六本木駅5分 港区の産婦人科・婦人科・内科クリニック。不妊症治療・乳がん検診・妊婦健診

Pill prescription questionnaire

Questionnaire for low dose oral contraceptive pills(English)
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Information
For Foreign patients.

Please submit your valid health insurance card, It must be valid and non expired proof  card at the each visit.
If, you forget to bring it, Please make sure to  bring it at the next visit within the same month you have visited.
We are sorry, If you paid without the Valid Health Insurance card, We will be unable to refund you.
Thank you very much for your understanding.
Kanda 2 nd Clinic

Copyright(C)KANDA 2ndCLINIC. ALL Rights Reserved.

医療法人 神田第二クリニック
〒106-0031 東京都港区西麻布3-20-14 梅田ビル2F
患者様専用TEL:03-3402-0654
Copyright(C)医療法人 神田第二クリニック. All Rights Reserved.