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人間ドックについての日本語の書類
(Japanese Forms - Executive Physicals)
See this page in English

大人の問診票 (Intake Forms-Adult)

問診票 (成人用)  PDF (264K)
(Adult Intake Form)

子供の問診票 (Intake Forms-Pediatric)

問診票 (乳幼児用 2歳未満)  PDF (256K)
(Pediatric Intake Form under age 2)

問診票 (幼児 2-5歳用)  PDF (256K)
(Pediatric Intake Form age 2-5)

問診票 (学童 6-12歳用)  PDF (232K)
(Pediatric Intake Form age 6-12)

問診票 (学童 13-18歳用)  PDF (224K)
(Pediatric Intake Form age 13-18)

その他 (Other)

定期健康診断プログラム申し込み時の注意事項  PDF (68K)
(Things to know about Exective Physical)

人間ドック予約確認  PDF (84K)
(Executive Physical Confirmation)

関連リンク


他の書類

診療についての書類

研究活動について
の書類

医学生・医師用
見学情報について
の書類



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