Contact us

For inquiries by e-mail, please fill in the necessary information below and send.
*Please be sure to enter required items.

NameRequired
Company/Medical institution
Department
E-mailRequired
Required
Please enter again to confirm. Please enter again to confirm.
PhoneRequired
Example) 00-0000-0000
(with hyphen)
Example) 00-0000-0000(with hyphen)
AddressRequired
Type of questionRequired
*If you are a medical personnel, please also enter the name of the medical institution.
Inquiry contentsRequired
(1000 characters or less)Required

(1000 characters or less)

Regarding the handling of personal information, please check the box below after reading and agreeing with the "Personal Information Protection Policy".

 

This site is a CPI SSL encrypted communication correspondence site.
The transmitted information is protected by SSL encrypted communication.