International Health Care Clinic

International Health Care Clinic

Requestan appointment of online consultation

Consultation

* Please understand the oline consultation is only provided without Japanese health insurance.

* Only accepted making an appointment the day or the day before the consulation day.

Name※
Gender※
Date of birth※
Place of staying※

Request of appointment,
Date and Time
Closed：
Sat・Sun・NationalHolidays
In case of emergency, you can call usanytime.

第一希望：

　 ～

第二希望：

　 ～

第三希望：

　 ～
Purpose
Email（半角）※
Phone number
For under 15 years old
Please put your body weight.
Kg
Details of symptoms or
name and dozges of medicines
which you need.　※