How to get married in Japan

Getting married in Japan is ridiculously simple. And getting married to a local comes with benefits! The ability to apply for a spouse visa, which has no restrictions on work. Applications for things like credit cards and housing are much more likely to get approved. And other such paperwork-related upsides.

To get married in Japan, there are just a few steps. See below for my experience as an American getting married in Japan. (For two foreigners to get married, your mileage may vary.)

Japanese-style wedding at a shrine
If you choose to hold a Japanese-style wedding at a shrine, you’ll never run out of lovely backdrops for your wedding photos.

Step 1: visit the embassy

To get married in Japan, you need a document called 婚姻要件宣誓書, or “Affidavit of Competency to Marry”. Japanese law requires proof from your country saying you are eligible to marry in your country. For example, if the minimum age to marry is 20 years in your country, you can’t come to Japan to marry at 18 (the legal age here). This means visiting an embassy or consulate, usually located in big cities like Osaka or Tokyo, to get the document notarized. Don’t worry; your Japanese partner doesn’t need to accompany you.

You must make appointments for the US embassy online; other embassies probably have similar systems. Download the form from their website, and take your passport and cash (in US dollars!) for the application fee. During your appointment, an official will notarize your forms, giving you 3 months to get married. For more information, check out your embassy’s website.


Step 2: fill out your marriage registration

You need another document called a 婚姻届, or konin todoke. Nowadays, this form comes in fun colors and designs not at all appropriate for such an official, law-binding document: from basic hearts, to Hello Kitty and anime. Leave it to Japan to make government documentation cute. Why, you ask? For the engagement pictures, of course. You can’t get married in Japan without taking an abundance of cute couple pictures signing documents.

Form for getting married in Japan
Form for getting married in Japan
Form for getting married in Japan
Form for getting married in Japan

Even though you must complete the form in Japanese, it isn’t too complicated. However, it does require two “witnesses” to sign as well. Just ask two friends to fill in their address and stamp their hanko. Don’t have any friends? Me neither. Just ask some random person on the street to do it, no one will check. (jk, don’t actually do that…)


Step 3: go to your ward office

Once you have all your documents, take a romantic stroll down to your ward office. Don’t forget ID (i.e., passport) and anything else your specific ward office requires. Some offices, for example, ask for birth certificates. Your Japanese partner must take a recent copy of their family register and ID.

Look for the 戸籍課 section of the ward office and turn in all your forms. To which you get rewarded with more forms to sign! Japanese bureaucracy at its finest. Regardless, it shouldn’t take very long to get everything done. (My “marriage” took 20 minutes.)

Congratulations! You are now legally married! Now go out there and take those instagram pics with your Pikachu marriage registration.


Side quest: name changes

Fun fact: the government stubbornly refuses to allow different last names when getting married in Japan. Of course, this means almost all women change their names after marriage (96% in 2015). However, this law does not apply to international marriages. Why? Japan cannot force a citizen of another country to change their name; this would require a legal name change in your own country.

I was overjoyed to discover this! I love my name, and I certainly don’t agree with outdated patriarchal systems forcing women to change theirs. But I do suffer from the gaikoku disease of having a very long three-word name. (Anyone living in Japan with a middle name can understand this predicament.) Getting married actually led me to find a solution to this problem, which I will outline in another post!

Anyway, while Japanese women must go through the pain in the ass process of changing their names after marriage… foreigners get to play the gaijin card and skip this one out.


That’s all you need to get married in Japan!

What’s marriage like in your country? I chose to get married in Japan because, logistically, it seemed far simpler than marriage in the US. This may not apply to everyone, though. For example, LGBTQ+ couples still need to look elsewhere to marry. (But I have hopes this will change soon!)

Want to learn more about Japanese weddings or married life in Japan? Hit that subscribe button.

Travel during a pandemic, part 3: Quarantine

Japan has had some of the strictest border restrictions of any country throughout the COVID-19 pandemic. Or コロナ禍 (corona-ka), as it’s called here. Thankfully, the government has slowly started rethinking its absolute border closure. But the day tourists can once again fill the streets of Tokyo still seems a while away.

Still wearing masks in Japan
Even the statues still wear masks in Japan.

Last time I flew to the US, I had the lovely surprise mid-trip to find out my state had been added to Japan’s list of designated quarantine locations. Upon return to Japan, I would have to stay in a quarantine hotel for a week.

