For outpatients

Outpatients can apply for various appointments and procedures using the various procedure forms below.
Please make a reservation from the QR code or URL application form.

Various Procedure Forms

Childcare Reservation

You can apply for a reservation for the nursery room "Orchid Room" for patients using the Oak Clinic, Sumiyoshi Department of Obstetrics and Gynecology using the form below.
Please make a reservation from the QR code or URL application form.

URL:https://forms.gle/qUCcAUPSw6Fg6WbYA

Childcare Reservation

Request to send frozen storage extension disposal documents

Requests for sending frozen storage extension disposal documents can be made using the form below.
Please make a reservation from the QR code or URL application form.

URL: https://forms.gle/CJxmRaXNY3FDFd9RA

Request to send frozen storage extension disposal documents

Application for various application documents (fee required)

For various application documents (fee required), please fill out the form below.
Please make a reservation from the QR code or URL application form.

URL:https://forms.gle/z3gcxBz932gTY8fr5

Application for various application documents (fee required)

Apply for Grants

To apply for documentation related to grant applications, please fill out the form below to make an appointment.
Please make a reservation from the QR code or URL application form.

URL:https://forms.gle/fXNtVBKdVwPWyYZA6

Apply for Grants

Application for change of registered information

You can apply for any changes in your name, address, telephone number, etc. registered with the hospital by filling out the form below.
Please make a reservation from the QR code or URL application form.

URL:https://forms.gle/pkVSBwM5Q5ZSHYwd8

Application for change of registered information

Regional cooperation reservation application

If you would like to make a reservation for another hospital through regional cooperation from our hospital, you can apply using the form below.
Please make a reservation from the QR code or URL application form.

URL:https://forms.gle/bFHZDcWQZwQh1hFh7

Regional cooperation reservation application