Types of Evaluation Categories
Based on the evaluation standards of the Japan Society of Ningen Dock.
We provide a variety of health checkups, including corporate examinations, qualification-related checkups, and health screenings required for school or nursery enrollment. Please feel free to contact us for more information.
* X-ray examinations are available only at the MARU, Familia Perier Chiba, and ecute Ueno clinics.
* If your checkup includes time-consuming tests such as ECG, hearing, or vision exams, please visit during daytime hours between 9:00 and 17:00.
| Health Checkup Package Names | Contents | Examination Details | Fees | Expedited Medical Certificate Plan (1) |
|---|---|---|---|---|
| Simple Checkup | Medical consultation only (no tests included) | Medical interview & physical examination | ¥6,500 (¥7,150 tax included) | ー |
| Lifestyle Health Checkup | A standard medical checkup that includes a medical interview, physical examination, and blood tests. | Medical interview, physical examination, urinalysis, uric acid test, glucose tolerance test, and lipid disorder screening. | ¥10,500 (¥11,550 tax included) | ● |
| Standard Checkup | A more comprehensive medical checkup that includes a medical interview, physical examination, blood tests, and urinalysis. | Medical interview, physical examination, urinalysis, uric acid test, liver function test, glucose tolerance test, lipid disorder screening, anemia test, and kidney function test. | ¥11,500 (¥12,650 tax included) | ● |
| Full Course Checkup | A medical checkup that includes a medical interview, physical examination, blood tests, and urinalysis, covering a full range of physiological tests such as electrocardiogram (ECG), hearing, and vision assessments. | Medical interview, physical examination, urinalysis, uric acid test, liver function test, glucose tolerance test, thyroid function test, lipid disorder screening, anemia test, kidney function test, cardiac function test, hepatitis virus test, electrocardiogram (ECG), vision test, color vision test, and hearing test. | ¥18,500 (¥20,350 tax included) | ● |
| Group Credit Insurance (Plan 1) Lifestyle Health Checkup | A medical checkup for individuals applying for group credit life insurance. | Medical interview, physical examination, urinalysis, uric acid test, liver function test, glucose tolerance test, lipid disorder screening, and anemia test. | ¥9,500 (¥10,450 tax included) | ● |
| Group Credit Insurance (Plan 2) Infectious Disease Checkup | A medical checkup for individuals applying for group credit life insurance. | Medical interview, physical examination, urinalysis, uric acid test, liver function test, glucose tolerance test, and hepatitis virus test. | ¥9,500 (¥10,450 tax included) | ● |
| Pre-employment Medical Checkup (Available only at MARU, Familia Perier Chiba, and ecute Ueno Clinic) | A medical checkup conducted at the time of employment, in accordance with Industrial Safety and Health Regulations. | Medical interview, physical examination, urinalysis, uric acid test, liver function test, glucose tolerance test, lipid disorder screening, anemia test, electrocardiogram (ECG), vision test, hearing test, and chest X-ray examination. | ¥15,500 (¥17,050 tax included) | ● |
| Periodic Medical Checkup (Available only at MARU, Familia Perier Chiba, and ecute Ueno Clinic) | An annual medical checkup conducted in accordance with Industrial Safety and Health Regulations. | Medical interview, physical examination, urinalysis, liver function test, glucose tolerance test, lipid disorder screening, anemia test, electrocardiogram (ECG), vision test, hearing test, and chest X-ray examination. | ¥15,500 (¥17,050 tax included) | ● |
| Overseas Assignment Medical Checkup (Pre-departure) | A medical checkup for individuals assigned to work overseas for more than six months, in accordance with Industrial Safety and Health Regulations. | Medical interview, physical examination, urinalysis, liver function test, glucose tolerance test, lipid disorder screening, anemia test, electrocardiogram (ECG), vision test, hearing test, and chest X-ray examination. | ¥15,500 (¥17,050 tax included) | ● |
| Overseas Assignment Medical Checkup (Post-arrival) | A medical checkup conducted after returning from overseas, in accordance with Industrial Safety and Health Regulations. | Medical interview, physical examination, urinalysis, liver function test, glucose tolerance test, lipid disorder screening, anemia test, electrocardiogram (ECG), vision test, hearing test, and chest X-ray examination. | ¥15,500 (¥17,050 tax included) | ● |
| Cancer Risk Screening | A blood test–based cancer screening that uses tumor markers to evaluate a wide range of organs throughout the body. | Medical interview, anemia test, CRP test, hepatitis virus test, 16 types of cancer markers, and gastric cancer risk classification. | ¥16,500 (¥18,150 tax included) | ● |
Notes:
*1 Express Certificate Option: 3,300 JPY (tax included)
If you need your medical certificate issued sooner than one week, please consult our staff.
