ご予約の有無(Appointment Status)
問診表はご予約をお取り頂いた方のみ入力が可能です。まだご予約をお取りになっていない方は、お電話もしくはHPよりご予約をお取りください。
(This is a medical questionnaire for those who have already made an appointment. Please call or visit our website to make an appointment)
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