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Contact form

If you cannot find the information or contact information you are looking for, please contact us using the form below.Before you contact us using this form, pleaseFrequently Asked Questionsor"Inquiry list"We recommend that you check the following.

Points to note when making inquiries

 

Please enter the following information and press the send button.RequiredFields marked with are required.

    Inquiry detailsRequired

    　
    "Lecturer dispatch"　
    "Donations and fundraising"　
    "volunteer"　
    Requests for interviews, supervision, and contributions.　
    "Facility tour (for nursing staff)"　
    "Facility tour (medical staff)"

    NameRequired
    Furigana
    Email address (half-width)Required
    telephone number
    Visit to Kitano Hospital
    Patient number
    Inquiry detailsRequired
  • Please note that we cannot accommodate urgent consultations.
  • We do not accept inquiries regarding personal information, specific treatments or costs, or new or changed reservations.
  • Depending on the content of your inquiry, it may take several days for us to respond, even on days when the outpatient clinic is closed or open.
  • You will receive an automatic reply email after submitting your inquiry. If you do not receive an automatic reply email, please check that the email address you entered is correct.
  • Any personal information obtained through inquiries will be handled appropriately in accordance with our hospital's personal information protection policy.

    • Our hospitalPrivacy PolicyPlease agree to the above before submitting.

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