We provide various designated health checkups as required and issue medical certificates using the specified forms. Please bring the designated form with you when you visit the clinic.
If you plan to undergo examinations at multiple medical institutions in addition to ours, we can consolidate the results from those institutions and record them on your certificate.
In such cases, please bring an additional blank copy of the designated form separate from the results provided by other clinics.
| Checkup Package Name | Contents | Examination Details | Fees | Turnaround Time |
|---|---|---|---|---|
| For physicians, dentists, dental hygienists; public health nurses, midwives, nurses; clinical laboratory technologists, clinical engineers; physical therapists, occupational therapists; orthoptists, speech-language-hearing therapists; pharmacists, prosthetists/orthotists; confectionery hygiene masters, licensed cooks; radiologic technologists; beautician license applications. | Physician consultation | 1. Visual Function (Blindness) 2. Hearing Function (Deafness) 3. Speech and Language Function (Inability to Speak) 4. Mental Function (Mental Disability) 5. Drug, Cannabis, or Opium Addiction Note: Items vary depending on the occupation being applied for. | ¥6,500 (¥7,150 tax included) | Same Day |
| Small Vessel Operator Medical Certificate | Physiological tests medical interview & physician consultation | 1. Vision Test 2. Color Vision Test 3. Hearing Test (5m Conversation Method) 4. Presence of Diseases 5. Presence of Physical Disabilities 6. Physician's Findings (if necessary) | ¥8,500 (¥9,350 tax included) | Same Day |
| Health Certificate for Beauticians | Physician consultation | 1. Presence of Tuberculosis 2. Presence of Infectious Skin Diseases | ¥6,500 (¥7,150 tax included) | Same Day |
| Medical Certificate for Security Personnel | Physician consultation | 1. Addiction to Alcohol, Drugs, Cannabis, Opium, or Stimulants 2. Mental Function (Mental Disability) | ¥6,500 (¥7,150 tax included) | Same Day |
| Medical Checkup for Astronaut Candidates | Physician consultation Physical examination Physiological tests Blood tests Urinalysis | 1. Presence of physical defects in limbs or fingers 2. Presence of functional impairments 3. Presence of scoliosis or skeletal deformities (description required) 4. Height, weight, sitting height, abdominal circumference, blood pressure, pulse 5. Vision Test (not conducted at our clinic; please provide results or a report from an ophthalmologist) 6. Color Vision Test (Ishihara method) 7. Hearing Test (Conversation Method) 8. Blood Tests: - Complete Blood Count (WBC, RBC, Hb, Hct, Plt, Ret, White Blood Cell Differential) - Allergy Test (Non-specific IgE Quantification) - Coagulation Tests (PT, aPTT) - Immunoserology (CRP) - Biochemistry (TP, Alb, BUN, Cre, UA, CK, AMY, T-Bil, GOT, GPT, LDH, γ-GTP, ALP, Fe, Na, K, Cl, Ca, Mg, IP, TIBC, T-Cho, HDL, LDL, TG, FBS, HbA1c) 9. Urinalysis: - General Qualitative (Specific Gravity, pH, Protein, Glucose, Urobilinogen, Ketones, Occult Blood, Nitrite, Leukocytes) - Urinary Sediment (Red Blood Cells, White Blood Cells, Epithelial Cells) | ¥21,500 (¥23,650 tax included) | 1 Week |
| Singapore Dependent Pass (Spouse Visa) | Medical Interview (Vaccination if necessary) | - Required vaccinations for children under 12 years old - One standard medical certificate (in English) - Vaccine fees are charged separately at the time of administration | ¥10,500 (¥11,550 tax included) | 1 Week |
| Four Types of Antibody Tests (for individuals planning pregnancy and their families) | Blood test | - Measles, Rubella, Varicella, and Mumps Antibody Tests | ¥14,850 Including Japanese Medical Certificate: ¥18,700 Including English Medical Certificate: ¥23,100 | 1 Week |
| Five Types of Antibody Tests (for healthcare workers) | Blood test | - Measles, Rubella, Varicella, Mumps, and HBs Antibody Tests | ¥15,950 Including Japanese Medical Certificate: ¥19,800 Including English Medical Certificate: ¥24,200 | 1 Week |
Types of Evaluation Categories
Based on the evaluation standards of the Japan Society of Ningen Dock.
