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[File submission form]
File Submission Form

You can send your own files (image files, etc.) to CVIC using the form below on this page.
Personal information protection, privacy policyPlease agree to the following before sending.

*The file size that can be sent is up to 20MB/time.

On this page, using the form below, you can send your files (such as copies of insurance cards, image files, etc.) to CVIC. Please ensure you agree withour data protection and privacy policybefore submitting.
*The maximum file size for uploads is 20MB per submission.

Send form

CVIC Phone

03-5206-5956

CVIC Email

Select an option
1枚目 写真や画像で送る
Upload supported file (Max 8MB)
2枚目 写真や画像で送る
Upload supported file (Max 8MB)
3枚目 写真や画像で送る
Upload supported file (Max 8MB)
4枚目 写真や画像で送る
Upload supported file (Max 8MB)
PDFやWordなどを送る
Upload supported file (Max 8MB)

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[Cardiac Imaging Clinic Iidabashi -CVIC-] Specialist team for cardiac MRI examinations, heart check-ups, and image diagnosis | Shinjuku-ku, Tokyo
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