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program name

Program ID

medical facility

Medical Coordinator Company

Pledge

1.Precautions regarding health checkups, checkups, and beauty care

PET-CT uses radioactive materials. If you are pregnant or may be pregnant, please be sure to notify us in advance.
Please note that the inspection will only include the items listed in inspection item 1 of the course you have applied for.
Cosmetic treatments will be performed after consultation with a doctor.

2.Notes regarding medical questionnaire and test consent form

At medical institutions in Japan, customers are required to submit a medical questionnaire and test consent form before a medical examination or examination.
Depending on the content of the interview, there may be some test items that you may not be able to undergo due to medical considerations.

3.Notes from medical institutions

You may be required to fast and drink before the test.
Please refrain from strenuous exercise before the test
Smoking is prohibited on the premises of medical institutions.

4.Others

For detailed instructions, please refer to the instructions included in the welcome kit that will be sent at a later date.

5.About payment and reservation cancellation

This program requires advance payment. If payment is not received by the specified date, your application will be cancelled.
If you cancel your reservation, a cancellation fee will be charged in accordance with the terms established between the agent and our committee.

6.Handling of personal information

Your personal information will be strictly managed by our committee, and will be used to communicate with you and to arrange and coordinate medical institutions, concierges, translation companies, arrangement agents, etc. necessary to provide appropriate medical services. I will use it.

Agree to the above and apply.