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Medical Certificate Application   <sample> 

Travel Clinic Application <sample>

Request form for personal information disclosure

Reschedule request of Medical checkups.

Special Care Required when Attending University

Report form of medical checkup abnormalities. (Students)

Report form of medical checkup abnormalities. (staff)

Report form of medical checkup abnormalities. (The Institute of Medical Science)

Report form of medical checkup abnormalities. (The University of Tokyo Hospital)

 

・For vaccine questionnaires, click here (Japanese language only.)

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