XNUMX) Fill out a medical checkup form

       

 

Please fill out the medical examination slip at home.And bring it to the venue when you get vaccinated.

 

⚠Caution⚠
Please be sure to write on Japanese paper.Non-Japanese paper cannot be used.

 

Click here for a video that shows how to write easily (moves to Youtube)

 

-Portuguese

 

-English

 

Preliminary examination slip written in various languages ​​(move to the page of the Ministry of Health, Labor and Welfare)

 

⚠Caution⚠
Please be sure to write on Japanese paper.Non-Japanese paper cannot be used.

 

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Contact
Toyohashi City New Corona Vaccine Call Center

 

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