Speaking scenes

Clinic reception Japanese: your first visit to a local clinic

Short answer

At a Japanese clinic’s reception, show your My Number card registered as a health insurance card (マイナ保険証ほけんしょう) or, if you don’t have one, a 資格確認書しかくかくにんしょ: old paper insurance cards expired on 1 December 2025, and the grace period for expired cards ended on 31 July 2026. Then answer the first question, こちらは初はじめてですか?, with はい、初はじめてです。

The situation

You’ve had a fever since last night and you walk into a neighbourhood clinic (内科ないか) for the first time. Picture a waiting room, a muted TV and a receptionist with a clipboard. The front desk asks the same four things every time: is this your first visit, can they see your insurance card, what’s wrong, and since when. Get those four out and you get handed the 問診票もんしんひょう (medical questionnaire).

You can rehearse the whole desk conversation out loud in the app. The receptionist answers you by voice, in Japanese.

Key phrases

はい、初はじめてです。

Hai, hajimete desu.

Yes, it’s my first time.

Japanese / Romaji / English

はい、どうぞ。

Hai, dōzo.

Here you go. (handing over the card)

Japanese / Romaji / English

マイナ保険証ほけんしょうです。

Maina hokenshō desu.

It’s my My Number insurance card.

Japanese / Romaji / English

すみません、保険証ほけんしょうを忘わすれました。

Sumimasen, hokenshō o wasuremashita.

Sorry, I forgot my insurance card.

Japanese / Romaji / English

熱ねつがあって、喉のどが痛いたいです。

Netsu ga atte, nodo ga itai desu.

I have a fever and a sore throat.

Japanese / Romaji / English

咳せきが出でます。

Seki ga demasu.

I have a cough.

Japanese / Romaji / English

昨日きのうの夜よるからです。

Kinō no yoru kara desu.

Since last night.

Japanese / Romaji / English

三日前みっかまえからです。

Mikka mae kara desu.

Since three days ago.

Japanese / Romaji / English

Sample exchange

A. A practice run, as the app’s voice scene plays it (English in italics is the in-app translation of each line):

受付うけつけ (reception): こんにちは。 (Hello.)

受付うけつけ: こちらは初はじめてですか? (First time here?)

You: はい、初はじめてです。

受付うけつけ: 保険証ほけんしょうをお願ねがいします。 (Your insurance card, please.)

You: はい、どうぞ。

受付うけつけ: 今日きょうはどうされましたか? (What brings you in?)

You: 熱ねつがあって、喉のどが痛いたいです。

受付うけつけ: いつからですか? (Since when?)

You: 昨日きのうからです。

受付うけつけ: では、こちらの問診票もんしんひょうにご記入きにゅうください。お掛かけになってお待まちください。 (Please fill in this form and wait.)

B. What you may hear at the desk (from the app’s listening practice):

Listening (N4): こんにちは。初診しょしんの方かたですか?では、マイナ保険証ほけんしょうか資格確認書しかくかくにんしょと、こちらの問診票もんしんひょうのご記入きにゅうをお願ねがいします。

Q&A

Can I still use my old paper health insurance card?

No. The Ministry of Health, Labour and Welfare (MHLW) says old insurance cards expired on 1 December 2025, and the extra allowance for people who brought an expired card by mistake ended on 31 July 2026. At reception, show マイナ保険証ほけんしょう or a 資格確認書しかくかくにんしょ. (Source: MHLW, https://www.mhlw.go.jp/stf/web_magazine/closeup/50.html)

I don’t have a マイナ保険証ほけんしょう. How do I get a 資格確認書しかくかくにんしょ?

You don’t apply for it. MHLW says your insurer sends a 資格確認書しかくかくにんしょ free of charge to anyone who hasn’t registered their My Number card as an insurance card. (Source: MHLW, https://www.mhlw.go.jp/stf/newpage_50657.html)

Is the letter called 資格情報しかくじょうほうのお知しらせ enough?

Not on its own. MHLW says the 資格情報しかくじょうほうのお知しらせ can only be used together with your My Number card, for example when the card reader isn’t working, and it has to be the printed paper, not a photo on your phone. (Source: MHLW, https://www.mhlw.go.jp/stf/newpage_50657.html)

What if the card reader doesn’t work?

Show your My Number card together with the insurance details screen in マイナポータル (MHLW notes its app was renamed マイナアプリ in August 2026). MHLW says that way you can be seen without paying the full 100% at the desk. (Sources: MHLW, https://www.mhlw.go.jp/stf/web_magazine/closeup/50.html · app rename: https://www.mhlw.go.jp/stf/newpage_50657.html)

How do I describe what’s wrong?

One symptom is enough at the desk: 熱ねつがあります (I have a fever), 喉のどが痛いたいです (my throat hurts) or 咳せきが出でます (I have a cough). Then add since when, like 昨日きのうからです. The doctor asks the rest.

Can I practise this before I go?

Yes. The Clinic reception voice scene lets you say these lines out loud and hear the receptionist answer in Japanese. Hints and an English line are there for every step.

Official sources (checked 31 Oct 2026)

  • MHLW, “Show your マイナ保険証ほけんしょう or 資格確認書しかくかくにんしょ at clinics and pharmacies”: paper cards expired 1 Dec 2025, grace period ended 31 Jul 2026, card + Myna Portal screen if the reader fails. https://www.mhlw.go.jp/stf/web_magazine/closeup/50.html
  • MHLW, how insurance status is checked: 資格確認書しかくかくにんしょ sent without applying, 資格情報しかくじょうほうのお知しらせ not usable alone. https://www.mhlw.go.jp/stf/newpage_50657.html

Practise the clinic desk out loud

In the app: Speaking practice → Clinic reception (level N4)

Open Konbini Legends → Speaking practice → Clinic reception. Free on iPhone and iPad.

Konbini Legends is a real-time voice conversation app for foreigners living in Japan: you speak Japanese out loud and an AI conversation partner replies in Japanese by voice, in everyday scenes like the konbini, the ward office, a clinic, the bank and a phone shop.

Download on the App Store