Contact Us

Contact Form

This is our general contact form. Please feel free to contact us.
Patients and healthcare professionals are kindly asked to use their dedicated contact forms.

For Patients and Families For Healthcare Professionals

Name

First Name

Last Name

Gender

Male

Female

Phone Number

*No hyphens
*Half-width digits only

Email Address

*Half-width alphanumeric characters only

Email Address (Confirm)

*Half-width alphanumeric characters only

Postal Code

Prefecture

City / Street Address

Building / Apartment

Preferred Contact Method

Phone

Inquiry Type

Inquiry Details

Your personal information will be used solely for the purpose of responding to your inquiry.

I agree to the Privacy Policy

Phone and FAX lines are
scheduled to open in August 2026.

We apologize for any inconvenience and
appreciate your patience until then.