This post will detail my experiences with quarantine in Japan. Although the government has removed most quarantine requirements at the time of this post, I write this post for several reasons: 1) this position has been reversed multiple times in the past so there is a chance quarantine will be required again in the future, 2) if you test positive for covid on arrival you will have mandatory quarantine for two weeks anyway, and 3) I think it’s an interesting, unique experience worth sharing. Let me know what you think, and what experiences you’ve had with quarantine in your country!


Hopping on the quarantine bus

So, back to where I left off on part 2 of this “return to Japan” series. After passing immigration, you wait together with everyone else shipping off to quarantine. Eventually they led us to a tiny hotel bus specially chartered for us. Tip #1, sit at the very front of the bus. (You will get to your room so much faster. After the long flight and all the airport procedures, you’ll thank me for this.)

The two times I had quarantine in Japan, the bus ride took about an hour or two. Travel time varies depending on what hotel they (randomly) assign you. This time, I went from Haneda airport to Shinagawa. I would spend a week… very unfortunately… at the unspeakably tiny… APA Hotel.

Japanese business hotel room
I had to jump over my open suitcase to reach the bathroom…

Those of you in Japan know the name. APA Hotels have the hilarious “benefit” of having everything within reach of the bed. Or so Japanese netizens like to joke. As a “business hotel” designed to have its customers on business trips spend only their sleeping hours there, APA Hotel rooms are the size of a closet. They’re definitely not designed for a week-long enclosure. But alas, government contracts with this chain of hotels led me to this unfortunate fate.


Check-in for hotel quarantine in Japan

A mix of worn-out Japanese staff and heavy-lidded south Asian translators met us upon arrival. (Considering the hour at which we got there, I’m sure everyone involved only had sleep on their minds.) These quarantine hotels get entirely reserved for international arrivals, so check-in consists of only your fellow travelers. It still takes a while. The staff confirm your identity, explain the rules of your stay, hand you even more documents, and send you off with a sad-looking bento to your new home for the next few days.

You can’t choose your meals. Some (not all) hotels do offer vegetarian or halal bento options though. Confirm at check-in if you have dietary restrictions. If you have allergies, confirm at every meal. While I don’t think anyone has died yet, I’ve heard countless stories of people receiving allergens in their meal. The staff either don’t know or don’t care enough to check.

Typical Japanese bento of fried food
How do salarymen eat this every day? I love fried food as much as the next guy, but this is overkill…

Contrary to popular belief, most Japanese bento are horribly unhealthy. Carbs, deep-fried meat, and more carbs. You’re lucky if you find a lonely boiled broccoli hitching a ride. Eating that for three meals a day (yes, even breakfast) for an entire week will make you sick. Bring healthy snacks!

My hotel had a halal/vegan option (covering all their bases) that saved me from stomach troubles, but left me unbearably hungry. Boiled unseasoned vegetables, salad, and rice—taken straight out of the fridge with no option to heat up. Thankfully Japan’s love of tea meant my room had a kettle, so I warmed myself with instant soup and coffee.


What a day in quarantine in Japan looks like

The next morning at 7:30, we awoke to loudspeakers in our room telling people to prepare for their covid tests. Everyone must test negative before leaving, but you only take the test once or twice during your stay. Jet-lag combined with long announcements in broken English meant I spent my mornings lounging in bed, hungry and unable to sleep. Some hotels also have you report your temperature by 8am. Forget, or report something higher than 36.4, and you get a call from the nurse asking, “大丈夫?”

Every day at 8 am, noon, and 6 pm, I would hear a chime followed by a three-minute announcement. “...and careful not to absentminded lock your key inside of your room…” And I would hurry to my door, crack it open, and grab the ice-cold bento and lukewarm tea just outside. When you have nothing to do, you look forward to every little event.

With the frosted window only opening a crack, I had no idea about the weather or time of day. I left the news on most of the time to get a sense of the outside world. My hotel did not have any laundry services, though they offered to send detergent for washing clothes in the tub… I could receive packages, on a few conditions. Tell the front desk by the night before, no raw/refrigerated food, the staff must check the contents beforehand, etc.

COVID-19 quarantine apps in Japan
One of many apps we had to download for quarantine in Japan.

We also had to respond to notifications from the various apps we downloaded on arrival. Apart from that, there was nothing else to do during quarantine in Japan. Even if you’re not easily bored, a week trapped in a cramped room can make anyone go stir-crazy.


Last day of quarantine

Day six rolled around and I was so ready to get out of there. I took the covid test kit left at my door and spit into the tube, just like at the airport. Nurses in protective suits knocked on our doors to collect individual samples and confirm our identities again. After that, the morning continued as normal.

