Dental-related Forms
It is in PDF file format, so please print it out for your use.
Note: It is recommended to use plain paper for printing, and the print sizes are A4 and B5.
Thermal printers cannot accept thermal paper.
To view the PDF file, you need "Adobe(R) Reader(R)". If you do not have it, please download it for free from Adobe website (new window).
This page is managed by the Health Division, Welfare Department
112-1 Momura, Inagi City, Tokyo 206-0804 (Inside Inagi City Health Center)
Phone number: 042-378-3421 Fax number: 042-377-4944
Contact the Health Division, Welfare Department of Inagi City



