| A1: No Abnormalities (No Findings) | No abnormal findings were observed in this examination. |
|---|---|
| A2: Minor Findings – Healthy | There are findings that have been treated or require no further intervention, but they do not affect daily life. |
| A3: Lifestyle Caution | Minor findings, likely caused by lifestyle factors, were observed. Improving lifestyle habits at this stage can help prevent future diseases. |
| B: Mild Abnormality | Findings exceeding the standard reference range were observed. Please consult with a physician, public health nurse, or other occupational health professional and undergo follow-up monitoring. It is important to have a health checkup every year, and if you notice any changes in your condition, consult a professional without waiting for the next annual checkup. For individuals with B1 blood pressure, daily self-monitoring is recommended. If numbers such as B1-06 or B1-03 are noted, follow-up at a medical institution every 6 or 3 months, respectively, is required. |
| C: Requires Follow-Up Observation | Findings or data exceeding the standard reference range were observed. A re-examination is necessary to determine whether this is a temporary fluctuation. |
| D: Requires Medical Attention (Treatment Needed) | Medical intervention by a physician is required. Please visit a healthcare facility to receive guidance on daily life and treatment. |
| E: Under Treatment | As you are already receiving care at a medical institution, please continue to follow the instructions of your attending physician. However, if any items are rated G1, G2, or C1, it cannot be assumed that your condition is satisfactory despite ongoing treatment. In such cases, bring the results of this health checkup and consult your physician promptly. |
Blood and Biochemical Tests
Blood and biochemical tests help identify health conditions by detecting organ-specific substances that enter the bloodstream when organs or tissues are damaged and their cells break down.
The reference ranges represent the values within which 95% of healthy individuals fall, and these ranges vary by age.
However, from a statistical standpoint, 1 out of 20 healthy individuals may fall outside this range.
In a healthy state, test values generally remain within consistent patterns.
| AST (GOT) Reference Value: ≤30 | This enzyme is present in various organs, including the heart, liver, muscles, and kidneys. When these organs are damaged, the enzyme is released into the blood, causing its concentration to increase. |
|---|---|
| ALT (GPT) Reference Value: ≤30 | Like AST, ALT is present in various organs of the body, but in smaller amounts compared to AST. ALT is particularly sensitive to changes in liver cells, so elevated ALT levels relative to AST may indicate liver damage. |
| γ-GT Reference Value: ≤50 | One of the enzymes that break down proteins. Elevated levels can indicate liver or biliary tract disease, but γ-GT is also easily increased by alcohol consumption and serves as an indicator for diagnosing alcohol-related liver dysfunction. |
| ALP Reference Value: 104–338 | An enzyme found in most organs of the body, but mainly distributed in the liver, bile ducts, bones, and placenta. Elevated levels can indicate disease in these organs. |
| Cholinesterase Reference Values: Male: 245–495 Female: 198–452 | Cholinesterase is abundant in the liver, pancreas, and heart, and since it is synthesized in the liver, it reflects liver function well. Levels decrease in liver dysfunction or nutritional disorders, and increase in conditions such as nephrotic syndrome or fatty liver. |
| ALDH Reference Value: 120–245 | Widely distributed in various organs, ALDH is abundant in the liver, heart, kidneys, as well as in muscles and blood. Elevated levels can indicate damage to these organs or blood components. |
| Total Protein (TP) Reference Value: 6.5–7.9 | Proteins such as albumin and globulin in the blood play important roles in the body's functions. Liver or kidney dysfunction can cause abnormalities in metabolism, affecting protein synthesis and breakdown, which in turn can increase or decrease total protein levels. |
