⚠️ Medical emergency? Do NOT use this form. Call 911 immediately.
Get in Touch
We typically respond within 1 business day. For urgent or emergency symptoms, call 911 or go to the nearest ER. Do not use this form, the booking system, email, LINE, or Patient Passport for emergencies. For non-urgent clinical questions, please book through "Start Consultation."
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⚠️ For medical emergencies, call 911. This form is not monitored for emergencies.
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You may write in Japanese or English.
🔒 Important HIPAA Notice
This contact form is not a HIPAA-secure system. Do NOT enter any of the following:
- ✕Symptoms, diagnoses, or medical history
- ✕Insurance ID or member number
- ✕Social Security Number (SSN)
- ✕Medication names or prescription details
For consultations, prescriptions, or medical questions, please use our secure Elation system:
💬 Start Consultation (Elation)