To make an appointment for outpatient treatment, please let us know your health information.
It is not required. For convenience, we have created two items to collect information about appointments and consultation dates in advance.
For those requesting a consultation for the first time Name Age Address Telephone number/Mobile phone number Status of previous hospitalization due to serious illness or injury Medical history from other medical institutions Whether or not you use recreational drugs (tobacco/alcohol) Whether or not you have any drug allergies Other If you have any concerns, please write them down on a piece of paper and prepare them.