| Albumin (ALB) Reference Value: ≥3.9 | The most abundant protein in the blood, synthesized by the liver. Levels decrease in cases of liver or kidney dysfunction. |
| A/G Ratio Reference Value: 1.3–2.0 | The ratio of albumin to globulin in the serum helps identify abnormalities in serum proteins. It decreases in conditions such as nephrotic syndrome, liver disease, and chronic infections. |
| ZTT Reference Value: 2.3–12.0 | A simple method to measure γ-globulin, one of the proteins in serum. It is used as a reference in combination with other tests for liver function screening. |
| TTT Reference Value: 0.5–6.5 | Like ZTT, TTT measures the amount of γ-globulin, a serum protein. It is used as a reference in combination with other tests for liver function screening. Levels may be elevated due to lipid metabolism disorders. |
| Total Bilirubin (T-Bil) Reference Value: ≤0.4 | Red blood cells have a lifespan and are gradually broken down daily. Bilirubin is produced during the breakdown of hemoglobin. The level of bilirubin in the blood helps assess liver and biliary tract conditions, including the presence and severity of jaundice. |
| HBs Antigen Reference Value: Negative (–) | This test checks for infection with the hepatitis B virus, which can cause hepatitis. It can identify carriers of the virus as well as cases of acute or active hepatitis. |
| HBs Antibody Reference Value: Negative (–) | This test checks for immunity against the hepatitis B virus. If the antibody is positive and HBs antigen is negative, the likelihood of a new hepatitis B infection is extremely low. |
| HCV Antibody Reference Value: Negative (–) | Indicates past or current infection with the hepatitis C virus. Detection of the virus is confirmed using genetic testing, such as HCV-RNA. |
| Total Cholesterol (T-Cho) Reference Value: 150–219 | Cholesterol is a type of fat in the blood essential for building cells and hormones. High levels can accelerate atherosclerosis, increasing the risk of heart attack, angina, and stroke. |
| Triglycerides (TG) Reference Value: 30–149 | Excess energy from high-calorie diets or excessive alcohol consumption is stored as triglycerides. Further accumulation can lead to increased visceral fat and fatty liver. Elevated triglyceride levels may contribute to these conditions. |
| HDL-C Reference Value: ≥40 | Known as 'good cholesterol,' HDL-C helps remove cholesterol attached to artery walls back into the bloodstream. High levels help prevent atherosclerosis, while low levels increase cholesterol deposition in the arteries, promoting atherosclerosis. |
| LDL-C Reference Value: 60–119 | LDL (low-density lipoprotein) transports cholesterol to peripheral cells. Elevated LDL-C levels are a risk factor for coronary artery disease. |
| Blood Glucose (BS) Reference Value: ≤99 | Glucose in the blood is an important energy source for the body. Insulin helps maintain stable blood glucose levels even after meals. In diabetes, insufficient insulin action causes blood glucose levels to rise. |
| HbA1c Reference Value: ≤5.5 | Glycohemoglobin is formed when glucose binds to hemoglobin. Since red blood cells have a lifespan of about 120 days, HbA1c reflects blood glucose control over the past 4–8 weeks. |
| Uric Acid (UA) Reference Value: 2.1–7.0 | Uric acid is produced from the breakdown of purines found in the nuclei of body cells. Elevated blood uric acid levels, caused by increased production, tissue breakdown, or reduced renal excretion, can lead to gout when deposited in joints, kidney damage when deposited in the kidneys, and may increase the risk of atherosclerosis if levels remain high chronically. |
| Blood Urea Nitrogen (BUN) Reference Value: 8.0–20.0 | Urea nitrogen is a waste product produced when proteins are broken down in the body. It is normally excreted in the urine by the kidneys, and impaired kidney function can lead to elevated blood urea nitrogen levels. |
