・For inquiries by email, please apply using the form below.

・If you do not enter the correct information, your response may be delayed or we may not be able to respond.

・Customers who wish to purchase medical equipmentPurchase application formPlease contact us.

・Please use the form below to inquire about the disposal of equipment due to the reduction or closure of hospitals.

・For products that are out of stock on our website (product requests), please contact us using the form below.

・Consultation on purchasing medical equipment at the time of opening（New / used composite / cost reduction proposal）Please contact us using the form below.

Please fill in the form below and click the "Confirm input details" button.

MandatoryItems marked are required to be entered.

nameMandatory	example) Yamada Taro
Company name, hospital name, corporate name, School name, group name, etc. Mandatory
post codeMandatory	(Please enter in half-width numbers) example) 123-0001
AddressMandatory	Hokkaido Aomori Prefecture Iwate Prefecture Miyagi Prefecture Akita Prefecture Yamagata Prefecture Fukushima Prefecture Ibaraki Prefecture Tochigi Prefecture Gunma Prefecture Saitama Prefecture Chiba prefecture Tokyo Kanagawa Prefecture Niigata Prefecture Toyama Prefecture Ishikawa Prefecture Fukui prefecture Yamanashi Prefecture Nagano Prefecture Gifu Prefecture Shizuoka Prefecture Aichi prefecture Mie Prefecture Shiga Prefecture Kyoto Osaka prefecture Hyogo prefecture Nara Prefecture Wakayama Prefecture Tottori prefecture Shimane Prefecture Okayama Prefecture Hiroshima Prefecture Yamaguchi Prefecture Tokushima Prefecture Kagawa Prefecture Ehime Prefecture Kochi Prefecture Fukuoka Prefecture Saga Prefecture Nagasaki Prefecture Kumamoto Prefecture Oita Prefecture Miyazaki Prefecture Kagoshima prefecture Okinawa Prefecture example) 1-2-3 Kyobashi, Chuo-ku ○○ Building 1F
phone numberMandatory	(Please enter in half-width numbers from the area code) example) 03-1234-5678
Fax number	(If you have a fax number, please enter it as much as possible) example) 03-1234-5678
Extension number	(Please enter in half-width alphanumerical characters)
email addressMandatory	(Half-width alphanumerical characters) Please be careful not to make a mistake. example) aaa@bb.cc.co.jp
E-mail address re-enterMandatory	(Half-width alphanumerical)
Inquiry itemsMandatory	inquiry Free assessment application (sale request) Request to purchase medical equipment (please enter the desired equipment such as product name) Consultation on purchasing medical equipment at the time of opening (new / used combined / cost reduction proposal) About closing support Consultation for new business
Inquiry Product name	(In case of product inquiry, please enter the product name)
Inquiry contentMandatory
Authentication confirmationMandatory	Please enter "kurosai"