Medical questionnaire

When you visit a hospital for the first time, you will be asked to fill our their questionnaire.

Many clinics have very simple for to just give your name/DOB/address and phone number.

Other place, on the other hand, might ask you to write more about yourself such as your medical history, allergies and blood type.

If you have any medical condition or allergies that your doctor should know, make sure to write that on the questionnaire so that your doctor can make good judgement on what you need and what you don’t.



Helpful Links ~Medical Questionnaires in multiple languages~

Medical questionnaires for international visitors (Ministry of Health, Labour, and Welfare) -in Japanese only

Multilingual Medical Questionnaire

AMDA International Medical Information Center




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