Setagawa Chofu Otomo Internal Medicine and Rheumatology Chitose-Karasuyama Clinic is an internal medicine and rheumatology clinic located on the first floor facing the street, a 1-minute walk from Chitose-Karasuyama Station. Despite its small scale, it is equipped with the latest X-ray, ultrasound, and bone density measurement devices comparable to hospitals, providing rheumatology care on par with larger facilities. General internal medicine services for lifestyle diseases by a general internal medicine specialist are also available, and a cooperative system with surrounding medical institutions including Keio Hospital is in place. When specialized care is required, a referral system to appropriate medical facilities is provided. Consultations are by appointment, and advance notice is required if fever symptoms are present. Antigen test results for COVID-19 and influenza are available in approximately 10 minutes. In addition to English language support, credit cards and electronic payments are accepted, and barrier-free access is provided. Holiday consultations are scheduled for May 6 and September 21, 2026.