ICU Form III: HEALTH EXAM REPORT

All Accepted Applicants must submit this form certifying the results of a physical examination.
Only the first part of the form is to be filled in by you and the rest should be filled out by your physician.
The physical examination must be taken within 6 months prior to the Matriculation Day.

If you are not able to send out the Health Exam Report by the deadline, please send out the documents other than the Health Exam Report by the deadline.
Please write approximately when you will be able to send out the Health Exam Report on the checklist in the Book of Forms. (ex. early March)
Please submit the Health Exam Report by March 10, 2024 at the latest.

If you need to bring medicine to Japan, please read How to bring the medicine into Japan.