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Call 119 if anyone is seriously ill or injured(including traffic accidents) Do not panic stay calm and please give as much information as possible!!

Ask your neighbors for help!

’

Operator Kaji desuka?

Kyu-kyu desuka?

Fire?

Ambulance?

You Kyu-kyu desu Ambulance

Operator Jusho wa doko desuka? What is your address?

You Tell them your address written in the box below.

If it is a traffic accident, tell them where it happened.

Operator Onamae wa? What is your name?

You Tell them your name written in the box below.

Operator Denwa-bango wa

nanban desuka? What is your phone number?

You Tell them your phone number written in the box below.

Operator Doshimashitaka? What happened?

You Please practice some phrases such as Netsu ga takai I have a high fever Kega

desu I am injured in Japanese in case of emergency.

Operator Hai, wakarimashita Kyu-kyu-sha ga mukaimasu

OK

The ambulance will be there in a

moment

Address

Name

Phone #

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Call at times of fire. Do not panic, calm down, and be accurate when calling!!

Ask your neighbors for help!

’

Operator Kaji desuka? Kyu-kyu desuka?

Fire?Ambulance?

You Kaji desu. Fire

Operator Ju-sho wa dokodesuka? What is your address?

You Tell them your address written in the box below.

Operator Onamae wa? What is your name?

You Tell them your name written in the box below.

Operator Denwa-bango wa nanban desuka? What is your phone number?

You Tell them your phone number written in the box below.

Operator Nigeokureta hito wa imasuka? Did anybody fail to escape?

You Tell them Hai Yes or Iie No clearly in Japanese.

Operator Nani ga moete imasuka? What is on fire?

You Please be able to say words like Daidokoro Kitchen Heya Room in Japanese.

Operator Hai, wakarimashita Sho-bo-sha ga mukaimasu.

OKThe fire engine will be there in a moment.

Address

Name

Phone #

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Call 110 if you are robbed, harassed, involved in an accident, or violence,

Ask the people around you for help!

Operator Jikenn desuka?

Jiko desuka?

Is it an incident?

Is it an accident?

YouRei. Dorobou desu.

Kotsu-jiko desu.

Ex. My house was burgled.

Traffic accident.

Operator Itsu arimashitaka? When did it happen?

YouIma wakarimashita.

Ima desu.

I noticed just now.

It happened just now.

Operator

Anata no namae to jusho,

denwa-bango wo oshiete

kudasai

Please tell me your name,

address, and phone number.

You Please tell them your name, address, and phone number written below.

’

Address

Name

#enohP

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Fire department FAX number

Address

Name

Phone number

FAX number

Please check all that apply to you and fill in the blanks.

Please make a copy of this Information and use it for further resource.

child adult age years oldmale female

breathing breathing stopped

consciousness conscious unconscious

high fever

diarrhea

vomit

swallowed wrong

injury

head face hand leg hip

abdomen chest back

bleeding Yes No

Fire department confirmation

OK Immediate departure( OK

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Interview Sheet for Pediatrics

Child’s name Male Female

Child’s age year & month Weight

Parent’s name

Address

Telephone number Please check all that apply to your symptoms. (please copy and use this sheet.)

Reason for today’s visit ? fever cough runny nose nausea vomit diarrhea headach abdominal pain sore throat rash

When did your child’s symptoms start? today yesterday days ago( )

Has your child had any of the following before ? If so, at what age ?

measles years old rubella years old mumps years old whooping cough years old chicken pox years old convulsions years old

Which immunizations has your child had? DPT(Triple combined vaccine) polio BCG chicken pox Japanese encephalitis measles rubella mumps

Has your child ever been allergic to any medication or food ?

yes no Please check the Allergy History Sheet( p.64 )and show it to the doctor.

64

Is your child currently taking any medication? yes (Please show it to the doctor.) no

The record of childbirth, of the infant’s grouth after birth and of immunizations are quite helpful to the doctor.

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Interview Sheet for Internal MedicineName

Age years old Male Female

Address

Telephone number

Please check all that apply to your symptoms.

Reasons for today’s visit fever cough runny nose diarrhea headache abdominal pain sore throat rash constipation nausea, vomit

lumbago stiff shoulders pain swelling numbness

On the left drawings circle where your symptoms are.

