Outpatient ConsultationsReception: 8:30 am - 11:30 am Consultation hours: 8:30 am - 5:30 pm Closed on Saturdays, Sundays & National Holidays A referral by your family doctor is recommended. Your doctor will make an appointment for you to see a specialist at this hospital. Without a referral, an extra charge (2,160 yen) is added to your bill. As to the first visit to Internal Medicine or Orthopedic Surgery or Obstetrics & Gynecology, a referral by a doctor is needed. Bring your insurance document with you. When you revisit the hospital, bring your registration card with you. Revisit consultation is made on an appointment basis.