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医療法人社団ピクシス
ノリメディカルクリニック
東京都渋谷区笹塚1-30-3
ビラージュ笹塚Ⅲ6F
TEL 03-5452-0241
nmc_sasazuka@nifty.com |
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For those who will have their first consultation visit at the clinic, you only need to bring your health insurance certificate/card.
For a faster consultation, please complete the questionnaire below, and show the form to the receptionist at the clinic or you can go directly to the clinic and the receptionist will provide you with the questionnaire.
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| PSYCHOSOMATIC MEDICINE |
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Please show your health insurance card. If you have a referral letter, and/or medicine notebook, kindly show these as well. |
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You will be asked to fill out a questionnaire. Please submit the questionnaire once completed. Don’t hesitate to ask the receptionist if you have any questions.
If you need to go outside the clinic before your consultation, please inform the receptionist. |
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Explanation/Inquiry: The physician will explain the diagnosis thoroughly, as well as the treatment plan.
Counseling: If you have further concerns, we can provide you with counseling.
npatient Referral: If we can’t deal with your medical concerns in our clinic due to lack of facilities, we will refer you to other specialist with the appropriate facilities.
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| After the examination, the receptionist will call out your name for the bill. |
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After which, the doctor’s prescription will be given by the receptionist. |
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| ※We reserve the right to refuse violent psychiatric patients who may cause inconvenience to other patients. We hope for your kind understanding on this matter. |
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| ALLERGY |
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Please show your health insurance card. If you have a referral letter, and/or medicine notebook, kindly show these as well. |
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You will be asked to fill out a questionnaire. Please submit the questionnaire once completed. Don’t hesitate to ask the receptionist if you have any questions.
If you need to go outside the clinic before your consultation, please inform the receptionist. |
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| Your name will be called out by the physician when your turn comes. |
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| Medical tests will be given as necessary. |
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Prescription and the bill will be handled at the receptionist. |
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