When did your symptoms start? today yesterday ( ) days ago

Have you ever been allergic to any medication or food?yes no

If your answer is “yes”,please check the Allergy History Sheet(p.64 ). 64

4 Have you been seriously ill ? no yes

5 Are you currently taking any medication? no yes (Show it to the doctor.)

Are you taking any medication that prevents blood clot ?

no yes Show it to the doctor.6 Have you ever had an operation? no yes7 Is it possible you’re pregnant? no yes

please copy and use this sheet.

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Allergy History Sheet

If you answered “yes” in the interview sheet for the pediatrics or the internal medicine, please check all that apply to you.

Medication Allergy

cold medicine painkiller antibiotic drugs used for exams such as MRIthe others

Food Allergy

buckwheat soybean wheat egg dairy products fish and shellfish peanut the others

The Others

pollen house -dust ticks the others

This Allergy History Sheet is for both children and adults.

Please copy and use this sheet.

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Medication History SheetYou should fill in this sheet and hand it to a pharmacy for taking medications safely.

Name Male Female

Address

Telephone number

Age years old Please check all that apply to you.

Do you have any allergies? yes no

If your answer is “yes”, please check the Allergy History Sheet(p.64 )and take it to the clinic.

64Are you currently receiving any medical care?

yes noHave you ever suffered from any serious disease ?

yes noOccupation

driver work in high place machine operator eye-straining job

Are you pregnant? yes no Are you nursing? yes no Do you have “OKUSURI-TECHO ”(medication history notebook)?

yes (Hand it in with your prescription. ) no ( necessary unnecessary

Please show the doctor your medication or supplements that you are now taking. Medicines you take are recorded per visit in your “OKUSURI-TECHO”.Therefore

doctors and pharmacists can check if the medicines overlap and check for drug interaction.

Please copy and use this sheet.

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Attention Local trains stop at all stations. The stations beyond Nishi-Tokorozawa are omitted.

Stop station nameConnection

Connected Line

Rapid express (Kaisoku Kyuko)

Express Kyuko)

Rapid Kaisoku

Semi-express Junkyu)

Connurer express (Tukin kyuko)

Commurer Semi-express (Tukin junkyu)

Information For Seibu-Ikebukuro Line

Tobu-tojo Line

Subway Fukutoshin Line

Subway Marunouchi Line

JR Line

Subway Yurakucho Line

For Hanno

Shakujii-koen Shakujii-koen

Oizumi-gakuen

Hoya

Hibarigaoka

Higashi-Kurume

Kiyose

Akitsu

Tokorozawa Seibu-Shinjuku Line

Toshimaen( Local train

JR-Musasino Line

Nishi-Tokorozawa Seibukyujo-mae

Nerima

Subway Yurakucho LineSubway Fukutoshin Line enter to under groundfrom Nerima Sta.

Subway Ohedo Line

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Attention Local trains stop at all stations. The stations beyond Tokorozawa are omitted.

Stop station name

Connection

Connected Line

Rapid express (Kaisoku kyuko)

Connurer express (Tukin kyuko)

Haijima rapid (Haijima kyuko)

Express (Kyuko)

Semi-express (Junkyu)

Information For Seibu-Shinjuku Line

Takadanobaba

Saginomiya

Kami-Shakujii

Musashi-Seki

Higashi-Fushimi

Seibu-Yagisawa

Tanashi

Hana-Koganei

Kumegawa

Higashi-Murayama

Tokorozawa

Hon-Kawagoe

Subway Marunouchi Line

Odakyu Line

Subway O edo Line

JR Line

Keio Line

Subway Tozai Line

Ohedo Line isavailable to accessat Nakai Staitionwhere local trainst

For Haijima

Seibu-Ikebukuro Line

Subway Shinjuku Line

For Seibu-yuenchi

Kokubunji Line

Seibu-Shinjuku

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Public Facilities Kankousho Chiiki Center

