Contact

（Notes）
・In principle, we will reply to you by e-mail.
・Depending on the nature of your inquiry, we may take some time to reply or may not be able to reply to your inquiry.
・We would like to ask you to make sure that you have set your e-mail settings (spam filtering) so that you can receive our reply.
・We would like you to make sure that your name, phone number, and address are correct.
・We will take strict action against any content intended to obstruct or defame our business (all IP addresses are recorded).

*:Required Items

Inquiry items＊
Your Name*
E-mail address＊
E-mail address (again)＊
Phone number＊
Date of birth＊
Do you have Japanese health insurance? ＊
Country＊
Your address (include postal code)＊
How did you find our clinic?＊
Details of your inquiry
(Less than 2000 characters)＊
About personal information protection＊
■ Consent form for personal information protection
1. Name of business operator
　New Spine Clinic Tokyo
2. Name or title, affiliation, and contact information of the administrator (or his/her representative)
　Name of Administrator: Ken Ishii
　Position: Director
　Contact Information: TEL 03-5226-7777
3. Purpose of use of personal information
　For answering inquiries (including contacting the individual).
4. Outsourcing of handling of personal information
From the standpoint of business management, we may outsource personal information to outside parties within the scope of the purposes of use described in the preceding paragraph. In this case, we select a contractor with a high level of personal information protection, sign a contract with the contractor regarding appropriate management and confidentiality of personal information, and have the contractor implement appropriate management.
5. Request for disclosure of personal information
You may contact us at the following about the disclosure of your personal information and others (notification of purpose of use, disclosure, correction/addition/deletion of contents, suspension or deletion of use, or suspension of provision to third parties). In such cases, we will respond to the request within a reasonable time after confirming the identity of the customer.
【Inquiry Desk】
New Spine Clinic Tokyo
Prefectural Assembly Hall (1st basement level),
2-6-3 Hirakawacho, Chiyoda-ku, Tokyo, 102-0093, Japan
E-mail: nsctky.contact@gmail.com
6. Voluntariness of providing personal information
It is at the discretion of the customer whether or not to provide his or her personal information to us. However, if the necessary information is not provided, we may not be able to provide each service, etc. in an appropriate manner.
Confirm the details entered