Contact Us

Please use the email form below for inquiries.

Note:
We do not respond to inquiries regarding illnesses or medical treatment.
For information about medical consultations, please refer to the website of Fukuoka University Hospital.
Fukuoka University Hospital

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Full Name *
Gender
Age *
Phone Number *
Email Address *
Place of Origin (Prefecture / Country)
Name of School / University Graduated From *
Year of Graduation (Expected)
Preferred Date for Observation / Visit
Training Institution / Desired Training Location
Experience in Dermatology
Inquiry Details / Message *

The information you provide will be managed appropriately and will not be used for any other purpose without your permission.