1 3-3-1 042-470-7777Higashi-kurume Shiyakusho

042-470-7813Shimin Plaza Shimin Hiroba

2 4-1-10 042-471-7210Seibu Chiiki Center

042-471-7218Takiyama Renrakujo

3 185 042-451-2021Nanbu Chiiki Center

042-461-3554Hibarigaoka Renrakujo

4 2-10-5 042-470-8020Tobu Chiiki Center

5 1-4-28 042-471-2627Uenohara Renrakujo

6 042-473-2117Gomitaisaku Ka

7 4-3-14 042-477-1115Waku-waku Kenko Plaza

042-477-0022Kenko Ka

042-471-0294Shakai Fukushi Kyogikai

8 3-9-1-102 042-472-0061Danjo-byodo Suishin Center

9 3-4-34 042-471-0119Higashi-kurume Shoubousho

10 1-1-44 042-473-6185Higashi-kurume Yubinkyoku

11 3-8-23 042-475-0738Shiruba Jinzai Center

12 6-1-1 042-479-5550Chuocho Chiku Center

13 2-24-16 042-422-1013Sengencho Chiku Center

14 2-1-83 042-475-7400Nobidome Chiku Center

15 2-7-61 042-471-0274Hachimancho Chiku Center

16 3-9-45 042-472-1159Minamicho Chiku Center

2 4-1-10 042-471-7212Takiyama Chiku Center(Seibu Chiiki Center)

3 185 042-451-2022Hibarigaoka Chiku Center(Nanbu Chiiki Center)

4 2-10-5 042-470-8021Daimoncho Chiku Center(Tobu Chiiki Center)

17 1-4-27 042-473-4646Community Hall Uenohra

18 7-6 042-473-4556Community Hall Higashi-honcho

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Komin-kan Tosho-kan Tosho-shitsu19 2-6-23 042-473-7811

Chuo Komin-kan20 2-6-23 042-475-4646

Chuo Tosho-kan2 4-1-10 042-471-7216

Takiyama Tosho-kan3 185 042-463-3996

Hibarigaoka Tosho-kan(Nanbu Chiiki Center)4 2-10-5 042-470-8022

Tobu Tosho-kan(Tobu Chiiki Center)21 5-1-25 042-473-8839

Shimosato Community Tosho-shitsu14 2-1-83 042-475-7400

Nobidome Chiku Center Tosho-shitsu16 3-9-45 042-472-1159

Minamicho Community Tosho-shitsu(Minamicho Chiku Center)

22 2-14-37 042-470-7900Sports Center

23 4-3-10 042-473-3121Ryusen-en Grand Park

24 5-10-64 042-469-6100Tama Rokuto Kagaku-kan

25 1-10-11 042-476-2161Chuo Jido-kan

2 4-1-10 042-471-7214Takiyama Jido-kan(Seibu Chiiki Center)

4 2-10-5 042-474-6653Keyaki Jido-kan(Tobu Chiiki Center)

26 4-6-3 042-473-7315Kunugi Jido-kan

27 8-11 042-464-9300Kodomo Center Hibari

Place NamesUenohara Saiwai-choShinho-cho Chuo-choKanayama-cho MinamisawaHikawadai MaesawaDaimon-cho Minami-choHigashihon-cho TakiyamaShinkawa-cho ShimosatoSengen-cho YanagikuboGakuen-cho Nobidome

HibarigaokadanchiHon-cho Hachiman-choKoyama Yayoi

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Medical Facilities

stnemtrapeDlacideMstnemtrapeDlacideMInternal Medicine Int. Rehabilitation Rehab.

Pediatrics Ped. Obstetrics and Gynecology Obst.Surgery Surg. Gynecology Gyn.

Gastroenterlogy Gast. Mammary gland Mam.Digestion Dig. Orthopedic surgery Ortho.

Dermatology Derm. Urology Urol.CardioVascular Medicine Card. Radiology Rad.

Ophthalmology Oph. Proctology Proc.Otorhinolaryngology Oto. Rheumatism Rheu.

Psychiatry Psy. Allergy All.Neurology Neu. Dialysis Dial.

Neurosurgery Neur-Surg. Emergency Medicine Emer.Pulmonology Pulm.

