To medical institutions

Methods of referral to Nagoya University Hospital

Procedure to refer new patients:

In terms of efficiency, it is advisable to refer new patients through the Medical Cooperation Room. Thank you in advance for your cooperation.
1. Please use the [Application Form for Consultation at Nagoya University Hospital] to follow the referral procedure. It is possible to download the form through the following URL, or instruct us to mail it to you. In the latter case, please make a request by FAX (052-744-2780), specifying the name and address of your medical institution.
2. After filling out the application form for consultation (1), please send it with a letter of referral to the Medical Cooperation Room by FAX (052-744-2780; in operation on a 24-hour basis). Administrative services are available from 9:00 to 16:00 on weekdays.
3. Please make sure that a copy of your letter of referral is also sent when you send your application form for consultation (1) by FAX, so as to be inputted beforehand into our electronic medical records. The form of such a letter is not particularly designated.
4. Please make an appointment more than 3 weekdays (excluding national holidays) in advance.
5. Subsequently, please hand the [Application Form for Consultation (For Patient)] (2) and letter of referral over to your patient.
6. Having received your request by FAX, the Medical Cooperation Room will make an appointment for your patient after confirming the appointed doctor’s schedule.
7. The Medical Cooperation Room calls the patients by telephone to notify them of the appointed day and time, with guidance on the procedures to be followed on that day (such as reception counter, and items to be brought).
8. After making arrangements for the appointment with the patient, we will notify you of the appointed day and time by FAX.
9. When you refer your inpatients, please fill out the [Medical Consultation Status Reporting Sheet] attached to the back of cover of the application form for consultation (1), and send the form and a letter of referral by FAX. Thank you in advance for your cooperation.

Contact Information of Regional Medical Cooperation Room
Tel 052-744-2839

FAX 052-744-2780    

Please download the medical referral letter here.


First-time patients (Please make an appointment)

Make an appointment through a clinic or other medical institution
FAX 052-744-2780
Medical Cooperation Room

Revisit

Call the Reservation Center(Before your visiting day: not same-day reservation)
TEL 052-744-2937

Holidays and Nights (Emergency Unit)

TEL 052-744-2704

65 Tsurumaicho Showaku Nagoya Aichi, 466-8560