妊娠の悩み相談窓口 にんしんSOSとちぎ

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Contact
TEL
日本語

Consultation form

Consultation form

Please fill out the form and click the "Confirm" button at the bottom.
Please note that you will not be able to send the form if the required items are not filled in.

Telephone consultation
TEL.050-5526-4662

Tuesdays, Thursdays, Saturdays
18:00-21:00

Your name（Nickname allowed）
Age years old
Address
Municipality：
Municipality：
E-mail address
Confirm E-mail address
Phone number
Preferred contact method

※ If you would like us to call you, please register your phone number. You will be contacted during business hours.

Tues:10:00～14:00 Saturday:14:00～18:00
Pregnancy status
Delayed menstruation
Expected date of birth
Weeks of pregnancy About weeks
Date of last period
Job
学校の種類：
ご職業・状況：
Partner
Pregnancy history
Number of pregnancies：
Of which, number of births：
Of which, the number of spontaneous miscarriages：
Of which, the number of abortions：
What is your problem or what do you want to consult us about?

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If there is no mistake in the above contents, Click the "Confirm" button below.

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Instagram

About us

Tochigi Midwives Association
451-1 Sakitama, Nasushiobara city, Tochigi , 325-0033
TEL 080-9662-1103

https://www.jyosanshi-tochigi.com