For Services for International Visitors to Japan
Inquiry Form

  • This form is exclusively for inquiries regarding services for international visitors to Japan.
    Please note that we do not accept inquiries or reservations about general health checkups, medical checkups, or other treatment consultations from foreign residents in Japan.

ゴールデンウィーク【2026年4月29日(水・祝)～5月6日(水)】は休診となります。
当期間内にいただいたお問い合わせは、 5月7日(木)以降に順次対応いたします。

※Please fill in the required information using the registration form below.
If the form does not appear, please wait a moment or try accessing it again later.

Security Notice

All information submitted through this form is encrypted using SSL (Secure Socket Layer) technology.
Your personal data is securely protected and will not be accessible to any third parties.