For Patients Under 19

※Although the legal age of adulthood in Japan was lowered in April 2022, TCB adheres strictly to the following policy.
This is an important notice, so please read it carefully.

For Minors

To receive a consultation or treatment, a parent or legal guardian must accompany you and provide a signed consent form.
Please download and print the consent form from the link below, complete it by hand, and bring it with you.
If you do not bring the completed consent form, we will not be able to offer you a consultation. Thank you for your understanding.
In addition, the parent or guardian will be required to present a valid ID. Please be sure to bring it when visiting the clinic.

For Patients Aged 18 or 19

You do not need to provide a consent form, be accompanied by a parent or guardian, or undergo a phone confirmation in order to receive a consultation or treatment.
Additionally, in accordance with the Act on the Protection of Personal Information, we do not disclose patient information to a parent or guardian without the patient’s explicit consent.
Thank you for your understanding.

Note: This applies only to non-invasive aesthetic procedures such as cosmetic dermatology treatments and non-incisional double eyelid procedures.

Please download the consent form from the link below and fill it out by hand.
Please note that forms filled out using a computer or word processor will be considered invalid.
Use a ballpoint pen or felt-tip pen for writing (pencil or erasable pens are not allowed).
If there are any omissions or errors on the form, you may not be able to undergo the treatment. We appreciate your understanding.
※If you are unable to download or print the consent form, you may copy the contents by hand and bring it with you.

If you have any questions, feel free to contact us via LINE or by phone.

This consent form is an official document with legal effect under Japanese law and is written in Japanese. The following Chinese translation is provided for reference purposes only to assist in understanding the content. Legal validity applies only to the original Japanese version. Please complete the form in Japanese.