Counseling appointment │ Imaizumi Skin Clinic

Japanese

Medical time: Weekday 10:00-13:00,14:30-19:00
Sat., Sun, Holiday 10:00-13:00,14:30-18:00
Closed day: 1st & 3rd Sunday

0120-006-762

Counseling appointment

Imaizumi Skin Clinic English HOME
Counseling appointment

If you are
in a hurry

0120-006-7620120-006-762

Medical time
Weekday
10:00-13:00,14:30-19:00
Sat., Sun, Holiday
10:00-13:00,14:30-18:00
Closed day: 1st & 3rd Sunday

1.Filling out details

2.Confirmation

3.Completed

※Required

Requested date※	The first choice mmdd The second choice mmdd
Full name※
Mail address※
Confirmation Mail address※
phone No.※	Please enter without entering a hyphen. Please be sure to enter the number that you can contact.
Counseling hope treatment※	Skin spots/Freckles/Dullness Acne/Acne scars Wrinkle Sagging Hair loss Body contouring Pores Moles/Warts Laser hair removal
Country
Sex	Woman Man
age
Reason for appointment	Please fill out details about your counseling preterence If you would like to have treatments on the day. plese let us know that.

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0120-006-762

Medical time
Weekday
10:00-13:00,14:30-19:00
Sat., Sun, Holiday
10:00-13:00,14:30-18:00
Closed day: 1st & 3rd Sunday

※Please see our privacy policy