Hongo

Medical Questionnaire for student

This page is only for the online Medical Questionnaire.
It is impossible to make any medical checkup reservations on this page.

<Important points to note about the online Medical Questionnaire>

・ Completing the online questionnaire does not record your entries. The information entered is only registered when the 2d codes are read in at the Health Service Center.

・ Make sure that when you print the 2d codes they are in a condition that can be read properly. If your 2d code is disfigured, folded, unclear, etc. it may not be read correctly.

 

How to answer Online Medical Questionnaire

→Please click on the "Input page" below the calendar to go to the questionnarie.
Period  : 
Select a date for your reservation.

Medical Questionnaire

Medical Questionnaire Input page

Confirmation of existing reservation

The reservation number and the passcode are required in order to check or cancel your reservation.

Reservation Date (yyyy-mm-dd)(Required)

Reservation number(Required)

Passcode(Required)