Medical Checkup / Health Screening(Own expense)
Reservation Request Form

  • Reservations are not confirmed only by submitting this form. We will usually reply to you within 3 business days. In the unlikely event that you do not receive a reply from us after 3 business days, please contact us by phone.
  • This form is a reservation request form for "up to 2 persons". For reservations for 3 or more persons, please contact us using the form below.
  • ＞＞ [3-19 persons] Request Form
  • ＞＞ [More than 20 persons] Request Form

Our clinic will be closed for the New Year holidays from Tuesday, December 30, 2025, to Sunday, January 4, 2026.
Inquiries received during this period will be handled sequentially from Monday, January 5, 2026.
(Please note that inquiries received on or after December 24 may also be handled from January 5 onward.)
We appreciate your understanding and patience.

Registration Form

*Please fill out the registration form below.
If the form does not appear, please wait a moment or wait some time before accessing it again.

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