Telemedicine Application Form
2021/01/26 [病院からのお知らせ]Telemedicine Application Form
電話診療申込みフォーム
▽▽▽
https://kinohosp.com/tel_clinic_form/
For Who? 対象
Telemedicine is available for patients who have our hospital ID card.
You can get:
・Additional prescription of the medication you are continuously prescribed.
・Test results of the current treatment.
of Internal medicine, Gynecology and Obstetrics departments.
Telemedicine is not available for any other treatments and first-time visitors.
Hours 電話診療受付時間
If you apply between 3:00pm~10:30am
…Doctor will call you during the MORNING hours(10:30am~1:00pm).
If you apply between 10:30am~3:00pm
…Doctor will call you during the AFTERNOON hours(3:00pm~5:30pm).
*If you apply for a telemedicine after Friday 15:01, we will call you back during the morning hours of our next business day.
*You cannot make any request for the time/date of the callback nor specific doctor.
*Your appointment will be automatically canceled in case you cannot answer to the doctor’s callback twice.
*If you apply for a telemedicine on Saturday/Sundays/National holidays, we will call you back during the morning hours of our next business day.
*If you apply for an “Internal medicine” telemedicine on Saturdays after 10:30am, we will call you back during the morning hours of our next business day.
Pharmacy Information 薬を受け取る薬局について
Please inform us a specific pharmacy you would like to receive your medication so that we can share your prescription via FAX. Please receive your medication within 4 days. (Prescription will expire in 4 days including the issued day.)
If you would like to receive your medication at our hospital, please put “Seijo Kinoshita Hospital” in the box and come get it BY 5pm on the same day.
About Payment 支払い
Please finish your payment at the hospital reception or by bank transfer within a month.
If you only want to get your test result of Setagaya-ku checkups, no additional fee will be charged.Please kindly understand that if you would like to get a doctor’s consultation or prescription from other reasons, additional consultation fee will be charged.
The hospital staff will inform you the fee and the payment method within 3 business days.
◆How to Pay by Bank Transfer
Bank Name : The Bank of Mitsubishi UFJ, LTD
Branch : Seijo Branch
Type of Account : Savings
Beneficiary Account Number : 132-0002021
Beneficiary Name : IRYOHOJIN SHADAN KYUSETSUKAI SEIJO KINOSHITABYOIN
SWIFT code / BIC : BOTKJPJT (or BOTKJPJTXXX
*Please enter the LAST 4 DIGITS of your hospital ID number before your name. If you still don’t have a hospital ID number, please enter “0000” before your name.
*Please confirm the name of patient and the remitter are the same.
*Please burden bank transfer fee at your expense.
*The receipt will be handed to you on your next visit. Please inform the staff if you wish to have the receipt sent to you by post mail. Additional 300 yen will be charged as the postage.
「病院からのお知らせ」の他の記事
- 【産科】あと払いシステムのご案内 New(2024/04/22)
- 4月9日(火) 内科診療開始時間変更のお知らせ (2024/04/06)
- MRワクチンにつきまして (2024/03/21)
- 3月5日(火)・3月29日(金) 午後 内科診療のお知らせ (2024/02/28)