| Creatinine Reference Value: Male: ≤1.00 Female: ≤0.70 | Creatinine is the end product of creatine found in muscles and is filtered and excreted by the kidneys. Like blood urea nitrogen, it serves as an indicator of kidney function. |
| White Blood Cell Count (WBC) Reference Value: 3.1–8.4 | White blood cells play a key role in the immune system, protecting the body from bacteria and viruses. Their count increases in response to infections and may also be abnormal in cases of bone marrow disorders. |
| Red Blood Cell Count (RBC) Reference Value: Male: 438–577 Female: 376–516 | Red blood cells are responsible for carrying oxygen throughout the body. Low levels may indicate anemia or blood loss, while high levels may suggest polycythemia. |
| Hemoglobin (Hb) Reference Value: Male: 13.1–16.3 Female: 12.1–14.5 | Hemoglobin is the oxygen-carrying component within red blood cells. Levels decrease when there is iron deficiency or reduced ability to produce hemoglobin within the red blood cells. |
| Hematocrit (Ht) Reference Value: Male: 40.4–51.9 Female: 34.3–45.2 | Blood consists of cellular components (blood cells) and liquid components (plasma). Hematocrit (Ht) represents the proportion of blood occupied by cells. Low values indicate anemia, while high values suggest polycythemia. |
| Platelet Count Reference Value: 14.5–32.9 | Platelets are the smallest cellular components in the blood and play a crucial role in stopping bleeding by adhering to injured blood vessels. Low platelet counts may indicate internal bleeding or impaired platelet production. Additionally, platelets can clump during testing due to the anticoagulant EDTA, which may result in an artificially low count; in such cases, a retest is required. |
| MCV Reference Value: Male: 83–101 Female: 80–101 MCH Reference Value: Male: 28.2–34.7 Female: 26.4–34.3 MCHC Reference Value: Male: 31.8–36.1 Female: 31.3–36.1 | Red Blood Cell Indices: This refers to the following three indices. MCV (Mean Corpuscular Volume): Indicates the volume (size) of a single red blood cell. MCH (Mean Corpuscular Hemoglobin): Indicates the amount of hemoglobin contained in a single red blood cell. MCHC (Mean Corpuscular Hemoglobin Concentration): Indicates the ratio of hemoglobin amount to a given volume of red blood cells. These three indices are used as reference markers to help differentiate types of anemia, such as macrocytic normochromic anemia, normocytic normochromic anemia, and microcytic hypochromic anemia. |
Indicators of Obesity
| BMI (Body Mass Index) Reference range: 18.5–24.9 | BMI is a numerical value used to determine whether a person’s weight is appropriate for their height. The standard reference value is 22. |
|---|---|
| Waist Circumference Reference Values: Male: ≤ 84.9 cm Female: ≤ 89.9cm | Even among obesity types, accumulation of fat around the abdomen—visceral fat obesity—promotes the progression of arteriosclerosis. Measuring waist circumference is considered one of the indicators to assess visceral fat accumulation. (Source: Ministry of Health, Labour and Welfare, Japan) |
Blood Pressure Test
Blood pressure refers to the force exerted by circulating blood on the walls of blood vessels, typically measured in the arteries of the upper arm.
(Based on WHO [World Health Organization] / ISH [International Society of Hypertension] standards)
| Systolic blood pressure (SBP) Reference value: ≤129 mmHg | Systolic blood pressure (SBP) is the maximum pressure in the arteries when the heart contracts and pumps blood. |
|---|---|
| Diastolic blood pressure (DBP) Reference value: ≤84 mmHg | Diastolic blood pressure (DBP) represents the minimum pressure in the arteries when the heart relaxes and fills with blood from the veins. |
Urine Test
A urine test examines substances excreted by the kidneys. Normally, certain proteins should not appear in urine—if detected, it may indicate kidney disease. The presence of glucose may suggest diabetes-related conditions, elevated urobilinogen may indicate liver problems, and occult blood can be a sign of kidney stones, nephritis, or other disorders.