Around 2:30 pm, the front desk called to say we would be leaving immediately. (I guess I was negative for covid?) I hurried to gather my luggage and rushed out the door, ecstatic to be out of that tiny hotel room. We all boarded the same bus again and headed back to the airport. For some unknown reason, this was the only option for leaving the quarantine hotel.

Our arrival at the airport was almost comically ironic. They kicked us off at the arrivals bus stop and… just left… without a word. All that fanfare when we first arrived, but once quarantine was over they just let us run free. Technically we could not use any form of public transportation to get home, but apparently a lot of Japanese people flaunted that rule. (We foreigners could get our visas revoked; Japanese citizens have no such consequences.) So I headed over to the rental car desk, filled out some paperwork, and drove myself home, singing along to the radio blasting.

Driving home from quarantine in Japan
After a week in quarantine, finally home free!

Thoughts on quarantine in Japan

I didn’t hate my week in quarantine, but I would not wish this situation on anyone. I felt three things I rarely ever experience: boredom, insatiable hunger, and an intense desire for the outdoors. (The definition of first-world problems, I know.) When you lose the freedom to do what you want—like going for a walk or choosing your own food—you suddenly really miss it.

Now that we’re three years in to the pandemic with no end in sight, people have hit the limit of tolerating restrictions. That, and widespread vaccination programs, means we will probably soon see the end to strict quarantines. I guess my Japanese quarantine story will just end up something fun to tell people in a few decades, when we finally get to put COVID-19 behind us.

How was your quarantine experience, in Japan or another country? Similar, different? Comment, and hit subscribe if you want to learn more about Japan (for when COVID restrictions finally do go away)!

Travel during a pandemic, part 2: Returning to Japan

Japan continues to block new entries into the country as the COVID-19 pandemic rages. Two years have passed since tourists could last enter; the government has granted only handfuls of other visas in that time, including new work or spouse visas. That means people flying in now are almost certainly those who are returning to Japan—aka, residents.

The Japanese government actively discourages travel abroad during the pandemic (while also somewhat encouraging domestic travel?). But for emergencies, or for foreign residents who have lives on the other side of the world (*raises hand*), it’s sometimes necessary.

This post will detail what you need to return to Japan. I never thought we’d go back to the days when flying was a luxury… It ain’t easy, but it’s not horribly difficult either. Regulations change at a moment’s notice, so try to keep informed!


Preparing for entry into Japan

Returning to Japan is far more complicated than returning to the US. Your first hurdle: the COVID-19 test.

Japan only accepts certain tests, ones that are hard to find in other countries. Make sure the sampling method is either saliva or nasopharyngeal (aka with the super long stick, NOT the same as a nasal swab). Take the test less than 72 hours before your flight, with wiggle room in case of delays. You also need a signature from a doctor and various other information like sampling time. You will get denied boarding for any wrong detail, so triple check before you book your test.

To be safe, ask the lab to fill this form, which is government approved. You don’t need the original lab results if you have this.

Next step: complete the health questionnaire.

This takes a couple minutes at most. Screenshot the resulting QR code, as most airlines require this at check in.

Additionally, you will need to arrange transportation and possibly a hotel stay after your arrival in Japan. Check the end of this post for more details. Staff at the airport will ask you about this. Make reservations asap!

At this time, that’s all you need before boarding your flight. (Other documents can be prepared later.) Check the MHLW website for updates, as these requirements change often and without notice.

Steps for entering Japan
The MHLW website should have all the information you need for returning to Japan, though it is not always up to date. (For example, the COCOA app is no longer required.)

One important note: DO NOT book connecting domestic flights within Japan. International returnees to Japan cannot use public transportation during their quarantine period. Domestic flights count as public transportation. Airlines will allow you to book these flights, but they will deny your boarding. Save your time and money, don’t make this mistake.


The flight to Japan

The Japanese government limits the number of international arrivals (~3,500 people/day). This on top of other restrictions on airlines means a high chance your flight will change, or even not fly at all. I found out about a 3-hour delay only a couple hours before my scheduled flight. Keep checking your itinerary!

Because of Japan’s strict COVID test requirements, you won’t be able to check in online. If you get stuck with long lines at the airport, this could make you miss your flight, so get there early. They will check your COVID test results and QR code at check in, but otherwise, business as usual for returning to Japan. Though you may have to show all your documents before your connecting flight as well. Bring plenty of masks; they’re required at all airports and on the plane.

