Medical Examination Order Form

1.Medical Examination Location *

Yaesu Tokyo Business Clinic Yaesu Access

2.Medical Examination Option *

PCR Test
(Quarantine Reduction) Certificate Issuance 15,000 JPY Details

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Nasopharyngeal Swab Test
Saliva-Based Test
Specify at the clinic

PCR Test
(Quarantine Reduction) No Certificate Issuance 12,000 JPY Details

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Nasopharyngeal Swab Test
Saliva-Based Test
Specify at the clinic

3.Extra Option

Same Day Result

0 JPY {{ sameDayIssuePrice }} JPY

* This test must be before 17:00
** On Saturday, the test must be before 16:00

3.Number of people *

4.Number of people *

4.Booking date and time *

5.Booking date and time *

* You may be able to make a reservation by phone even if the time slot is already booked.
Tel: 0120-939-421 / 03-6756-0222

5.Customer Information

6.Customer Information

Full name *

Email *

Phone *

Your destination

For those who are required to submit a PCR test negative result certificate from overseas destination authorities, please fill up your destination.

Names of all visitors

If you would like to book for more than one person, please enter the names of everyone.

Special request

BOOKING INFORMATION

1.Medical Examination Location *

2.Medical Examination Option *

3.Extra Option

3.Number of people *

4.Number of people *

4.Booking date and time *

5.Booking date and time *

5.Customer Information

6.Customer Information

Language

PCR Test(Quarantine Reduction)

+ Certificate Issuance

15,000 JPY (tax included)

PCR Test(Quarantine Reduction)

+ No Certificate Issuance

12,000 JPY (tax included)

Branch

Address

Detail

Branch

Address

Detail

PCR Test
(Quarantine Reduction)

PCR Test
(Quarantine Reduction)