Online Reservation | 渋谷No.1実績｜選ばれる整体・鍼灸院

If you would like to make a reservation online, please fill out the form below and submit it.
A confirmation email will be sent to the email address you entered.

If You Do Not Receive a Confirmation Email

If you do not receive the reservation confirmation email, please check the following:

・Please check your spam or junk mail folder.
・Review your email settings for domain blocking or spam filters.

If you still cannot find the email, please call our general reception at 070-9128-5799. We apologize for the inconvenience.

Fill out the form
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Reservation completed

* For those who have received MRI, X-ray, blood or biochemical tests, please make sure to read this page beforehand.

First Visit / Revisit *
First VisitRevisit
Preferred Practitioner *
NoneSpecify
※ If you selected "Specify," please enter the practitioner's name in the remarks section.
Treatment Menu *

※ Including medical equipment
※ If no treatment menu is listed, please select "Tailor-Made Treatment" and specify your preferred treatment in the remarks section.
Options※Multiple selections
are allowed
Preferred Date *
Preferred Start Time *
※For same-day bookings, it is recommended to call us directly at least 60 minutes before the preferred time for a smoother process.
Email Address *
Confirm Email Address *
Full Name *
Phone Number *
Gender *
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Age *
Symptoms You Are Concerned About *
Remarks