Tokyo Sports & Orthopaedic Clinic

Contact Form (in English)

Notes

  • In the ・ telephone number field, ensure you enter a number that can be reached.
  • Please note that it can take some time to reply.
  • If you do not hear from us, please contact us again.
  • Please make sure that your e-mail address accepts e-mails from “@tsocs.jp”.
  • If you use Google Mail in your email settings, automatic reply to emails may show up in your "Promotions" or "Social" folders.
Required
Your Name
Required
E-mail address
Required
Tel
15 characters or less
Required
Sex
Required
Date of birth
have Japanese health insurance card, or not.
(National or issued by your employer)
for patients requesting appointment.
Painful area
for patients requesting appointment.
Please enter Painful area within 1,000 characters.
Please use line breaks accordingly when entering a long message.
available date & time
for patients requesting appointment.
Required
Any questions
Please enter Content of inquiry within 2,000 characters.
Please use line breaks accordingly when entering a long message.