Please make sure to read the To first-time patients and cancellation policy.（Required)
Please provide your preferred dates for appointments, starting from a minimum of three days after the application date, and list up to your third preference.（Please note that we are closed on Sundays and Mondays.）
For same-day appointments or to inquire about availability for acute complaints, contact the office directly at 03-6875-1614.
Thank you for completing the form. We will get back to you shortly to confirm your appointment. We will respond within 3 business days. In case you do not receive a reply, please feel free to reach out to us. Your contact is greatly appreciated.