📋Medical procedures not requiring written consent🗓️

At our clinic, we handle "items requiring written consent" and "items for which explanation and consent confirmation are obtained verbally and via posted notices" separately. The following examinations and medical procedures may not require the presence of a doctor, and for the smooth progress of treatment, explanations and consent confirmations are provided verbally and through in-clinic postings.
General items
Various consultations, visual inspection, physical examination, temperature measurement, height measurement, weight measurement, blood pressure measurement, nutritional guidance, imaging of affected areas with cameras, etc. (mainly on the body surface)
2) Inspection, monitoring, etc.
Venous blood collection (*1*) (hematology, biochemistry, immunology, virology tests, etc.), urine/stool/etc. testing, microbiological testing (sputum/saliva collection, etc.), physiological function testing (electrocardiogram, respiratory function test, ultrasound, fractional exhaled nitric oxide (FeNO) measurement, etc.), general X-ray imaging, percutaneous oxygen saturation (SpO2) measurement, intradermal reaction testing, infection confirmation for needle-stick/cut wounds and skin/mucosal exposure (HBV, HCV, HIV testing, etc.)
3) Treatment
Venous blood collection, suction of sputum/nasal discharge, wound treatment (cleansing), enema
4) Medication, administration
Routine medication administration, injections, peripheral intravenous catheter insertion (securing an IV line), oxygen administration, etc.
• The medical procedures described above are performed by physicians, nurses, technicians, etc. with a certain level of experience and are considered safe from a general medical standpoint. However, they may still be accompanied by organ and tissue damage, mental (psychological) distress, bleeding, numbness, anaphylaxis, or other unforeseen complications. Although extremely rare, these complications and adverse events can occur at a certain rate, regardless of the practitioner's skill. Furthermore, similar to other medical procedures, symptoms may be subjective and difficult to evaluate with current medical knowledge, their duration may be unpredictable, and some may be permanent.
In such cases, the treatment of complications and adverse events will be covered by standard medical insurance. We appreciate your understanding in advance. If you have any questions, including those about adverse events, please feel free to ask your doctor, nurse, pharmacist, technician, or other staff.
(※1) It has been reported that puncturing (stabbing) peripheral nerves on the surface can cause damage, leading to numbness or motor dysfunction, and that these symptoms may become permanent.

Facility Standard Notification

Our clinic meets the facility standards for pediatric food allergy challenge tests.
We meet the facility standards for multi-item simultaneous detection testing of viral and bacterial nucleic acids.

Regarding medical treatment surcharges

The following medical fees/additional charges are billed at our hospital.
Pediatric outpatient clinic fee
This is a medical institution that practices pediatrics. It is calculated per medical institution when providing outpatient services to patients under 5 years of age.
Functional Enhancement Addition
This is an additional charge for evaluating the primary physician function for patients' initial visits at medical institutions that have registered for the primary physician function. This charge is only applied at the time of the initial visit.
Our clinic offers the following primary care physician functions:
Consultation regarding health management
Referral to specialized medical institutions as needed.
・Guide to handling inquiries during nights and holidays
Consultation regarding vaccinations
・Consultations regarding development and referrals to specialized institutions as needed
Pediatric Antimicrobial Stewardship Support Add-on Payment
This is an additional charge for medical care that contributes to improving patients' and their families' understanding of appropriate antibiotic use.
For acute respiratory infections, acute diarrhea, acute otitis media, and acute sinusitis, the following applies: a charge can be made at the initial consultation only when guidance regarding necessary care and explanations of examination results are provided, and when the content of the explanation is also provided in writing.
General prescription additional fee
For medications for which generic alternatives are available, prescriptions will be issued with the generic name instead of the brand name listed in the drug price standard (the product name of the original brand-name drug). (A "[GEN]" notation will be added before the medication name on the prescription.) This allows you to receive generic medications at the dispensing pharmacy, thereby reducing your medication costs.
5. Outpatient Infection Control Improvement Add-on Payment / Collaboration Strengthening Add-on Payment
This is an additional charge to evaluate measures such as securing consultation space when infectious diseases (such as influenza or COVID-19) are suspected, and improving infection control within the hospital by collaborating with core regional hospitals.
⑥ Overtime Support Allowance 3
For inquiries received by phone from patients who are continuously seen at our hospital, we will respond for a few hours after our regular operating hours. On afternoons when the clinic is closed, holidays, etc., we will use an answering machine to provide the contact information for local emergency medical facilities.
⑦ Electronic Medical Information Collaboration System Maintenance Added Charge (June 2026 -)
Our clinic is equipped to provide high-quality medical care by utilizing medical information obtained through online eligibility confirmation, electronic prescriptions, and other means.
Base-up evaluation fee
Our hospital has been billing for a base-up assessment fee since March of Reiwa 8 (2026) with the aim of improving the treatment of medical professionals.
Regarding the statement
We will provide the statement free of charge in accordance with the medical treatment and billing rules.

