＜Winter Season Open Hours (Dec 13 - Mar 22) ＞
Please also check ”NEWS" section for irregular schedules.
	Mon	Tue	Wed	Thu	Fri	Sat	Sun
9:00～13:00	●	●	●	●	●	●	●
14:00～17:00	●	●	●	●	●	●	●

Medical Examinations

At NIC, we offer employment health check-ups, regular health check-ups, special health examinations and health screenings for Kutchan Residents, as well as various itemized health check-ups.
Additionally, for those diagnosed with lifestyle-related diseases such as diabetes, hypertension, dyslipidemia (hyperlipidemia), hyperuricemia (gout), and metabolic syndrome (visceral fat syndrome) based on the results of health examinations, we provide management and treatment services. For those at risk, we offer regular consultations and advice aimed at achieving normal values.

According to Article 43 of the Labor Standards Act, it is stipulated that workplaces must conduct certain procedures when hiring employees. Generally, omitting inspection items is not allowed. Our Employment Health Checkup includes BMI and uric acid levels in addition to the required items specified by law. If a company has its own unique inspection items or formats, please consult in advance.

Cost: JPY 15,400 (including tax)

Test		Details
Consultation		Doctor’s consultation
Physical exam		Height, weight, waist circumference, BMI
Blood pressure		High / Low blood pressure, pulse
Urine sample		Sugar, protein check
Vision		Visual acuity
Hearing		Audiometry（1000 Hz、4000 Hz）
Blood tests	Anemia screen	Red cell count, white cell count, platelets
	Liver function	GOT (AST)、GPT (ALT)、gamma-GTP
	Cholesterol	LDL cholesterol, HDL cholesterol, triglycerides
	Kidney function	BUN, Creatinine, e-GFR
	Blood sugar	Fasting glucose, HbA1c
	Gout	Uric acid
Chest X-ray		Chest radiograph
EKG		12 lead electrocardiograph (EKG)

Health checks are by appointment only. Please phone for details and to make a reservation.
For fasting bloods, please refrain from any food or drinks for 4 to 5 hours before your consultation. You can only drink water.

According to Article 44 of the Labor Standards Act, employers are required to conduct regular health check-ups for employees who are regularly employed at least once a year. If a company has its own unique inspection items or formats, please consult in advance. Items marked with an asterisk (*) may be omitted at the discretion of the physician, but there will be no reduction in fees.

Cost: JPY 15,400

Examination		Details
Consultation		Doctor’s consultation
Physical exam		Height, weight, waist circumference, BMI
Blood pressure		High / Low blood pressure, pulse
Urine sample		Sugar, protein
Vision		Visual acuity
Hearing		Audiometry (1000Hz、4000Hz)
Blood tests*	Anemia　screen	Red cell count, white cell count
	Liver function	GOT(AST)、GPT(ALT)、γ-GTP
	Cholesterol	LDL cholesterol, HDL cholesterol, triglycerides
	Kidney function	BUN, Creatinine, e-GFR
	Blood sugar	Fasting glucose, HbA1c
	Gout	Uric acid
Chest x-ray*		Chest radiograph
EKG*		12 lead electrocardiographs (EKG)

Health checks are by appointment only. Please phone for details and to make a reservation.
For fasting bloods, please refrain from any food or drinks for 4 to 5 hours before your consultation. You can only drink water.

(Kutchan Residents Only) Kutchan town and the national health insurance service provide some specific health screening for Kutchan Residents. Please bring your paperwork from town office and health insurance card for your checkup.

Routine tests

Test	Details
Consultation	Past medical history, symptom screen, family history
Physical examination	Height, weight, waist circumference, BMI
Blood pressure	High / Low blood pressure, pulse
Blood tests	CBC, HDL and LDL cholesterol, Total cholesterol, GOT (AST), GPT (ALT), gamma―GTP, Creatinine, eGFR, protein, albumin, uric acid, blood glucose, HbA1c
Urine sample	Sugar, protein, blood

Health checks are by appointment only. Please phone for details and to make a reservation.
For fasting bloods, please refrain from any food for 4 to 5 hours before your testing. You can drink water.

