for staff

The medical questionnaire(for the Special Medical Check-up)

This site is not intended to be accessed from outside Japan. If you are traveling overseas, please use this site only after your return to Japan.
How to complete the questionnaire

①You will be taken to the Medical Questionnaire when you click on "input page" towards the bottom of the page beneath the calendar.

②A QR code will be produced for each questionnaire that has been completed.

③Please make sure to print the displayed QR codes.
*The QR cord is up to three kinds.

 


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)