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Silicon Valley Health Checkup Center Kobayashi Clinic
Tel. 650-962-4630

Forms for Ningen Dock
These are the forms required for your health checkup. Please fill them out and bring
them with you on the day of your appointment.
Overview of the procedures for a comprehensive health checkup
Precautions before your health checkup
Forms required on the day of your health checkup
To those undergoing gastroendoscopy (EGD)
To those undergoing women's wellness exam
All forms require a password.
Your password will be included in the email you receive one week before your reservation date.
Please contact us if you have any questions.