Application details

NameRequired

Last name:

given name:

FuriganaRequired

Sei:

Mei:

Email address (half-width)Required

telephone numberRequired

-

-

sexRequired

malewoman

*We are here to prepare the changing rooms.

Preferred medical departmentRequired

Respiratory internal medicinerespiratory surgeryGastroenterologyGastrointestinal surgeryCardiologyCardiovascular SurgeryNeurologyNeurosurgeryNephrologyUrologyDiabetic endocrinologyHematologyMedical OncologyRheumatology and Collagen DiseasesNeuropsychiatryPediatricsPediatric SurgeryObstetrics and Gynecologybreast surgerydermatologyplastic surgeryorthopedic surgeryophthalmologyOtolaryngology/Head and Neck SurgeryAnesthesiologyDiagnostic RadiologyRadiation Therapy CenterPathologyEmergency DepartmentRehabilitation Department

*Some medical departments have stopped accepting visitors.

Desired tour dateRequired

First preferred date:

2nd preferred date:

3rd preferred date:

4th preferred date:

5th preferred date:

*The dates available for tours vary depending on the department. Please provide as many possible dates as possible.

*We cannot accommodate requests on Saturdays, Sundays, public holidays, or during the New Year holidays.

universityRequired

GradeRequired

Regeneration

Additional InfoRequired

Have you received permission from the university to tour our facilities?

*To visit, you will need a tour request form issued by your medical school. Please check in advance.

Motivations and requestsRequired