As I mentioned, international flights fly way below capacity these days. With only about 20 passengers, my flight to Japan felt empty (and socially distanced!). I really hope this trend continues… I love having a row of seats to myself. Especially on 13-hour flights!

Everyone receives a written “pledge” on the plane to fill out. It states all the rules for returning to Japan. Read it carefully and sign it, along with the usual immigration forms.

One tip: keep everything they give you on the flight and ask for more. Snacks, water, even salt packets. You will need them for what comes next…


Quarantine procedures at the airport

Upon arrival, you must stay seated until they call your section. Take this opportunity to down a bottle of water or two; you need a lot of spit for your imminent COVID test.

Quarantine steps at Japanese airport
A summary of the steps you need to take at the airport after returning to Japan.

Then staff shuffle everyone down cordoned-off hallways lined with signs and arrows telling you where to go. Thus begins the long walk through the airport… You get stopped at various stations asking for documents (like the “pledge”) or information (like places you’ve visited in the past two weeks). It is tedious. Repetitive. Long. But fairly well organized. No thinking involved; just go where they tell you and give them what they ask for.

My tips: 1. Carry your boarding pass, passport, pledge, COVID test results, and maybe a pen in a folder (you’ll get many more papers along the way). 2. Have your phone on and charged. You will use it a lot. 3. Wear comfortable shoes and light clothing; it will be hot. 4. Walk fast, and get through stations quickly! Knowing Japanese helps, but everything is also in English, so don’t worry.

At some point, you will take a saliva COVID test. You get a tube with a number on it, go to a little booth with pictures of lemons and umeboshi to help the process along, and spit until you reach the line. If you keep from swallowing as soon as your plane touches down, you’ll have enough saliva in one go!

Pictures of umeboshi at the airport during your COVID test
Everyone takes a saliva COVID test upon arrival to Japan. Hopefully the thought of umeboshi will speed things along.

The Japanese airport waiting game

Next, after you finish all the paperwork, you will wait for your COVID test results. The entire process takes anywhere from 3 hours to over 10 (in extreme cases), and most of it is just waiting for your test to come back. The wait time comes down to luck and how busy they are. Getting through all the paperwork quickly helps.

The waiting areas in Narita and Haneda usually have bathrooms, vending machines, and charging outlets. But again, it all varies. If you are among the unfortunate souls stuck at the airport for hours on end waiting for your test results… God help you. Don’t expect any food to be available (though after several hours, staff might take pity and hand out rice balls). This is when you whip out all those airplane snacks! While you chow down on those crackers, remember to listen to the announcements so you don’t miss hearing your results called.


Almost home!… not quite

Finally, your number’s been called, you’re ready to fly out those doors and head to immigration… Hold on. Depends on where you’re flying from.

Japan assigns mandatory hotel quarantine to people returning from certain countries. Technically the Ministry of Foreign Affairs website has a list of this… but it is nearly indecipherable. For Americans, the US Embassy keeps an updated graph of quarantine restrictions by state. When in doubt, check with your embassy. My home state had no quarantine requirement before I left for Christmas; within one month, my state was added to the 3-day quarantine list and subsequently changed to 6 days. So when I was getting ready to return to Japan, I had to suddenly prepare for a week-long hotel quarantine upon arrival.

The hotel is free to you (paid for by us taxpayers…) and has meals included. It is randomly assigned to you, and no matter how much you beg, you cannot find out beforehand where you will end up. Could be a 10-minute drive from the airport, could be 2 hours. Some have even been flown to other prefectures. It’s all up to chance.

Anyway, more on quarantine in my next post. If you don’t need a hotel stay, you can just go through immigration like usual. For those with a hotel stay, you will be moved in a group with the others assigned to the same hotel. One staff member will “guide” you through immigration procedures and luggage pick-up. Just follow them. (Starting to sound like the theme of this post.)


Finally done with airport procedures! What next?

Getting home after arriving in Japan
You cannot use any public transportation during your quarantine period in Japan. That includes connecting flights!

For those without mandatory hotel quarantine, you now have to get home. *Without using public transportation.* Your options are: 1. Private car (a regular taxi doesn’t count). Goal International is the most reliable service I’ve heard of, highly recommended. 2. Drive yourself using a rental car. Great for those living nearby and who can drive in Japan. 3. Have a family member pick you up. They must be someone living with you. 4. Keisei Skyliner, a special train at Narita only for people returning to Japan from abroad. Some special shuttle buses can also get you to specific hotels around Tokyo, but you must reserve them beforehand.

