About the medical questionnaire (colorectal cancer screening, tuberculosis screening, electrocardiogram test, renal function test, uric acid test, hepatitis virus screening)

• A medical questionnaire is required for the above consultations. Please fill out the medical questionnaire in advance and bring it with you to the medical institution.
• The medical questionnaires are available at the City Hall Main Building 2F (Life and Welfare Division), Hirao/Wakabadai Branch Office, and the Health Center. You can also download them here.

Note: There are 2 medical questionnaires. Please fill out both forms and bring them to your medical institution.

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