• Name※

• Phone number※

  *e.g. 0120005327

• Mail address※

  *If you have set the rejection of reception by specifying a domain.In that case Please set the setting, Please set “azabuskinclinic.info@gmail.com as domain boarding reception

• Contact method of return※

  Phone Mail Either is acceptable *when confirming your resarvation,please cheeck the return method *If you can not contact us by email ,we will call you

• Reservation desired date※

  Our clinic is closed on Mondays and Tuesdays.

       First choice※

       10:00～12:00 12:00～13:30 15:00～17:00 17:00～19:30 anytime 2nd choice※

       10:00～12:00 12:00～13:30 15:00～17:00 17:00～19:30 anytime *If you make a reservation and in a hurry. Please call us within 3 days *Depending on the condition of medical treatment on the day, there maybe cases where the medical treatment time will be delay on the time of reservation.It is highly likely that you will have to wait especially on Saturdays. We will make every effort to provide medical treatment and treatment at the time you make a reservation, but please note that it may past the reservation time.

• Gender※

  Female Male

• Age※

  below 19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 above 60

• Nationality※

• Skin type※

• Hair colour

  Only for hair removal

• Desired treatment※

  Procedure of Interest

  Scarring Non-Invasive Anti-Aging Cosmetic Surgery Aesthetician Services Laser Hair Removal Other Medical Skin Issues

  The laser will work on melanin. In this case, laser hair removal is ineffective for light-colored hair.