Contact Us

Inside the hospital

Contact Us

Contact Us

Kindly fill out and submit the form below. A representative from our clinic will contact you shortly.

For urgent enquiries, please call us at +81-90-4202-1624.

Name Required
Sex Required
Age Required
Address Required
Contact Number Required
E-mail Required
Retype E-mail Required
Preferred Clinic Required
Enquiry / Details

Handling of personal information