1 1-4-28-113 042-471-2628 Int./Ped./Gast.Higashi-kurume Danchi Shinryoujo

2 2-6-14 042-471-1431 Int./Ped.Shinohara Iin

3 2-19-8 042-473-2040 Derm./Urol.Futaki Hifuka Iin

4 1-1-24 042-477-5856 Int./Card./Dig./Ped.Takeda Clinic

5 2-6-2 042-471-0216 Int./Gast./Card./Urol.Arichi Naika Ichouka Geka

6 1-3 042-479-5656 Obst./Mam.Matsuoka Ladies Clinic

7 3-18 042-475-0540 Derm.Ohkawara Hifuka Iin

8 4-3 042-471-0130 Int./Ped./Derm.Hosoi Iin

9 5-1 042-473-5596 Ortho./Rheu./Rehab.Hatsuya Seikeigeka

10 6-15 042-477-0055 Int./Pulm.Okano Naika

11 8-9 042-477-5678 Oph.Ohno Ganka

12 8-9 042-477-5566 Int./Ped.Ishibashi Clinic

13 16-2 042-470-9177 Int./Pulm./Card./Dig./Ped./Derm.Fukuyama Naika Clinic

14 1-4-18 042-471-2304 Ped./Int./All.Ikuse Iin

15 1-4-18 042-476-4320 Oph./All.Umetsu Ganka

16 2-2-22 042-477-0071 Int./DialHigashikurume Clinic

17 2-26-19 042-421-8138 Int./Ped./Surg./GynOzaki Iin

18 1-14-32 042-421-2121 Int./Gast./Card./Rad.Takatsuki Naika Clinic

19 2-11-14 042-421-0973 Int./Gast./Ped.Hibarigaoka Shinryoujo

20 1-1-11 042-472-8709 Gast./Int.Shimizu Ichouka Naika

21 1-2-3 042-471-0056 Int./Ped./Surg.Ogasawara Iin

22 1-3-21 042-475-0751 Derm.Hosaka Hifuka

23 2-3-4 042-479-1800 Int./Dig./Gast./Surg.Takahashi Clinic

24 3-1-1 042-475-0610 Ortho./Rehab./Rheu.Kota Seikei Geka

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25 3-1-9 042-476-4100 Int./Dig./Derm./ProcFuruya Shoukakika Naika

26 3-1-23 042-475-8855 Derm.Asahi Hifuka Clinic

27 3-1-23 042-479-7300Ohtsuka Shounika Clinic

28 3-2-5 042-479-1187Matsuzaki Jibiinkoka Clinic

29 3-3-23 042-471-2291 Int./Ped.Fujimidori Sinryojo

30 3-11-13 042-471-5343Akimoto Jibiinkouka Clinic

31 3-12-2 042-472-7002Sakai Ganka

32 3-12-2 042-472-2386 Int./PulmYamaguchi Naika Kokyukika Clinic

33 5-7-3 042-471-0122 Psy./Int.Kurumegaoka Byoin

34 4-2-1 042-477-0555 Int./Card.Ozaki Naika Junkankika Clinic

35 4-2-1 042-476-8733 Oto.Tsutsumiuchi Jibiinkouka Clinic

36 5-7-1 042-470-7676 Int.Saiwaicho Sinryojo

37 5-13-34 042-473-2133 Ortho./Neur-Surg./Emer.Maeda Byoin

38 4-3-2 042-461-2967 Int./Ped./Card./Derm./Pulm.Kashima Iin

39 5-18-50 042-460-8502 Int./Urol./Rehab.Suzuki Clinic

40 2-10-9 042-471-0154 Int./Card./Ped./Obst.Maesawa Iin

41 3-8-12 042-470-9118 Int.Takiguchi Naika Clinic

42 5-24-23 042-470-9511 Ortho./Rehab./Rheu.Shimada Seikeigeka Clinic

43 1-6-11 042-460-0531 Int./Dig.Omachi Naika Clinic

44 4-1-18 042-473-3311Takiyama Byoin

45 4-12-15-108 042-470-0155 Int./Surg.Takiyama Clinic

46 5-22-17 042-470-0620 Ortho./Rheu./Rehab./Surg.Ishigaki Seikei Geka

47 7-3-17 042-473-1117 Obst./Int./Ped.Nagao Iin

48 7-15-16 042-472-8181 Int./Gast./Derm.Iida Iin

49 2-8-21 042-479-7171 Int./Gast./Proc.Ichouka Naika Matsumoto Clinic

50 2-8-21 042-479-2171 Oph.Higashi-kurume Ganka

51 2-8-21 042-476-4133 Oto.Jibiinkouka Nakamura Clinic

52 7-6-2 042-473-7355Ohnami Geka Ichouka Naika Shounika

53 3-11-1 042-477-6171 Int./Surg.Musasiho Garden Clinic

Int./Card./Neu./Ortho./Surg./Dig./Derm.

