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Gastrointestinal clinic (endoscopy) in Ashiya City. (About 13 minutes from Osaka Station via JR Train). Gastrointestinal endoscopy, stomach, large intestine, ESD, etc.
Appointments Request for Information Materials

    • Appointments（For new patients）

    How to make appointments

    reserve_img_step01 Please fill out the application form below.
    reserve_img_step02 We will contact you by telephone to confirm appointment date as soon as we receive and check your application form. We will decide on the examination date after consultation. (See here for further information on consultations)

    Appointments

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    mandatoryDaytime Telephone Number
    Please write a contact number where you may be available during the day such as; mobile phone numbers, company phone numbers, etc.
    Fax number
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    Details of the examination and symptoms (Please fill out completely)

    mandatoryPreferred consultation date Month  Day
    Required services Gastroscopy onlyColonoscopy onlyGastroscopy and colonoscopyCapsule endscopy onlyGastroscopy and Capsule endscopyColonoscopy and Capsule endscopyGastroscopy, colonoscopy and Capsule endscopy
    mandatorySymptoms
    Upper GI

    Stomach AcheSuspected H. pyroliHeartburnGastric Cancer ScreeningNausea/VomitingPost Stomach Cancer SurgeryVomit Blood(Hematemesis)the others

    Lower GI

    Bloody StoolDiagnosed with colon polypsFOBT positiveColon cancer screeningDiarrhea/ConstipationPost colon surgeryLower GI pain, discomfortthe others

    Referrals
    Referrals
    (complete if someone introduced you to our clinic)
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