- ・Medical Certificate Application <sample> *Japanese language only
- ・Travel Clinic Application <sample>
- ・Request form for personal information disclosure *Japanese language only
- ・Request to Reschedule Health Check-up
- ・Special Care Required when Attending University 【就学に関する情報提供書】
(Student for Enrolled in April and in the first semester of the Junior Division) *Japanese language only - ・Special Care Required when Attending University
- ・Medical Information Provision Form （For PEAK Students)
- ・Report form of health checkup abnormalities. (Students)
- ・Report form of health checkup abnormalities. (staff)
- ・Report form of health checkup abnormalities. (The Institute of Medical Science)
- ・Report form of health checkup abnormalities. (The University of Tokyo Hospital)
・For vaccine questionnaires, click here (Japanese language only.)
