Contact us (please complete the form below)

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Contact us ( please complete the form below )

Depending on the content of your inquiry, you may not be able to answer. Please forgive in advance. In addition, it may take several days for your reply.
Please fill in the following details and click “Send” button.
Please note that this is not a reservation form.
The reservation center number is 047-351-3230.

Patient ID (If you have)
  

Date of birth (YYYY/MM/DD) (required)

Your Age (required)

male or female (required)
  malefemale

Zip code

Your address (required)

Your telephone number (required)

*Notes;
There is a case that reply from this site enters "spam mail folder".
If the mail does not arrive, cancel the setting once and check "Spam folder".
Those who have specified reception registration set up please register the @ tokyobay- mc.jp by domain designation and submit the form.

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