Request for transfer to another hospital
Update date: March 18, 2021
PDF format
It is in PDF file format, so please print it out and use it.
Note : We recommend using plain paper for printing and A4 or B5 print size.
Thermal paper for thermal printers will not be accepted.
Transfer request form (PDF: 341KB)
Word/Excel format
It is in Word and Excel file format, so please print it out and use it.
Note : We recommend plain paper and print sizes of A4 and B5.
Thermal paper for thermal printers cannot be accepted.
Transfer request form (Word: 52KB)
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If you don't have it, you can download it for free from Adobe.
Download Adobe Acrobat Reader DC
Inquiries regarding this page
Inagi City Fire Department Headquarters Police Department
2111 Higashinagumanuma, Inagi City, Tokyo (Inagi Fire Station)
Phone: 042-377-7119 Fax: 042-377-0119
