Appointment | Kanto Clinic

Appointment Request

Schedule an Appointment

Please complete the form below and select your preferred appointment dates and time slots. This is an appointment request, not a confirmed reservation. Clinic staff will contact you after reviewing your request.

For urgent requests, please call 022-397-7762 directly. If you do not receive a reply within 24 hours during business days, please call the clinic.

Patient Name * Email Address * Phone Number * Patient Status * Requested Service * Symptoms / Purpose of Visit * Other notes

1. Select preferred dates

Sundays and dates less than two days from today are disabled. Public holidays are not automatically blocked, so clinic staff will confirm availability.

2. Select time slots for each date

Morning: 9:30-13:00, Afternoon: 14:00-16:30, Late afternoon: 16:30-18:00. Saturday is morning only.

I understand this is an appointment request and that an appointment is not confirmed until clinic staff contacts me.

If the request form does not work,
or if you have a question,
please contact us.

Thank you.

Kanto Clinic

Schedule an Appointment

1. Select preferred dates

Month Year

2. Select time slots for each date

Kanto Clinic

Kanto Clinic