(Kutchan Residents Only) Optional tests

Test	Details	Recommended ages	Price*²
Lung cancer	Chest x-ray	Patients over 30 years old	JPY 500
Bowel cancer	Fecal occult blood (2 samples)	Patients over 30 years old	JPY 500
Osteoporosis	Bone density (DEXA scan)	Patients over 30 years old, >5 years since last test	JPY 500
Viral hepatitis	Blood test for Hepatitis B, C (HBs antibody, HCV antibody)	Patients over 40 years old, >5 years since last test	Free
Tuberculosis	Chest x-ray	Patients between 15 and 29 years old	Free
Echinococcus*¹	Blood test	Patients in 3rd year of primary school or older, >5 years since last test	Free
Cervical cancer*¹	Cervical smear	Women over 20 years old	JPY 1,000

*1：Separate consultation ticket required.
*2：Free for residents of Kutchan who have national health insurance. Charges for patients with elderly or other insurance plans are as noted on the form.　

Examination		Content	Price
Physical examination & doctor’s consultation		Consultation by doctor, Height, Weight, BMI, Waist circumference, Vision, Hearing, Blood pressure.	JPY 6,600
Physical examination & doctor’s consultation		With vaccination records	JPY11,000
Blood test	Complete blood count	Red blood cell count, White blood cell count, Platelet count	JPY 6,600
	Liver function test	GOT(AST) / GPT(ALT) / gamma-GTP
	Lipid panel	Triglyceride, HDL-Cholesterol, LDL-Cholesterol
	Kidney function test	BUN, Creatinine, eGFR
	Diabetes	Glucose, HbA1c
	Gout	Uric acid
Blood type test		ABO / Rh	JPY 3,300
Urinalysis		Protein, Glucose, Red blood cell count	JPY 1,100
Electrocardiogram		12-lead electrocardiogram	JPY 3,300
Chest X-ray		Chest X-ray single view	JPY 3,500
Cardiovascular	Abdominal aortic aneurysm ultrasonography	Evaluation of abdominal aorta. Recommended for smokers and those with high blood pressure.	JPY 6,600
Cardiovascular	Carotid ultrasonography	Evaluation of carotid arteries (blood supply to brain). Recommended for smokers and those with high blood pressure, diabetes or dyslipidemia.	JPY 6,600
Respiratory	Pulmonary function	Spirometry FVC (Forced Vital Capacity) is used to check breathing function that may detect pulmonary emphysema and asthma. Recommended for smokers.	JPY 3,300
	Lung cancer	Chest CT scan* to detect lung cancer, emphysema. Recommended for smokers. *Performed at our affiliated hospital in Kutchan	JPY33,000
	Sleep apnea syndrome	Breathing status and blood oxygen concentration during sleep is checked by polysomnography (PSG).	JPY11,000
Metabolism	Thyroid ultrasonography	Ultrasound imaging of the neck to inspect condition of the thyroid. Recommended for those with large thyroid gland, lump, or family history of thyroid disease.	JPY 6,600
	Blood test for thyroid	Blood test to measure TSH, FT4; results may determine overactive or underactive thyroid disease.	JPY 5,500
	Bone densitometry	Bone mineral density measurement using hand x-ray.	JPY 3,500
Cancer related	Helicobacter pylori test (urea breath test)	Urea breath test to detect H. pylori which is a known risk factor for gastric ulcer and cancer.	JPY 7,700
	Helicobacter pylori test (blood test)	Blood test to detect H. pylori which is a known risk factor for gastric ulcer and cancer.	JPY 5,500
	Colorectal cancer test	FOBT (fecal occult blood test)	JPY 3,300
	Cervical cancer test	Pap smear to inspect cells of the uterine cervix; recommended for women from 20 years old.	JPY6,600
	Hepatitis B	Inspection of HBs antigen. To look for chronic hepatitis B carrier status, a risk factor for liver cancer.	JPY 4,400
	Hepatitis C	Inspection of HCV antibody. To look for chronic hepatitis C carrier status, a risk factor for liver cancer.	JPY 4,400
Tumor maker tests	Prostate	PSA (prostate specific antigen) which may be elevated by BPH (benign prostatic hyperplasia) or prostate cancer.	JPY 4,400
	Liver	AFP (Alpha Fetoprotein) which may be elevated by liver cancer, hepatitis, or cirrhosis.	JPY 4,400
	Gastrointestinal	CEA (Carcinoembryonic Antigen) which may be elevated by stomach / colorectal / lung cancer.	JPY 4,400
	Ovarian	CA125 (Cancer Antigen 125) which may be elevated by ovarian / uterine cancer.	JPY 4,400
	Pancreatic	CA19-9 (Cancer Antigen 19-9) which may be elevated by pancreatic / gallbladder cancer.	JPY 4,400