Delivery Reservation

Delivery Reservation

Delivery Reservations If you wish to give birth at our clinic, please make your reservation as soon as your expected delivery date is confirmed.
For details on room types, length of stay, and associated fees, please see the “Rooms, Length of Stay, and Hospitalization Fees” section below.

Rooms, Length of Stay, and Hospitalization Fees

Delivery Reservation Form

Please fill in the required fields and click the “Confirmation” button. For confirmation, we may contact you by phone.
If you do not receive a reply email within 24 hours, please contact us by phone.

Inquiries should be made during our consultation hours.
If your inquiry is submitted on a holiday or outside business hours, we will respond on the next business day.
If you have not yet had your first visit at our clinic, please make an outpatient appointment through the app. After your initial consultation, you may proceed with your delivery reservation.

If you wish to make a delivery reservation at 16 weeks of pregnancy or later, please contact us during our consultation hours.
Consultation Hours: Weekdays 9:00 – 17:00
Phone: 044-422-6703

Patient ID Number
Required
Full Name
Required
Furigana / Phonetic Name
Required
Date of Birth
Required
Email Address
Required
Confirm Email Address
Required
Postal Code
Required
Address
Required
Phone Number
Required
Expected Delivery Date
Required
Number of children
Required
Required