You can download our medical questionnaire before your visit.
If you fill it out in advance, the reception on the day will be smooth.
Oral Examination: Periodontal Bacterial PCR Testing Through Saliva
In the event of inconsistency or discrepancy between the Japanese version and any other language version, the Japanese language version shall prevail.
Making university hospital technology and facilities more accessible
You can download our medical questionnaire before your visit.
If you fill it out in advance, the reception on the day will be smooth.
Once you have completed the questionnaire, please submit it to the reception when you come to the hospital, or send it using the form below.
Files up to 5MB can be sent.
(File format: jpg, jpeg, png, gif, pdf)
*If you are in a hurry, such as an emergency, please call Please contact us.
Phone:+81-3-6264-5528
You can download our medical questionnaire before your visit.
If you fill it out in advance, the reception on the day will be smooth.
Once you have completed the questionnaire, please submit it to the reception when you come to the hospital, or send it using the form below.
Files up to 5MB can be sent.
(File format: jpg, jpeg, png, gif, pdf)
*If you are in a hurry, such as an emergency, please call Please contact us.
Phone:+81-3-6264-5528