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Please note that this inquiry form is exclusively for patients who have received treatment at medical institutions (clinics) affiliated with the PRPF Therapy Society. We are unable to respond to inquiries or issues regarding treatments received at non-affiliated institutions, as it is difficult to accurately assess the situation. Thank you for your understanding.

Please check the link below to confirm if the clinic where you were treated is a member of the Society.

> List of Affiliated Clinics

Date of Birth
Month
Day
Year
Date of Treatment
Month
Day
Year
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