Clinic hours: 11:00-20:00
03-6381-7258
requiredSurname
requiredEmail Address
optionalPreferred consultation date and time It would be very helpful if you could give us about 3 items.
first choice
time of -11 o'clock12 o'clock1:00 p.m.14:003:00 p.m.16:005:00 p.m.18 o'clock19:00one percent (one-tenth of a wari)00 minutes15 min.30 min.45 min.
second choice
third choice
requiredDiagnosis and Treatment
remote medical examinationvisit to a hospital, temple, school, etc.
*Please select a payment method only for remote medical services. —以下から選択してください—Credit card payment (Visa and Master only)bank transferCOD
optionalrequest
I want the same medication prescription as last timeOther (free word)
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