Appointment Requests | Sakura Platinum Dental Clinic(Shibuya)
🌸HOW TO MAKE YOUR APPOINTMENT🌸🦷

Please read [Booking Guide on our official website] carefully before making your reservation, including the booking instructions and important notes.

【TREATMENT FEES  ¥33,000〜】
If you don’t have Japanese health insurance or can’t speak Japanese, your treatment will be private care, with a minimum fee of ¥33,000. Please proceed with your inquiry or reservation only if you agree to these terms.
Details:
https://www.sakurashika24-3.com/en/fees-en

【Important – Please Message Us】
To confirm your contact details, please make sure to send us your full name via WhatsApp, LINE, or Instagram.
Our WhatsApp: https://wa.me/message/HJW3LANFRWGNE1
Our LINE: https://lin.ee/Rq3IShl

【🗓️Confirmed = Booked】
Your appointment is confirmed once you receive a「Confirmation」email (not the auto-reply).

Note : 
・For any inquiries or replies, please use "sakurashika20170301@gmail.com".
・You will receive an automatic reply after submitting the form, but please note that replies to it will not be read.
・ A confirmation email will follow within 48 hours.If not, check your spam folder and allow emails from "sakurashika20170301@gmail.com".
・If you don't hear from us within 48 hours, please call +81-3-6452-6588.
・For cancellations or changes after confirmation, check our policy:  cancellation policy

【🗓️Same-Day May Be Unavailable】

Same-day bookings are often unavailable.
Even if you prefer today, include 2 other dates when sending your 3 options.

LANGUAGE SUPPORT
English & multilingual support available (via translation app)


↓First, the field labeled "メールアドレス", Please enter your regular "email address". Confirmation emails will be sent there.

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Email *
e-mail (again for confirmation) *
To avoid typos, enter the same email again.
Your Full Name *
ID *
Required
【YOUR 3 PREFERRED DATE & TIME OPTIONS】 *
Our clinic is located 1 minute from Shibuya Station.
We are open daily from 12:00 PM to 5:00 AM.
Appointments for non-Japanese speakers are available between 12:00 PM and 2:00 AM.
If it is difficult to choose three options within this time frame, please list your three preferred date and time options in the comments section below as well.

Available time slots:
– 12:00–15:00 (12PM–3PM)
– 15:00–18:00 (3PM–6PM)
– 18:00–21:00 (6PM–9PM)
– 22:00–24:00 (10PM–12AM)
– 24:00–2:00 (12AM–2AM)

Please write 2–3 preferred date & time options, in order of preference.
You may use 24-hour or AM/PM format—both are OK!

Example:
– 1st choice: May 20, 15:00–18:00 (3PM–6PM)
– 2nd choice: May 21, after 22:00 (10PM)
– 3rd choice: May 22, 12:00–15:00 (12PM–3PM)

If you're flexible, feel free to mention “anytime after 6PM” or “late night only” etc.

Note：If you're only asking a question, just type “question only” here.

Country Code *
Important – Please Message Us *

If you selected "Other" above, include country code with phone number in the “comment” section.
To confirm your contact details, please make sure to send us your full name via WhatsApp, LINE, or Instagram.

Our WhatsApp: https://wa.me/message/HJW3LANFRWGNE1
Our LINE: https://lin.ee/Rq3IShl
Our Instagram: https://www.instagram.com/dentalshibuya/

If you are not using any of the three options above, please let us know which method works best for you (other than email) in the “comment” section, so we can communicate smoothly going forward.

Date of Birth *
MM
/
DD
/
YYYY
Gender *
Please select your symptoms(Choose one or more) or the treatment you require. *
Required
（Comments section）
Please let us know if you have any comments or requests.
※Regarding the Privacy Policy *
For more details about our Privacy Policy, click here:

https://www.sakurashika24-3.com/en/policy

※ Please select "I agree" when submitting the form.

After filling out the form, please be sure to click the "送信" button below.
【Sakura Platinum Dental Clinic (Shibuya, Tokyo) 】
CLINIC LOCATION
Sakura Platinum Dental Clinic
5th & 6th Floor, Shibuya Higashi-guchi Miami Building
2-22-13 Shibuya, Shibuya-ku, Tokyo 150-0002
・1 min. walk from Shibuya Station
・Our dental office is on the 5th and 6th floors of the building next to Shibuya Hikarie, with the takoyaki shop “GINDACO” on the 1st floor.

PLEASE BRING WITH YOU
– Valid photo ID  
– Credit card or cash(Japanese yen) for payment  
– Travel insurance information (if applicable)

TREATMENT FEES & SERVICES
You can view our service menu and prices here:
-Services & Fees


Note: For smoother communication, please contact us online, as English support may be limited.

【CONTACT US】
For any inquiries or replies, please use "sakurashika20170301@gmail.com".
Auto-replies are sent from the no-reply address. but please use "sakurashika20170301@gmail.com" for all communication.

We look forward to welcoming you to our clinic.
A copy of your responses will be emailed to the address you provided.
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