Our clinic operates strictly by appointment to ensure no waiting time, with our Director personally conducting every examination. We dedicate ample time to each patient, providing thorough and easy-to-understand explanations. As a specialized endoscopy clinic providing private care (non-insurance), we prioritize the highest diagnostic accuracy while minimizing any psychological burden for our patients.

If you would like to have an examination at our clinic, please fill in the form below. We will arrange an appointment for a pre-examination consultation.
Alternatively, please feel free to contact us by telephone at our clinic.

Mon Tue Wed Thu Fri Sat Sun
09:30〜12:00
13:00〜17:00

*Holidays are closed.

Reception telephone number (by appointment only)

TEL.+81-3-3544-6266

Reservation process

  1. Please fill in the following booking form.
  2. As soon as we have confirmed the details you have entered in the booking form, the clinic will contact you by e-mail or telephone to confirm your booking.
  3. When the date and time of the consultation or examination has been decided, please read the instructions before coming to the clinic.

Reservation form

Please make an appointment prior to visit.

Patient Name[Required]
Nationality [Required]
Cell phone number[Required]
Mail address[Required]
Gender
Date of Birth/Age
Preferred Medical Treatment[Required]
Number of Consultations[Required]
Please tell us why you chose our clinic.
Inquiry Details

At the clinic, you will be asked to fill out a medical questionnaire when you come in for your endoscopy appointment.
If you download this form and bring it with you, you do not need to fill it out at the clinic. Download interview sheetIf you fill out this form and bring it with you, you do not need to fill it out at the clinic.