You cannot use trains, ferries, buses, airplanes—nothing public, for your entire quarantine period. Arriving in Tokyo but live in Hokkaido? Sorry, you’re stuck in Tokyo for two weeks*. And any hotel stay that is not part of the mandatory hotel quarantine is paid out of pocket. Make sure you arrange for a place to stay, as not many hotels will allow international returnees.

*The government has changed the length of quarantine a lot. It used to be 14 days, but was reduced to 10 recently. Choose flexible hotels and transportation so you can change dates/times if needed.

For those with mandatory hotel quarantine, staff will put you and some others on a bus that will take you to your hotel. Enjoy the cramped ride…


Returning to Japan: not the most fun airport experience

In summary, before returning to Japan you need a COVID test, a filled health questionnaire, and booked transportation/accommodations. After arrival in Japan, you need to present documents, fill out more documents, and take another COVID test. What happens next depends on what country you flew in from—for those with mandatory hotel quarantine, check out my next post; I’ll provide all the details you need to survive your stay. And when you are free to go home, make sure you follow all the quarantine rules!

Have any questions? Leave a comment. And don’t forget to subscribe so you don’t miss my next post on hotel quarantine in Japan!

Travel during a pandemic, part 1: Departing Japan

COVID-19 threw a wrench in everyone’s travel plans for 2020—and here we are, two years later, not much better off. Japan has had one of the strictest border restrictions of any country throughout the pandemic. The government continues to ban tourists and new visa holders from entering. At times even foreign residents risk getting locked out after departing Japan.

Unless you’re already a resident (or an Olympian), there’s little hope of entering Japan any time in the foreseeable future. And with these ever-changing restrictions, I would not recommend foreign residents’ departing Japan unless necessary. However, if you are willing to accept the risks of flying internationally during a pandemic, then I do have some information to help you in your travels.

I travelled to the US twice in 2021. Returning to Japan was by no means a walk in the park, despite how much I stay on top of new information on restrictions. I can only imagine how hard it must be for someone not constantly in the loop. Here is a description of my experiences, starting with my departure and preparation for my return.


Departing Japan

This part will differ depending on your destination. For those heading for the US, you currently need a negative COVID test one calendar day before departing Japan. The test certificate must have your name and one more personal identifier, such as date of birth or passport number. I searched the cheapest options (most COVID tests in Japan run $200–$500) that my airline would allow. Delta is far less strict than Japanese airlines, and they allowed this 1900 yen (~$20) rapid antigen test I took at the airport as long as I wrote in my date of birth on the certificate. Some airlines even allow you to upload your test results online through VeriFly, minimizing your check-in time at the airport.

International terminals in Japan are ghost towns now. Almost all shops are closed and there are no lines anywhere, so no need to arrive early. However, this also means that only one or two check-in counters are open at any time, so don’t cut it too close (I play it safe at 1.5 hours).

empty airport
The airport when departing Japan felt kinda creepy.

The flight

Flights nowadays are far emptier than they used to be, making the 14+ hours on the plane much more pleasant. My first time departing Japan had about one empty seat between every passenger; my second time, there was only a handful of people on the entire plane.

Most airlines are still struggling from the effects of the pandemic. This is especially true for Japanese airlines, who continue to get hit with states-of-emergency and travel restrictions. Last year when I flew ANA, which used to be my favorite airline, there was a noticeable drop in quality. The food was inedible, amenities on the flight were reduced… With the reduced number of passengers, though, you can at least expect first-class-level service.

The only other change from pre-COVID times: you must wear a mask at all times, both in the airport and on the plane.

Masks when flying
Stay safe. Wear a mask.

Customs in the US takes much longer than it used to, even though I couldn’t find any difference in the process. They didn’t even ask to see COVID test results. Non-citizens seem to be under much more scrutiny though, so that might explain the delay. If possible, schedule at least two hours between connecting flights. My first time, it took me so long to get through immigration that I missed my connection. (ANA was kind enough to put us all up in a hotel and reschedule our connecting flights at no charge, but don’t count on all airlines to do this.)

Finally, in stark contrast to international flights, domestic flights in the US are back to being packed. It can be rather jarring. But that doesn’t matter, because it was just so nice to be home after being away for years.


See you in part 2

Remember, only long-term residents returning to Japan and Japanese nationals can enter the country. Depending on global infection rates, the Japanese government bars foreign residents from re-entering. That means if you leave you might not be able to come back, so please keep an eye on the news! Rules change almost daily, and airlines are just as confused as the rest of us. If you run into trouble at the airport, it helps to keep informed so you can argue your case.

