Referral Letter / Shokaijo

紹介状 (shōkaijō)

A referral letter (紹介状, shōkaijō) is a formal document issued by your primary care doctor or local clinic introducing you to a specialist or larger hospital. It contains your medical history, current diagnosis, test results, and the reason for the referral. Presenting a referral letter at a large hospital waives the selected hospital fee and allows smooth information transfer between your doctors.

Obtaining a referral letter from a neighborhood clinic (クリニック) before visiting a large hospital can save you several thousand yen in additional fees and speeds up your appointment.

In 9 languages

LanguageTerm
English Referral Letter / Shokaijo
Japanese (日本語) 紹介状
Chinese (中文) 介绍信 / 转诊信
Korean (한국어) 진료 의뢰서
Portuguese Carta de referência médica
Spanish Carta de derivación médica
Filipino Referral letter
Thai หนังสือส่งตัว
Vietnamese Thư giới thiệu khám chuyên khoa
Romanization shōkaijō
← All glossary terms Guides Phrasebook

Last reviewed: September 2026