Surg./Gast./Int./Ped./Ortho./Derm./Proc.

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Dental Clinics

1 1-4-27-110 042-471-2311Kodama Shika Iin

2 8111-374-24062-01-2Kusuda Shika

3 5567-174-24041-6-2Shinoda Shika Iin

4 1170-274-24042-1-1Ishizuka Shika Iin

5 1088-474-2403-1Shinpo Shika Iin

6 2220-774-24002-1Yoriko Dental Clinic

7 8111-274-24002-3Aiba Shika Iin

8 8215-474-24051-6Fujiyama Shika Iin

9 8868-774-24052-41Kawamura Shika Iin

10 2814-174-24081-4-1Ono Shika Iin

11 9288-674-2403-01-1Tomitsuka Shika Iin

12 2658-124-2403-12-3Suzuki Shika Iin

13 9595-324-24041-21-2Takahata Shika

14 0061-774-2401-3-1Taguchi Shika Iin

15 0117-774-2405-3-1Honcho Shika Clinic

16 2291-174-24003-3-1Koyamadai Shika Iin

17 0370-674-2402-5-1Yasuda Shika Clinic

18 3004-374-24081-5-1Kurume Shika Iin

19 2323-374-24001-4-3Kozu Shika Iin

20 0747-574-2406-01-3Suzuki Shika Iin

21 7426-374-24091-7-3Okumura Shika Iin

22 4381-674-2408-6-5Sekine Shika Clinic

23 5556-174-24045-1-2Kamiya Shika Iin

24 6663-374-2401-7-4Machida Shika Iin

25 1428-474-24035-2-6Ohno Shika Clinic

26 0606-274-24063-4-1Uchida Shika Iin

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27 0227-364-2409-3-5Kitamura Shika

28 1195-174-24094-6-3Miyazaki Shika Iin

29 8115-574-2406-13-4Sakaino Shika

30 8059-574-2409-1-5Kamachi Shika Iin

31 7361-574-24053-1-4Nishikawa Shika Iin

32 9990-374-2405-6-5Tani Shika Iin

33 2828-074-24071-22-5Uemasu Shika Iin

34 5172-774-2402-02-7Ohtaka Shika Iin

35 0846-474-24092-8-2Hayasaki Shika Iin

36 8877-174-2409-7-3Murayama Shika Iin

1 1300-174-24001-8-4Isobe Dohbutsu Byoin

2 1118-354-24005-6-2Kazama Dohbutsu Byoin

3 3350-474-2409-4Tanaka Dohbutsu Byoin

4 8707-374-24094-1-1Toya Doubutsu Byoin

5 6036-174-2401-3-1Yamamura Juuika

6 8688-674-24021-8-3Sekine Dohbutsu Byouin

7 3443-774-24021-3-3Kurume Dohbutsu Byoin

8 2655-574-24051-9-5Donguri Dohbutsu Byoin

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List of consultation centers for foreignersorganization with free telephone consultation service in foreign language

attention the available time and day may change, so please call and check before going organization with must be used at the place after checking on the telephonename of the organization and the content telephone # available language, day, and timedaily life consultationForeign Resident's Advisory Center 03-5320-7744 English Mon.~ Fri. 9:30a.m. 12a.m.

