XNUMX) Fill out a medical checkup form

Eye catch: ②Write a medical checkup form

---------------------------------------------

*This page is about the XNUMXst and XNUMXnd preliminary examination slips.
Click here for the XNUMXrd Preliminary Examination Ticket
https://ja.pc.tamemap.net/2320105/knowledges/102/articles/151

---------------------------------------------

Please fill out the medical examination slip at home.And bring it to the venue when you get vaccinated.

⚠Caution⚠
Please be sure to write on Japanese paper.Non-Japanese paper cannot be used.

Click here for a video that shows how to write easily (moves to Youtube)

·Portuguese
https://youtu.be/R-oISiVp1ek

·English
https://youtu.be/pdoVy02sCHo

● Pre-screening slip written in various languages ​​(move to the page of the Ministry of Health, Labor and Welfare)
https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/vaccine_tagengo.html

⚠Caution⚠
Please be sure to write on Japanese paper.Non-Japanese paper cannot be used.

=============================
Contact
Toyohashi City New Corona Vaccine Call Center
NUM0570-09-5670

About call center ⇒
https://pc.tamemap.net/2320105/knowledges/2/articles/3?

Contact Form https://bit.ly/2ZuyGCv
* Please send us your impressions of the WEB page and the opinions of the information you want to be posted.Thanks for your cooperation.