登別記念病院English

English

Our facility is conveniently located a 1 minute walk from JR Horobetsu Station.
Please make use of this facility for your trips and business trips to Noboribetsu, Toya, and other areas in the western Iburi region.

Application Procedure

1.You can apply by telephone or by emailing an application form.

Applying by the email form:

Please use this email form to apply.

Travel Dialysis Application Form

〈 Please confirm in advance. 〉
Please make sure that you are set up to receive our email ( @nikko-kinen.or.jp ) in advance. Please check the websites of your provider, docomo, au, or other telecommunication carriers for details on how to adjust your settings.

Applying by telephone:

Please call us at least 7 days prior to the desired date of dialysis. In case of an urgent schedule, please call us first.

TEL:0143-81-3000
FAX:0143-88-3000
Reception: Monday-Friday 8:30-17:00
(Hours of dialysis treatment are negotiable upon consultation.)


Information to be confirmed by telephone

  • Name and age
  • Contact information (phone number) where you can be reached up until the day of dialysis
  • Country where you live
  • Preferred date, time, and duration of dialysis
  • Place of stay

2. Confirmation of completed treatment reservation

If your request was made by telephone, we will confirm at that time.
If your request was made by email, we will reply by email after making arrangements.

3. Request for submission of information form

Please contact your medical institution and have them prepare the following information.
*Cancellations and date/time changes must be requested at least one day prior to the appointment date.

For the staff of dialysis facility:

Please fill out the form below (or your facility's form) and fax or email it to us at least 7 days prior to the dialysis appointment.


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Dialysis Conditions Form (Japanese)


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Dialysis Conditions(English)


Where to send the completed Dialysis Conditions Form

Inquiries and Fax Numbers
TEL: 0143-81-3000 / FAX: 0143-88-3000


Click here to send us an email

〈 Please confirm in advance. 〉
Please make sure that you are set up to receive our email ( @nikko-kinen.or.jp ) in advance. Please check the websites of your provider, docomo, au, or other telecommunication carriers for details on how to adjust your settings.


Procedure on the day of the dialysis


1. What to bring


  • Passport
  • Medication to be taken during dialysis

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For Dialysis Patients (English)


2. Upon arriving at the hospital


Please come to the reception counter and tell us your name.

3. Dialysis

  • Lockers with locks and slippers will be provided by the hospital.
  • We do not provide meals, so please prepare your own meals.

For a fee

Rental pajamas, bedside TV are available

4. Payment

  • Japanese yen and credit cards are accepted.
  • Please let us know at the time of reception if you would like to receive the necessary documents for claiming a refund from your municipality.

Access

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