Questionnaire (colorectal cancer screening, tuberculosis screening, electrocardiogram, renal function test, uric acid test, hepatitis virus screening)
Last updated: March 30, 2023
For those undergoing colorectal cancer screening, tuberculosis screening, electrocardiography, renal function testing, uric acid testing, and hepatitis virus screening
A medical questionnaire is required for the above examinations. Please fill out the questionnaire in advance and bring it to the medical institution.
Medical questionnaires are available on the 2nd floor of the main office of the city hall (Welfare Division), Hirao/Wakabadai Branch Office, and Health Center, so please use them. You can also download it from here.
Note: There are 2 questionnaires. Please fill out both sheets and bring them to the medical institution.
Click here for details on colorectal cancer screening<br id="3"/> Click here for details on tuberculosis screening, electrocardiogram, renal function test, and uric acid test<br id="6"/>Details on hepatitis virus screening Click here
Inquiries about this page
Health Division, Welfare Department, Inagi City Telephone: 042-378-3421