Japanese Family Health Program

When you call to make your first appointment, we will register you as a new patient. Please be ready to provide: 

• Your name and date of birth 

• Your phone number and address in the United States  

• Your insurance information (if applicable) 

• The reason for your visit (symptoms, health check, consultation, etc.) 

  • If your visit is related to a car accident or a work injury, please let us know, as special insurance may apply. 

For questions about costs or co-pays, please contact your insurance company directly. 

Preparing for Your Visit

After you schedule your first appointment, please complete a few steps to prepare for your visit. 

• Register for the patient portal (pdf)
• Set up portal access for children (pdf)
• Complete questionnaires and required forms. These forms will be mailed to you from the clinic prior to the visit. Most of the questionnaires will also be available through the self‑registration (check-in) process on the portal several days prior to your visit; however, these will only be available in English.
  • Health History Questionnaire

    • Please list your preferred pharmacy (where you’ll pick up medications). In the United States, prescriptions are sent electronically from the clinic, so choose a convenient location and add it to your record in advance—even if you don’t need a prescription now (e.g., CVS, Walgreens, Meijer, Kroger, Walmart).

    • Please list all medications you are currently taking, including the name, directions, and dosage. This includes not only daily medications but also any as-needed treatments such as eye drops, nasal sprays, topical creams, inhalers, over-the-counter medicines, or herbal supplements. 

  • Family and Friends form (pdf). This allows us to speak with your family or friends about your medical care when necessary.

• Bring or send medical records from other providers at least 10 days prior to your visit.
  • Immunization record (must be submitted at least 10 days before your visit to receive immunizations at your appointment)
  • Letter of Introduction from Japan (Referral)
  • Past Medical Records
  • Forms required for school or work
• Complete self-registration (online check-in) through the portal before your appointment

When you call, please provide the patient’s name and date of birth. Let us know if there have been any changes to your phone number, address, insurance, preferred pharmacy, or if you plan to move soon. 

Please also tell us the reason for your visit, such as your current symptoms, a medical concern, or a routine checkup. 

If you have already had your first visit, you can request appointments through the patient portal (available in English only). 

For questions about costs or co-pays, please contact your insurance company directly. 

If you have a primary care doctor at U-M Health, you can call the clinic anytime—day, night, or weekends—for advice. Nurses can help you decide if you need to be seen, where to go, or how to care for your symptoms at home. Interpreter services are available if you are not comfortable speaking English. 

If you do not have a U-M Health primary care doctor, clinic nurses are not able to provide phone advice. In that case, please visit a nearby urgent care center or emergency room. 

Care options: 

• Emergency Room: For serious or life-threatening symptoms, such as seizures, severe chest pain, trouble breathing, or fainting. 

• Urgent Care: For minor illnesses or injuries that cannot wait until the next day, such as worsening cold symptoms, urinary infections, or ear pain. 

• E-Visit (only for established patients): For mild conditions such as colds, rashes, or insect bites, you can complete an E‑Visit questionnaire through patient portal. You will receive a treatment plan from a health care provider through the portal within 3 business days (English only). If the provider determines that an in‑person visit is necessary for an appropriate diagnosis or treatment, you will be instructed to schedule an appointment. In that case, you will not be charged for the E‑Visit.
• Briarwood Family Medicine Care-On-Demand Clinic (only for established patients): For minor illnesses or injuries, you can make an appointment at this clinic in Ann Arbor on Saturdays between 11:00 a.m. and 5:00 p.m. Appointments may be scheduled as in‑person or virtual visits. Please call the Family Medicine line to make an appointment.