Information regarding "Pediatric Primary Care Physicians"

Our clinic was registered as a "Pediatric Primary Care Physician" in December 2018.
You can search for medical institutions that have a primary care physician function using the Medical Function Information Provision System.
1. The target group consists of preschool children who are continuously seen at our clinic (for children aged 3 and over, only those for whom the pediatric primary care fee has been billed since before they were 3 years old).
We will obtain written consent from patients who agree to continue to receive treatment at our hospital as their primary physician (excluding emergencies or cases clearly outside our expertise).
3. A "pediatrician of choice" is a system that comprehensively supports children's health and development through services such as vaccinations and infant check-ups, in addition to diagnosing and treating illnesses.

For consenting patients, we provide the following medical care as your "pediatric primary care physician."
We provide guidance and management on how to respond to sudden illnesses, as well as atopic dermatitis, asthma, and other chronic conditions commonly seen in infancy and early childhood.
We provide advice and guidance suited to the child's developmental stage, and respond to health consultations and concerns about child-rearing.
We monitor the implementation status of vaccinations and provide guidance on their efficacy and safety, as well as schedule management.
We know which medical institutions your child visits and will provide referrals for specialized medical care when necessary.
We handle consultations regarding children whose developmental progress is a concern, and refer them to specialized medical institutions as needed.
We respond to telephone inquiries regarding sudden illnesses and other emergencies.

Regarding the copayment for the Pediatric Primary Care Physician System medical fee
If you have an infant medical care certificate with no upper limit set, there is no payment at the counter.
For those who have an infant medical certificate with a set upper limit, there is an increased burden of 30 yen for both initial and return consultations until the payment reaches the upper limit for each month.
○ Patients with a 2% [Note: likely meaning 20%] copayment will see an increase of 60 yen for both initial and return visits.

For patients and families
The pediatric regular doctor system does not prevent you from visiting other medical institutions. When visiting another clinic, please let us know when you visit our clinic at a later date so that we can understand your medical condition at that time. Please bring your medication record book with you.
○ Regularly check health checkup results and vaccination status. Please bring your Maternal and Child Health Handbook when you come for a checkup.
For those who are registered, a doctor or clinic staff member will use a mobile phone or other means to respond to urgent inquiries up to a few hours after closing time. Patients who agree will be given a card with the clinic's mobile phone number.
[Contact]
- During consultation hours: Clinic reception 018-831-3012
- Hours following the end of consultations: Clinic mobile phone, excluding Wednesday afternoons, Sundays, and national holidays
Closed on afternoon half-days, Sundays, and national holidays. Clinic landline: 018-831-3012

Late at night, on days when the clinic is closed, or when it is unavoidably impossible to respond:
☎️Municipal Akita General Hospital Pediatric Emergency (Main) (External Link) Daily 17:00 to 8:30 the next morning: 0570-01-4171
🟠Akita Children's Medical Emergency Telephone Consultation (Daily 19:30–22:30): You can connect via the following two methods
　#8000 (from a cell phone or a landline with push-button dialing)
🟠 018‐895‐9900 From all phones
🟠Children's Emergency (ONLINE-QQ) (External link: Japan Pediatric Society)

SECURITY ACTION Two-Star Declaration

Our hospital has declared the "SECURITY ACTION" Two-Star rating promoted by the Information-technology Promotion Agency, Japan (IPA).
This is granted to businesses that implement the "5 Action Rules for Information Security," further conduct the "5-Minute Self-Check," and publish their basic information security policy externally.

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Basic Information Security Policy

At Ishida Pediatric Clinic, we are committed to securely protecting the important information of our patients and their families.
To ensure that all our patients can visit us with peace of mind, we are implementing the following measures.

1. We handle personal information with care and comply with the law.
2. We ensure the safe use of computers and the cloud to prevent information leaks.
3. We ensure that our staff learn thoroughly and handle information correctly.
4. If a problem occurs, we will respond immediately and prevent it from recurring.
5. We continually review and improve our information security practices.

Regarding the handling of personal information,Privacy PolicyPlease see.