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Contact Us

We appreciate your interest in the BNCT program here at Edogawa Hospital.

Type of Inquiry *

First Name *

Last Name *

Gender *

Preferred Language *

Nationality

Phone Number *

Email *

Confirm Email *

Details of Your Inquiry * (Note: Please provide your company name if your inquiries are business-related.)

How did you hear about us?

Personal Information Handling and Privacy Policy

Type of Inquiry ^*

First Name ^*

Last Name ^*

Gender ^*

Preferred Language ^*

Phone Number ^*

Email ^*

Confirm Email ^*

Details of Your Inquiry ^*
(Note: Please provide your company name if your inquiries are business-related.)