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About downloading the transfer request form

Updated: March 30, 2021

On October 1, 2017, part of the "Implementation Standards for Transportation and Acceptance of Injured and Sick" was revised in Tokyo.
When transferring to another hospital, please fill in the necessary information on the transfer request form and submit it to the ambulance crew who arrived.
In addition, since October 1, 2019, there have been some changes in the content, so we have changed to the new format.

Transfer request form

Inquiries about this page

Inagi City Fire Department Headquarters Security Division
2111 Higashi Naganuma, Inagi City, Tokyo (Inagi Fire Station)
Phone: 042-377-7119 Fax: 042-377-0119

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Inagi city official mascot Nashinosuke Inagi
2111 Higashi Naganuma, Inagi City, Tokyo 206-8601
Open agency hours: 8:30 a.m. to 5:00 p.m. Main phone number: 042-378-2111 Fax: 042-377-4781
Copyright (C) Inagi City. All rights reserved.
Copyright (C)K.Okawara・Jet Inoue. All rights reserved.
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