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Mail form

Attention

  • It will be used only International Medical Bridge and hospital or hospitals.
  • The information he/she wrote in e-mail is taken very carefully.
  • If you missed the blank to fill, you may not receive the service.
  • If you are under18 years old, you need parent permission.
  • A question and requests are acceptable only by e-mail.

Mail form

Press the confirmation button after filling in the mandatory.
「*」 Mark is a required item.

Request Type*
Name*
Phone
Email*
Zip code
Address
Comments*

Please agree to the privacy policy of International Medical Bridge Co., Ltd. and proceed to confirm your entry.

Contact us

Please feel free to ask. By telephone or mail form.

tel.+81-3-6822-2281

Open Mon.-Fri. 10:00 to 18:00 JST. Weekends and holidays are closed.

Mail form