Home · 指さし問診カード
Clinic Card Maker — Say It in Japanese Without Speaking
Tick your symptoms, allergies and medications in English; get a clean bilingual card to show at the reception desk — the Japanese is written by a physician, not machine-translated. Print it, save it as a PDF, or just hold up your phone. Everything stays in your browser; nothing you type is sent anywhere.
1Who is the patient?
2Symptoms
Tick everything that applies.
3Allergies
4Current medications & conditions
Medication names stay in English — generic names are understood internationally.
This card replaces the language barrier, not the intake questionnaire — staff may still hand you a 問診票 and will help you through it. Japanese translations are fixed, physician-written pairs; your free-text entries appear in English with a note asking staff to read them. See also: what happens at a first visit · which clinic type you need.