Contact Form (for English Speaker)

Notes

  • In the ・ telephone number field, ensure you enter a number that can be reached.
  • Please note that it can take some time to reply.
  • If you do not hear from us, please contact us again.
  • Please make sure that your e-mail address accepts e-mails from “@”.
  • Please note that our English-speaking staff is limited. Whenever possible, we kindly request that you make your initial inquiry via email.
  • Our office hours are from 1:00 PM to 9:00 PM JST.
  • If you need to contact us by phone, please ensure you provide a reachable number.
  • If you use Google Mail in your email settings, automatic reply to emails may show up in your "Promotions" or "Social" folders.

    Required
    Sex

    have Japanese health insurance card, or not.
    (National or issued by your employer)

    for patients requesting appointment.


    for patients requesting appointment.
    Please enter Painful area within 1,000 characters.
    Please use line breaks accordingly when entering a long message.


    for patients requesting appointment (Opening time; 1:00 to 9:00 PM JST).


    Please enter Content of inquiry within 2,000 characters.
    Please use line breaks accordingly when entering a long message.

    Outpatient Reception & Consultation Hours

    Business Hours月火水木金土日
    13:00～17:00●●ー●●ー●
    18:00～20:00●●ー●●ー●

    【Closed Days】　Wednesday, Saturday, and Public Holidays.
    ※translates to "Reception ends 30 minutes before the end of consultation hours."