitalized?
Can you walk?
Can you sit?
Can you eat?
Do you need a caregiver?
Do you need an Electrocardiogram?
Do you need your respiratory organs to be managed?

Japanese doctors may ask questions such as those listed above additionally, so we request that you prepare in advance.

2

The Creation of an Invitation Letter (Patient Referral Document)
is Critical
When applying to Japanese hospitals, having an Invitation Letter (Patient ReferralDocument) will make the application process more go more smoothly.

A Letter of Invitation (Patient Referral Document) is:
An invitation of the patient to the hospital in Japan as well as the referral formof the patient's medical information
This document must be issued by a hospital (The name of the hospital and thesupervising physician are both necessary)
Referrals issued by Japanese hospitals tend to be more effective than thoseissued by Chinese hospitals
It is possible for our company to support you in the creation of your letter ofinvitation
The translation of your letter of invitation is also included within this service.
*There are many cases in which acceptance is possible without a letter of invitation

INITIAL INQUIRYSurvey Form
We will send you the necessary
medical questionnaire for the initialinquiry as an Excel file.
We ask that you fill in the details.
Because we will carry out our inquiry
requests to hospitals using the data inthis medical questionnaire the medical
information we will have you turn innext as a base, we ask that you fill in alldata such as pharmaceuticals you are
currently taking.

Obtaining your medical information from the hospital
Please prepare information regarding
your past medical treatment and yourcurrent treatment information andsubmit this information to us. The
information we request of you will belisted in the contract, we recommend
the DICOM data of any MRI or CT
scans (and the results of yourpathology report if you have cancer).

INITIAL INQUIRYExecuting the Contract
We shall send the contract to the client upon binding. We require theサイン

signature of the party forming the contract (in their own handwriting) on thered circles on the cover of the contract, inside the contract itself and on theback cover of the contract. Once you have finished, we ask that you send it
back to us.

Payment of Fees
After executing the contract, we request that you pay your fees by banktransfer to the account designated by our company. Upon payment, pleasealso send scanned and photographic data of payment form to us. We will
begin our inquiries the day after confirming that we have received yourpayment.

Acceptance Negotiation/Beginning Examination(*Begins the day after confirmation of payment. We shall report the result of our inquiries within 8 Japanese business days)

Announcement of whether or not you have been accepted
We will report the result to you in either Japanese or Chinese. After thesubmission of the report, please declare your intent to seek medical treatment
in Japan within 8 Japanese business days.
Now, our survey includes a maximum of 3 hospitals. However, inquiries tohospitals are possible as an add-on expense (fees collected separately).

INITIAL INQUIRYResponse as to your Intention to Come to Japan for
Medical Treatment(If acceptance is possible, please respond as to your intent to seek medical treatment in Japan within 8 Japanese business days
following the announcement of the results)*Should the period between our report and your response, it is possible that changes in the condition of your sickness could cause
your acceptance to be revoked.

Arrangement of Appointments(In the event that acceptance is possible, we will begin arranging your appointments after confirming your intent toreceive treatment in Japan)*Please understand that, after working out the contract for coming to Japan for Medical Treatment, your reservation will be definite.
(Depending on the day of the contract, we may make the appointment earlier or later)

Points of Caution
After the response of the result, please inform of us of your intent to receive Medical Treatment in Japan within 8 Japanese business days.
After 8 days have passed, it will be necessary to once again submit the newest medical information and inquire to hospitals.
Regardless of whether there is a designated hospital or not, or the hospital's response, we cannot refund the inquiry fee.
Because all information that we have translated into Japanese will fall under our company's copyright privileges, we will not submit them.
(If accepted for treatment, we can provide them for a fee)

The items below fall outside the range of our inquiry fee.
If there is a designated hospitalIf the relevant hospital charges money for inquiries.

«Attention»
There may be cases where an acceptance report fee by a doctor of the hospital in Japan is required.
In that case, the fee paid to the hospital in Japan will be borne by you.
Please check more about it from the person in charge of our company.
It is not recommended to make inquiries to the same Japanese hospital by using multiple
coordination companies. Duplicate inquiries are causing inconvenience to hospitals in Japan.
In the worst case, acceptance may be refused.

INITIAL INQUIRYJPY100,000

Patient Representative
Medical Examination Service

After the patient has come to Japan to receive treatment and returning to their home country or coming toJapan to confirm the treatment principles has become unnecessary, this service will lessen the toll taken on
the patient's body by traveling to Japan.
This will also lessen the the time and money lost on transport and lodging.
*Applicable for all areas of Japan *Includes the medical information translation for things such as thetreatment principles given during advisory *The medical information translation and medical information
confirmation given in advance of the medical examination.

Content of Service
As the representative of the patient and the patient's family, this service includes
our company's medical coordinator visiting the Japanese medical institution andconfirming the physician's opinions and principles.
Points of Caution
1) The medical information translation, such as your current condition or treatment history, necessary
for representative medical examination is not included.
2) The expenses necessary to pay to the hospital for the necessary medical examination or advisory isnot included.
*Average Market Price: 10,000 to 50,000 Japnaese Yen3) There are hospitals in which Representative Examination is not possible, so the contract will becompleted after confirmation of "Hospital Name Confirmation" or "Appointment Made by Patient".

Regarding what happens after your acceptance has been determined
Upon coming to Japan, there will often be a detailed examination of your treatment plan.
(For the sake of improving the results of your treatment)*It is rare for treatment to begin with only the information gathered from local examinations. Please understand that it ispossible that you may have to undergo examinations you have already taken once more.
Office / Contact

http://medical-hokkaido.com

Shanghai Office
1601, 488 Zhaohua road, changning District 200050 shanghai china.

☎+86-21-53550317