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Reservation Information

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SNS *
Date of Birth *
Gender *

Reservation Date and Time

* If you make a reservation and visit for consultation after 7:30 PM on weekdays or after 3:30 PM on weekends, Treatment may not be available depending on clinic circumstances.

Minors must visit with a guardian

Criteria may differ by branch — please call the clinic for details.

After you submit, the clinic will confirm your reservation.

Consent to the collection and use of personal information

To receive and confirm your reservation, we collect your name, contact, date of birth and gender, and keep them for the period required by law after the reservation is processed. For details, see the Privacy Policy.

Consent to marketing use

This is consent to receive information on events and benefits (optional). You can make a reservation without agreeing.

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