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When referral from a medical institution
(You can download the medical information provision form)


1. Please call 03-5206-5956 to reserve the inspection date and time.
2. After the appointment date and time has been decided, please fill in the items and fax to the our hospital. (FAX: 03-5206-5958).
3. Please the second "reservation slip" give to the examinee.

If you do not have the letter of introduction,

please download and use it.

If you cannot download or your department does not have an internet connection, we will send you a letter of introduction. Please feel free to contact us.

【心臓画像クリニック飯田橋-CVIC-】心臓MRI検査・心臓ドック・画像診断のスペシャリストチーム | 東京都新宿区
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