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This form is not a treatment application but a preliminary consultation to confirm your current symptoms and situation.
It takes about 3 minutes to complete.

After reviewing the details, we will provide guidance on the potential suitability of FMT (Fecal Microbiota Transplantation) and how to proceed in the future.

We will not push you to undergo treatment, as suitability varies depending on symptoms and circumstances.
By checking with us early, we can guide you to the most appropriate options. Please feel free to consult with us.

We recommend consulting with us if:

• You have not seen sufficient improvements with previous treatments.
• You are interested in FMT but do not know if you are eligible.
• You wish to confirm the transplant fee and the overall process in advance.

After reviewing the details, we will usually contact you within 1–2 business days.

[Process after submission]

1. After reviewing the content, a staff member will contact you via email.

2. We will provide guidance via online or face-to-face as needed.

3. We will introduce medical institutions according to your preference.

If you have any concerns, you can also check the following in advance:
・Click here for Frequently Asked Questions
・Click here for a list of medical institutions where transplants can be performed