Inquiries

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Depending on the content of the inquiry, we may require some time before responding.
Please note that inquiries sent when our offices are closed will be handled on the next business day and later.
In principle, all information that is entered will only be used to answer your inquiry and to contact you, and not for any other purpose.

Inquiry details
Name (Kanji)
Name (Reading)
Gender
Age
Clinic name or place of employment
Contact Information

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City/town/village/ward

Chome・banchi

Building or apartment name and room number

TEL

FAX

Email

How did you hear about us?

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