医療法人 池田クリニック 京都池田クリニック京都は京都市下京区五条堀川にある血液透析専門医療機関です。
075-341-3466 臨時透析のご案内
池田クリニック大阪サイト

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Dialysis Treatment for
Tourists and Business Travelers

Regarding application for Temporary Dialysis

Reservations are accepted by phone or email.

Please bring any medications you may need before, during, or after dialysis.


電話 +81-75-341-3466


Temporary Dialysis application form

必須Consultation details
必須inquiry details
必須Name
必須E-mail
必須Nationality
必須Address
必須Telephone
必須Date of birth
Age
必須Sex
必須Preferred Date of Visit(First Choice)
必須Preferred Time of Visit(First Choice)
必須Preferred Date of Visit(Second Choice)
必須Preferred Time of Visit(Second Choice)
必須Medical visit history to this hospital
Hospital name
必須Purpose
必須ADL
Care giver
If you require extra nursing care, please let us know.
Allergy
If you have any known allergies, please list them here.
Message
必須About privacy policy
Please read our privacy policy below: You must agree to the privacy policy before submitting the form
Privacy policy (I assume this will go over the box containing the privacy policy?)
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