Opening a clinic/branch
Updated: July 2024, 3

We begin with the procedure to add a new clinic to the medical corporation's articles of incorporation (or donation in the case of a foundation), and then proceed with the procedures with the public health center and welfare bureau.
In order to apply for a branch hospital, it is necessary to proceed with each step of the procedure with a sense of schedule.
Necessary procedures for opening a new clinic (hospital)
In order to open a branch hospital, it is necessary to go through various procedures in addition to the public health center, and if the timing is wrong, it can be difficult.
If you wish to receive insurance treatment at a general clinic, you will need to follow the following procedures:
| 1 | Approval of changes to articles of incorporation/donation act | It is necessary to obtain approval for changes to the articles of incorporation and donation acts related to opening a new clinic (hospital) to the local government that has jurisdiction over the medical corporation. It will be possible to apply for clinics and hospitals such as public health centers after receiving approval from the local government. |
| 2 | Application for permission to open a clinic/hospital | Once we receive approval to change our articles of incorporation and donations, we will apply for permission to open a clinic or hospital to a public health center or local government. |
| 3 | Health and Welfare Bureau Application for designation as an insurance medical institution | Apply for designation as an insurance medical institution to provide insurance medical treatment. As a general rule, designations as insurance medical institutions by the Bureau of Health and Welfare are made on the 1st of every month. To do so, you must apply to the Health and Welfare Bureau by the beginning of the previous month. Applications can be submitted to the Health and Welfare Bureau after receiving permission to open a clinic from the public health center mentioned above. |
| 4 | Application for designation of publicly funded medical care | Apply for designation of publicly funded medical treatment. The application destination changes depending on the type of public expense, so please confirm in advance. |
Key points for branch hospital application
Schedule until clinic opening
When opening a branch hospital, schedules are often set around securing personnel such as doctors and staff, and interior construction work, but it is also extremely important to incorporate applications to administrative agencies into the schedule up to the opening of the hospital.
It is easy to end up paying rent unnecessarily because you make a schedule without taking into account the application period to the administrative agency.
Generally, the period required to apply to the administrative agency is as follows.
(Please note that this varies depending on the administrative agency.)
| Approval of changes to articles of incorporation/donation act | The processing period will be approximately one month from the time the application for change approval is received. Normally, there is a pre-examination period before an application for change approval is accepted, and this period may take about 2 months, so it is recommended to calculate the total time from 2 to 3 months until the prefecture approves changes to the articles of incorporation and donation acts. You can say that. |
| Public Health Center Application for permission to open a clinic | Health centers that can respond quickly may be able to obtain permission to open a business within one week of application, but some health centers may require three weeks for review. If you calculate it with some leeway, it would be best to take about one month. |
| Health and Welfare Bureau Application for designation as an insurance medical institution | As a general rule, designations as insurance medical institutions by the Bureau of Health and Welfare are made on the 1st of every month. To do so, you must apply to the Health and Welfare Bureau by the beginning of the previous month. Applications can be submitted to the Health and Welfare Bureau after receiving permission to open a clinic from the public health center mentioned above. |
Procedures for medical corporations based on the Medical Care Act
In order to establish a branch hospital, it is necessary to change the articles of incorporation and donation acts to the prefecture, but at this time we will check to see if the application based on the Medical Care Act has been properly made.
The following procedures are required as routine procedures at medical corporations.
You will need to reconfirm that your application has been completed without any omissions.
・Notification of changes in appointment, resignation, retirement, and re-appointment of directors, auditors, etc.
・Business report, etc. submission form
・Notification of changes to articles of incorporation, etc.
Management status of medical corporations
The timing of changes to the articles of incorporation and donation acts can be said to be the timing of major changes in the management of a medical corporation.
Prefectures that have jurisdiction over medical corporations will also examine the business and operational status of medical corporations when applying for this change of approval.
There are various points of view when it comes to screening, but
・Is there any accounting treatment that corresponds to the provision of profits to directors and councilors?
・Are you falling into excessive debt?
・Is there a problem with the public interest of the medical corporation?
You need to prepare your response in advance.
Medical corporation branch hospital application flow
| 1: Consideration of clinic opening location |
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| 2: Holding general meetings of employees, etc. |
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| 3: Signing a rental contract for the opening location |
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4: Prior consultation with prefectures, public health centers, welfare bureaus, etc. |
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| 5: Application for approval to change the articles of incorporation/donation act |
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| 6: Permission to open a clinic at a public health center |
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| 7: Opening of clinic |
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| 8: Notification of opening of clinic to public health center |
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| 9: Application for insurance-designated medical institution to the Health and Welfare Bureau |
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| 10: Designation of insurance-designated medical institution |
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| 11: Start of insurance medical treatment |
For medical corporation applications, please contact Support Administrative Scrivener Corporation
At Support Administrative Scrivener Corporation, we provide application support and consulting regarding branching, relocation, etc. of clinics and hospitals for those who are establishing a new medical corporation.
Applications related to medical corporations and clinics are highly specialized and can be said to be one of the fields in which there are few administrative scriveners who can handle them.
Our staff has a track record of applying in all prefectures across the country. Please contact us by all means.



