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Medical Consultation:

Dr. Akashi as a general practitioner attends to pediatric and adult medical problems, minor surgical problems and routine obstetrical and gynecological problems. Referrals to specialists and hospitals can be made as necessary.

The Clinic is equipped with a plain X-ray machine, electrocardiogram, pulse oximeter, spirometer, audiogram, ultrasonogram, fetal doppler and upper gastrointestinal fiberscope. Holter monitor can be done at the Clinic as well. Most laboratory tests are sent out to the reference laboratory. Venipunctures are done at the Clinic.



Dr. Ryo Yamada has a rich clinical experience in variety of settings and had special trainings in oral surgery, cosmetic dentistry, prosthetic dentistry and implant dentistry. Dr. Yamada will certainly be able to meet the dental needs of the foreign community.

Dr. Yamada has begun his practice at the Clinic from September 1, 2011 and his practice will be limited to Thursdays, Fridays and Saturdays for the time being. His services include the following.

For more information regarding your specific needs or treatment, please call the Clinic to inquire.

Physical examination:

The Clinic offers comprehensive general physical examination for adults and routine physical examination for children as well. Visa physicals for New Zealand, China, Russia, and other countries can be done. The Clinic provides company physicals for firms such as Ericsson, Nokia, Lloydfs Register of Shipping, Shell International, Foster Wheeler, Kellogg Brown and Root, YMCA, etc. Studentfs entrance physical examinations for schools both local and abroad are also given. Life insurance physicals for European and American companies are also being done.



The Clinic offers routine childhood immunizations according to the guideline of the respective country of origin of the client as desired. Various vaccinations for travelers are available as well. The Clinic offers the following vaccinations:

  1. DTaP (diphtheria-tetanus-acellular pertussis)
  2. Tdap (tetanus, reduced diphtheria, acellular pertussis vaccine)
  3. Tetanus-diphtheria
  4. Tetanus
  5. Inactivated polio vaccine (IPV)
  6. Hemophilus influenza B vaccine (Hib)
  7. Infanrix Quinta (combined DTaP-Hib-IPV vaccine)
  8. Infanrix Hexa (combined DTaP-Hib-IPV-HepB vaccine)
  9. Prevenar (PCV7, pneumococcal conjugate vaccine)
  10. Prevenar 13 (PCV13)
  11. Rotarix (Rotavirus vaccine)
  12. Neis Vac C (meningitis C vaccine)
  13. Cervarix bivalent human papillomavirus (types 16, 18) recombinant vaccine
  14. Gardasil quadrivalent human papillomavirus (types 6, 11, 16, 18) recombinant vaccine
  15. Hepatitis B vaccine
  16. Hepatitis A vaccine
  17. Twinrix (combined Hepatitis A and B vaccine)
  18. Measles vaccine
  19. Mumps vaccine
  20. Rubella vaccine
  21. MR (combined Measles-Rubella vaccine)
  22. MMR (combined Measles-Mumps-Rubella vaccine)
  23. Varicella (chickenpox) vaccine
  24. Typhoid vaccine
  25. Meningococcal conjugate vaccine (MCV4) Menactra
  26. Rabies vaccine (Rabipur)
  27. Japanese B-Encephalitis vaccine
  28. BCG vaccine
  29. Pneumovax vaccine
  30. Cholera vaccine*
  31. Influenza (flu) vaccine **

*Cholera vaccine may  not be in stock at all times. Prior notification and reservation are necessary.
**Influenza vaccine will be available from late September through February each year.

Physical therapy:

American trained physical therapist, Peggy Zee, offers her services at the Bluff Clinic by appointments only.

Peggy Zee, PT licensed in California, is a graduate of Northwestern University Physical Therapy (NUPT) Program. She has experience in:

Peggy Zee is an active member of American Physical Therapy Association (APTA) with membership in Orthopedics & Pediatrics section, and an active member of World Confederation of Physical Therapy (WCPT).

Peggy Zee is also the Physical Therapist at Tokyo International Learning Community (TILC), the only English language special school in Japan serving expatriate children with special needs.


American trained Ron Shumsky Psy., D., Licensed Clinical Psychologist sees clients by appointment at the Bluff Clinic.

Yokohama City Subsidized Checkups

Residents of Yokohama City are eligible to receiving various checkups which are subsidized by Yokohama City. The following checkups are available at the Clinic:

Baby Checkups 0-12 months old (3 checkups before the age of 13 months)

Senior Physical Checkups over age 75-FREE

Adult Physical Checkups age 40 to 74

Colon Cancer Screening over age 40-69(\600) FREE over age 70

Prostate Screening for MEN age 50-69 (\1,000) FREE over age 70

Breast Cancer Screening for Women age 40 to 69 (\690) FREE over age 70

Yokohama City Subsidized Immunizations

The following immunizations are given free of charge at the Clinic using coupons from Yokohama City depending on the age of children. Please check with your nearest health center or ward office.


Hib (hemophilus influenza b vaccine)

PCV13 (pneumococcal conjugate vaccine)


IPV (Inactivated polio vaccine)





Measles-Rubella combined vaccine (MR) 

Japanese B-Encephalitis

HPV (human papilloma virus vaccine): HPV2 and HPV4

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