Counseling appointment

Transmission completed.

・Reservations made using the form are “tentative reservations.” A representative from our hospital will contact you at a later date, and once we have confirmed your desired treatment details, your reservation will be completed.

・If there is an error in the information entered, such as your email address, you may not be able to make a reservation. If you do not receive a confirmation email within a few days after sending it, please send it again or contact us by phone.