Medical Checkup / Health Screening
Rescheduling Request Form

  • Reservation changes are not confirmed only by submitting this form. Normally, we will reply to you within 3 business days. If you do not receive a reply from us within 3 business days, please contact us by phone.
  • This form is only for "Reservation Change" applications for medical checkups and physical examinations.

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.

About Security

The contents of your inquiry will be encrypted by SSL encryption technology.
Please be assured that your important information will not be exposed to a third party.