Good luck to all those brave souls departing Japan these days. Be sure to subscribe so you know when I post part 2, explaining what happens after you land in Japan.

Going to the doctor in Japan

Although I’ve heard Japan’s healthcare system isn’t the best, to an American, it’s amazing. It’s no secret that the US has one of the highest healthcare costs in the world. Even with insurance (which I currently don’t have there), I’m hesitant of going to the doctor unless absolutely necessary.

Imagine my pleasant surprise coming to Japan. Sure, the monthly insurance cuts out of my paycheck hurt, but I am happy to pay them because it means I never have to worry about getting sick and not being able to afford care. While I do have my complaints about doctors in Japan, I would never dream of trading this healthcare system for the American one.


Health insurance: pros and cons

As you probably already know, health insurance is mandatory in Japan. Anything covered by your plan will cost you just 30% of the actual price—for minor stuff, that usually ends up being a couple hundred yen (just a few dollars!). All you Brits can scoff, but this is enough to bring tears of joy to an American…

This does come with its drawbacks. For example, dentists insist on keeping visits short and having you come back multiple times; apparently, the National Health Insurance plan only pays them for the first half hour of every appointment. I recently went to the dentist here for the first time and was shocked when they told me I was finished after 15 minutes. “You’re joking. You only cleaned like five teeth?!” But before I could say anything, they were already done scheduling my next visit. I ended up going back two more times. For a single dental cleaning.

Dentist
Smile.

I also visit the doctor for a prescription I take regularly. Every visit they charge me an “examination fee,” even though the doctor barely glances at me before sending me on my way. The way they get me to keep coming back? Refuse to give me more than two months’ worth of medication per visit. It’s extremely frustrating.

Finally, do keep in mind that the National Health Insurance plan only covers the bare minimum. If you need something more than just basic checkups and medication, you’ll have to pay that out of pocket. You can, of course, sign up for insurance plans in addition to NHI, but in most cases I wouldn’t recommend it. (Private insurance in Japan is a joke.)


Going to the doctor: where and how

Google Translate is your friend.

Finding a doctor while in Japan may be quite different from what you’re used to. Something I only learned after several years in Japan is that you have the choice between either large, general hospitals or small, specialized clinics. If you know what kind of specialist you need, look for a clinic since they’re far more common and more likely to fit your specific needs. Save hospital visits for general checkups or emergencies (sounds oxymoronic, but there you go…).

Once you find a place, make an appointment online or find out if they take walk-ins (many don’t for first-time visits). When you come in, just tell the receptionist “初めてですが…” and hand them your health insurance card. They will give you a medical history questionnaire to fill out and turn in while you wait. Eventually they’ll call you in to talk with either a nurse, who will explain your situation to the doctor, or the doctor himself (in Japan, statistically, it’s a man). Many doctors, especially younger ones, have basic English proficiency; don’t worry if you’re not sure how to explain difficult medical terms in Japanese. It’s still best, though, to google English-speaking doctors if you’re not confident. They’ll ask you some questions, maybe run some tests, and then send you back out to the waiting room.

Going to the doctor
Don’t worry, you won’t wait too long.

Eventually they will call your name again to go pay your balance. You’ll also get a shiny new “membership” card they use to easily access your medical records when you come back. Remember to bring it with you next time! (Don’t worry, it’s okay if you forget.) On a side note, the examination fee is lower for return visits; once you find a doctor you like, stick with them.


Prescriptions

What about prescriptions? If that office has the medication in stock, they will let you purchase it directly from them. Otherwise, they will give you a prescription to take to a pharmacy instead. More often than not, you will find pharmacies conveniently near clinics; just keep an eye out for any 薬局 that fill 処方箋 (prescriptions).

Once there, you just hand them your prescription and insurance card, wait for them to prepare everything, and pay. They will probably give you a book, called a 薬手帳, where they keep note of all your medications. It’s supposed to help them avoid possible interactions between your medications or alert them of any allergies, but presenting your little book may also help lower your bill! If you have a repeating prescription and come back within six months, the administration fee may get lowered by a few yen. (It’s not a huge discount, but I’ll take what I can get.)

Prescription book
Some of the prescription books can be quite cute.
Typical Japan.

That’s all you really need to know. You may feel intimidated by the thought of going to the doctor in a foreign country, but don’t worry: as usual, Japan makes it a relatively smooth and orderly process.

Make sure you subscribe so you’ll get notified about any new how-to guides I post.