Please note that this will be a temporary reservation at first. Upon receiving your request, we will contact you to finalize a date and time. If you do not receive an automatic confirmation email after submitting the request form, please check your spam folder. As emails sometimes fail to deliver, we will contact you by phone.
Request Form
Please complete the required fields in the form below and click the “Submit” button. You do not need to answer every question; please fill out the form to the best of your ability.
＊At Tokyo Birth Clinic, our highest priority is the safety of both mother and baby.
Depending on the condition of the pregnancy, past medical history, or the presence of certain medical complications, we may not be able to accept some patients for delivery.
Please refer to the document below for detailed information regarding the conditions that may affect eligibility.
Final decisions are made individually after a medical consultation.
If you have any questions or concerns, please feel free to contact us.