| Urine protein (Proteinuria) Reference value: Negative (–) | It can help detect kidney or urinary tract diseases such as chronic kidney disease, nephritis, or urinary tract infections. Transient proteinuria may also occur temporarily due to factors like fever (febrile proteinuria), postural changes (orthostatic proteinuria), or overexertion. |
|---|---|
| Urine occult blood (Hematuria) Reference value: Negative (–) | Slight presence of red blood cells in urine can indicate abnormalities in the urinary tract, such as cystitis, kidney or ureteral stones. It may also be positive in cases of prostatitis or urological malignancies. |
| Urine glucose Reference value: Negative (–) | Glucose in urine may be positive in conditions such as diabetes mellitus, renal glycosuria, or thyroid dysfunction. A positive urine glucose does not necessarily indicate diabetes, and evaluation should consider blood glucose and other factors. |
Our clinic becomes very busy in the late afternoon, so we recommend visiting before 5:00 PM for health checkups or consultations regarding medical certificates.
Some checkup items involve blood tests, so we advise waiting at least 4 hours after your last meal or drink before your visit. Drinking calorie-free clear liquids, such as water or tea, is allowed and will not affect the test results.
We recommend the Simple Checkup, which can be completed and issued on the same day.
If you have no significant medical history or ongoing treatment, the Standard Checkup can provide a valid health certificate.
The Standard Checkup is generally recommended. It typically takes about one week to receive the results.
For a standard overview, we recommend the Standard Checkup.
If you want a more comprehensive examination, the Full Course Checkup is recommended.
It is possible to perform tests for specific suspected conditions under insurance.
However, if you wish to undergo a broad range of tests without any specific suspected disease, this will be considered a self-paid health checkup.
Normally, it takes about one week to prepare the medical certificate.
If you need it urgently, we can start preparing the certificate as soon as the test results are available. In this case, it may be possible to receive it in as little as three business days (excluding weekends and holidays). Please consult our nursing staff for assistance.
If you bring the designated form, we can review the contents and explain the necessary tests.
There is no consultation fee for this service.
Please note that some tests listed may not be available at our clinic.
Yes, this is possible. Please note that, as a rule, we do not consolidate results from multiple medical institutions onto a single certificate. You can either provide a new designated form for our clinic or use our clinic’s form. Please consult with us for assistance.
In principle, this is possible. If you bring the certificates or checkup results from other clinics, we can transcribe and consolidate them onto a separate form under our clinic’s responsibility.
Please note that we will need to verify the dates and contents of the original documents. We recommend visiting the clinic in person to discuss this process.
At our clinic, we issue medical certificates only after the intended submission destination and purpose of use are provided. This is because a medical certificate issued by a healthcare institution is considered an official document, and we have a responsibility to manage it properly.
Copies of a medical certificate are generally not considered officially valid. Please request the number of copies you need, and we can provide official duplicates. Please note that an additional fee applies for each copy.
If you provide the designated form, we can review its contents and advise you on the required tests.
We recommend first visiting an ophthalmologist for a comprehensive assessment of visual functions, including visual acuity, color vision, and visual fields.
We can perform follow-up examinations if needed. However, deliberately omitting information would violate official document regulations, so we cannot accommodate such requests.
For blood pressure, we perform up to two measurements on the same day. If more measurements are needed, a follow-up visit is required, with the same two-measurement limit per visit. We recommend scheduling follow-up tests during less busy daytime hours.
For repeat urine or blood tests, additional fees apply. Please note that all tests are conducted using samples collected at our clinic.
We do not accept self-reported values. Only measurements taken by our medical staff at the clinic will be recorded.
We do not accept self-reported values. Only measurements taken by our medical staff at the clinic will be recorded.
Testing is possible; however, if the checkup includes a urine test, a positive occult blood result may be expected. Depending on the amount of bleeding, anemia may be affected, and other test results could also be influenced. In such cases, a retest is possible, but additional fees will apply.
At our clinic, overall evaluations are recorded in accordance with the standards of the Japan Society of Ningen Dock.
At our clinic, overall evaluations are recorded in accordance with the standards of the Japan Society of Ningen Dock.