This consultation center will accept any 03-5320-7766 Chinese Tue. Fri. 1p.m. 4p.m.kind of consultation and will introduce you 03-5320-7700 Korean Wed. to other specialized institutions if neededShinjuku Multicultural Plaza 03-5291-5171 English Wednesday on the first week andConsulting center for foreig ,keewdrihtehtsren

Fri on the third week 10a.m. 12p.m.Chinese Tue. Thurs. 1p.m. 5p.m.Korean Mon. AM Fri.

nE2292-65-2240nssA.lntnIonihsasuM glish Tue. Sat. 10a.m. 5p.m.Chinese Tue. Fri. Thurs. on the fourth week

Consultation related to the law, labor,psychology is appointment system and is available inEnglish, Chinese, and Korean.

Open on Sat. on the forth weekOC nE6550-0373-30teN glish Mon. Wed. Fri.

Chinese Tue. Thurs. 1:30p.m. 5p.m.Korean Mon. Wed. Fri.

TELL Community Counseling Service 03-5774-0992 English everyday 9a.m. 11p.m.annoyance consultationMetropolitan Police Dept. Counseling Service 03-3503-8484 English for Foreig esenihCsren Mon. Fri. 8:30a.m. 5p.m.

Koreanlabor consultationToky nEretneCnoitatlusnoCrobaLo glish Mon. Fri. 2p.m. 4p.m.

Chinese Tue. Wed. Thurs.6432-1125-30ihsabadiI There are days when you are able to use

Korean through the interpreter,so please check

Administration Building at Osaki 03-3495-6110 English Fri. 2p.m. 4p.m.Administration Building at Kokubunji 042-321-6110 English Wed.

Toky nE2161-2153-30uaeruBrobaLo glish Mon. Wed. Fri. 10a.m. 12a.m.Advisory Services for Foreign Workers Chinese Tue. Thurs. 1p.m. 3p.m.

All United Workers Union 03-3836-9061 EnglishChinese Mon. Fri. Sun 10a.m. 5p.m.Korean

Shinjuku Employment Assistance 03-3204-8609 English Mon. Fri. 8:30a.m. 5p.m.Chinese Check days when you are able to

( 2-42-10 Kabuki-cho Shinj retniesu)uk-uku pretation Tokyo Employment Service Center 03-3588-8639 English Mon. Fri. 8:30a.m. 5:15p.m.

Chinese Check days when you are able to ( 3-2-21 Roppong retniesu)uk-otaniMi pretationimmigration and registeration for foreigners etcTokyo Information Center for Foreigners 03-5796-7112 Englishg esenihC)uk-otaniM(retnecnoitamrofnilarene Mon. Fri. 9a.m. 5p.m.

KoreanTokyo Immigration Authorities 03-3209-6177 Chinese Mon. Fri. 9a.m. 4p.m.

Immigration center Except for holidays and Wed on the second

Shinjuku foreigners center Available languages may differ 2-44-1 Kabuki-cho Shinjuku-ku

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human-rights councelingTokyo Legal Affairs Bureau Human Rights 03-5213-1372 English Tue. Thurs. 13:30p.m. 4p.m.Counseling Center Chinese Mon.medical information serviceTokyo Metropolitan Health Medical 03-5285-8181 EnglishInformation Center (Himawari) Chinese Everyday 9a.m. 8p.m.Info, sevice for medical systems and hospitals Korean

8808-5825-30lanoitanretnIADMA English Medical Information Center Chinese Mon. Fri. 9a.m. 5p.m.

KoreanInterpretation Service on the telephone(for medical agencyTokyo Metropolitan Health Medical Information Center English Mon. Fri. 5p.m. 8p.m.Emergency interpretation service 03-5285-8185 Chinese Sat. Sun. Holiday 9a.m. 8p.m.

Call from the hosp naeroKlatiTaxTokyo Regional Taxation Bureau 03-3821-9070 English Mon. Fri. 9a.m. 5p.m.

Consultation center in Higashi -kurumedaily life

Gender Equality Center 042-472-0061 Japanese 3-9-1-102 Hon-cho Higash-ikurume shi consultation for women

Mon. 1:30p.m./2:30p.m./3:30p.m.Consultation done by female lawyer

Fri. on the first week 9:30a.m./10:30a.m./11:30a.m.

Appointment system. Free.

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Aileen Selander

Wade Pritchard

Isabel

Shiji Koshy Jacquie WillsonJoan Justiniano

Tanya Hall

Tim Selander

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