
First Visit
Your First Visit
Booking Request
Request your first appointment
Tell us your preferred date and what you would like to discuss. Our staff will check availability and reply by email.
* Sending this form is a request, not a confirmed appointment. We will reply by email within one business day to confirm your date and time.
For New Patients
Welcome to AFRODE CLINIC. Here you will find a step-by-step guide to your first visit.
Please note that our clinic operates on a referral basis. We kindly ask that you read through this information before your appointment.
* Some services (physical therapy, aesthetic treatments, Kampo herbal medicine, and nutritional support) are available without a referral.
Flow
6 Steps to Your First Visit
01
Inquiry & Reservation
Send us a booking request using the form on this page, or call us on +81-3-5843-0130. As we operate on a referral basis in principle, please let us know whether you have a referral — we will guide you either way.
02
Complete Medical Questionnaire
Once your booking is confirmed, we will send you a medical questionnaire. Please fill in your current concerns, medical history, and lifestyle details.
03
Arrival & Check-in
We are a 5-minute walk from Omotesando Station Exit A2. Please aim to arrive approximately 10 minutes before your scheduled appointment and check in at reception.
04
Counseling & Consultation
Our physician will conduct a thorough consultation based on your questionnaire, taking the time to listen carefully to your concerns and understand your lifestyle in detail.
05
Assessment & Treatment
Based on your diagnostic results and consultation, we will propose a personalized care plan. Treatment and prescriptions are provided upon your informed consent.
06
Ongoing Follow-up
After your visit, our staff and physicians remain available by email for continuous support. We walk alongside you—sharing your progress until your next appointment.

Bring With You
What to Bring
- Photo ID (driver’s license, My Number card, etc.)
- Health insurance card (for emergency use, even though our services are self-pay)
- Information on any current medications or supplements
- Previous test results or medical records (if available)
- Completed medical questionnaire
FAQ
Frequently Asked Questions
Can I visit without a referral?
Our clinic generally operates on a referral basis. However, physical therapy (chiropractic, acupuncture, seitai, and Pilates), aesthetic treatments, Kampo herbal medicine, and nutritional support are available without a referral.
Is health insurance accepted?
Our clinic focuses on preventive medicine and operates as a private, self-pay practice. Health insurance is not accepted.
How long does a first appointment take?
Please allow approximately 60 to 90 minutes for your initial counseling, consultation, and any tests. Duration may vary depending on your individual needs, so we recommend allowing ample time on the day of your visit.
By when can I cancel or reschedule?
Please notify us at least 48 hours before your appointment. Cancellations made after this period may be subject to a cancellation fee. Please contact us by email or phone.
What payment methods are accepted?
We accept cash and all major credit cards.
Reservations & Inquiries
Please feel free to contact us by email or phone.
