RCBC Straight Payment Promo

Thank you for your interest in our services!

You’re just one step away from securing your appointment with RCBC. To proceed, please fill out the booking form below.

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Booking Form

Complete the form below. Kindly note that your appointment details will still be finalized after you have filled this out.

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Appointment Date

Preferred Date & Time #1:

Date

Time

Preferred Date & Time #2:

Date

Time

Preferred Date & Time #3:

Date

Time

Health Package:

Individual Services:

Personal Information

Name:

First

Middle

Last

Date of Birth:

Gender:

Male
Female

Email:

Mobile Number:

Home Address:

Layout Services: Layout

Exclusive Privileges

Preferred Meal:

Allergies/Special Meal Requests:

Note: Meals are not included in the Japanese Standard Health Checkup package. Click here to see the meal descriptions.

Payment Method

Promo code

Mode of Payment:

Others

Is this your first time visiting our diagnostic center or are you a returning patient?

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Exclusive Complimentary Meals

Karaage Bento
White rice, chicken karaage, rolled omelette, potato and carrot salad

Vegetarian Bento
White rice with seaweed, tofu and vegetable patty, black seaweed and carrot salad, spinach

Inarizushi Bento
Salad maki sushi and shrimp ikura inari sushi

REMINDER:
Meals may contain potato, sake, mirin, soy, dashi, kelp, sesame, carrots, mushrooms, ham, carrots, cucumber, hijiki, cabbage, vinegar, egg sugar, salt, lotus root, and chicken. Please inform us in advance if you have any food allergies, intolerances, or special dietary needs. Your health and safety are important to us, and we will do our best to accommodate your request.

Note: The meal options provided on the day of your appointment are subject to change based on availability. For VIP Shinagawa Dock patients, the meals will only be served on the first day of your health checkup.