contactContact

Contact

Contact

As a rule, our clinic will contact you during clinic hours.
It may take some time for us to reply to your inquiry. Please understand this in advance.

  1. 1
    Input
  2. 2
    Confirm
  3. 3
    Complete
Contact person’s name
Relationship to patient
Phone Number
E-mail
Patient’s name
Patient’s area of residence
Inquiry Type

Please fill in the following if ‘Other’ is selected.

Inquiry details

※ Please provide details such as the name of the disease, cancer stage classification, medical history, age, and gender.

※ The registered information will be strictly managed in accordance with our privacy policy.
※ Online consultation is available for a fee.
※ Those who come to Japan from overseas and wish to receive treatment must have a medical coordinator. We will introduce you to a medical coordinator.

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