After-Consultation Inquiry Form

This form is for questions and inquiries after your visit, such as regarding test results, receipts, and CD-ROMs. We usually reply within about three business days. If you have not received a reply from our clinic after three business days, please contact us by phone.
This form is for inquiries after your visit only.

Registration form

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Your inquiry will be encrypted using SSL encryption technology.
Please rest assured that your important information will not be exposed to third parties.