{"id":123,"date":"2020-09-21T04:09:13","date_gmt":"2020-09-21T04:09:13","guid":{"rendered":"https:\/\/hibarifamilymedical.com\/contact-appointment\/"},"modified":"2026-05-20T15:21:59","modified_gmt":"2026-05-20T19:21:59","slug":"contact-appointment","status":"publish","type":"page","link":"https:\/\/hibarifamilymedical.com\/en\/contact-appointment\/","title":{"rendered":"Contact &#038; Appointment"},"content":{"rendered":"<section class=\"mb-100px\">\n<div class=\"container wow fadeInRight\" data-wow-duration=\".8s\" data-wow-delay=\".8s\">\n<div class=\"row\">\n<div class=\"col-md-24\">\n<h2 class=\"ttl-border h4 mb-4\"><span class=\"icon-box\"><i class=\"fal fa-envelope text-orange\"><\/i><\/span> Contact & Appointment Form<\/h2>\n<\/p><\/div>\n<p><!-- col --><\/p>\n<div class=\"col-xl-14 offset-xl-5 col-lg-16 offset-lg-4 col-md-18 offset-md-3\">\n<div class=\"alert alert-danger\" role=\"alert\">\n     <!--\n\n<p><strong>No doctor is available on 4\/14 (Tue), and 4\/16 (Thu).<\/strong><br \/>\n     Available appointments are some nurse visits (e.g. lab draw and immunization).<\/p>\n\n--><\/p>\n<p>* Friday mornings are reserved for Annual Executive Checkups. Regular appointments are available in the afternoon.<\/p>\n<p>Please see more details for the <a href=\"https:\/\/hibarifamilymedical.com\/en\/news-en\/office-schedule-for-may-2026\/\" target=\"_blank\" rel=\"noopener\" style=\"text-decoration:underline;\">office schedule in May<\/a>.<\/p>\n<p class=\"mb-0\"><strong>Check out our <a href=\"https:\/\/www.instagram.com\/hibarifamilymedical\/\" target=\"_blank\" rel=\"noopener\" style=\"text-decoration:underline;\"><i class=\"fab fa-instagram\"><\/i> Instagram<\/a> for the most up-to-date information!<\/strong><\/p>\n<\/p><\/div>\n<p>Please call us or use the Contact Form below for any inquiries and to schedule an appointment.<br \/>\n    We will respond within one business day.<\/p>\n<p>For psychiatry and psychotherapy appointment inquiries, <br class=\"d-md-block d-none\">please visit <a href=\"https:\/\/www.takashimatsukimd.com\/en\/\" target=\"_blank\" class=\"font-weight-bold\" style=\"text-decoration:underline;\" rel=\"noopener\">Takashi Matsuki MD website<\/a>.<\/p>\n<p class=\"mb-4\">If this is an emergency, please call 911.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f559-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"559\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/123#wpcf7-f559-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"559\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f559-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:559,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-appointment-numbers01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;1&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;2&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers02&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;2&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;3&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers02&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;3&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers03&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;3&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;4&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers02&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;4&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers03&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;4&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers04&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;4&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers01&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;5&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers02&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;5&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers03&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;5&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers04&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;5&quot;}]},{&quot;then_field&quot;:&quot;group-appointment-numbers05&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;appointment-numbers&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;5&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID-19 test for traveling&quot;}]},{&quot;then_field&quot;:&quot;group-local-pcr&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID-19 test for non-travel purposes&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Checkup (Adult)&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Checkup (Child)&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Comprehensive Physical Exam&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Evaluation of Illness\\\/Injury&quot;}]},{&quot;then_field&quot;:&quot;group-appointment&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Immunization&quot;}]},{&quot;then_field&quot;:&quot;group-preferred-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID-19 test for traveling&quot;}]},{&quot;then_field&quot;:&quot;group-preferred-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Checkup (Adult)&quot;}]},{&quot;then_field&quot;:&quot;group-preferred-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Checkup (Child)&quot;}]},{&quot;then_field&quot;:&quot;group-preferred-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Evaluation of Illness\\\/Injury&quot;}]},{&quot;then_field&quot;:&quot;group-preferred-date&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Immunization&quot;}]},{&quot;then_field&quot;:&quot;group-medical-exam&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Comprehensive Physical Exam&quot;}]},{&quot;then_field&quot;:&quot;group-travel-pcr&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-subject&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID-19 test for traveling&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<p class=\"text-danger\">Required *<\/p>\n<div class=\"form-group\">\n <label>Your Name <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Email <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Email (Confirm) <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email_confirm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email_confirm\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Phone Number<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Description of Your Inquiry\/Appointment <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-subject\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"General Inquiry\">General Inquiry<\/option><option value=\"Checkup (Adult)\">Checkup (Adult)<\/option><option value=\"Checkup (Child)\">Checkup (Child)<\/option><option value=\"Comprehensive Physical Exam\">Comprehensive Physical Exam<\/option><option value=\"Evaluation of Illness\/Injury\">Evaluation of Illness\/Injury<\/option><option value=\"Immunization\">Immunization<\/option><\/select><\/span>\n<\/div>\n<div data-id=\"group-local-pcr\" data-orig_data_id=\"group-local-pcr\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <strong>If you have symptoms of a cold or COVID-19, you need to make an appointment with a doctor; please select \u201cEvaluation of illness\/injury.\u201d<\/strong>\n<\/div><\/div>\n<div data-id=\"group-appointment\" data-orig_data_id=\"group-appointment\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Your DOB <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-dob\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"your-dob\" \/><\/span>\n<\/div>\n<div data-id=\"group-medical-exam\" data-orig_data_id=\"group-medical-exam\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Name of Your Employer <span class=\"text-danger\">*<\/span><br><small>(Please let us know of your employer because the employer-sponsored coverage and exam options may differ for each company.)<\/small><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-company\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-company\" \/><\/span>\n<\/div>\n<\/div><div data-id=\"group-travel-pcr\" data-orig_data_id=\"group-travel-pcr\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <strong>Appointments for COVID-19 test for traveling are offered at the following days\/times.<\/strong>\n <strong>Mon - Thu<\/strong> = 9:15 AM - 11:45 AM, 1:00 PM - 4:00 PM\n <strong>Fri<\/strong> = 1:00 PM - 4:00 PM\n <strong>Sat<\/strong> = 9:15 AM - 11:45 AM, 1:00 PM - 2:00 PM\n<\/div><\/div><div data-id=\"group-preferred-date\" data-orig_data_id=\"group-preferred-date\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Your first preferred day\/time <span class=\"text-danger\">*<\/span><br><small>On Saturdays, our last appointment is at 2:30 pm (in case of COVID-19 tests, the last appointment on Saturdays is at 2:00 pm).<\/small><\/label><div class=\"row\"><div class=\"col-md-12 mb-3 mb-md-0\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-date01\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"appointments-date01\" \/><\/span><\/div><div class=\"col-md-12\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-time01\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"appointments-time01\"><option value=\"9:00 AM\">9:00 AM<\/option><option value=\"9:15 AM\">9:15 AM<\/option><option value=\"9:30 AM\">9:30 AM<\/option><option value=\"9:45 AM\">9:45 AM<\/option><option value=\"10:00 AM\">10:00 AM<\/option><option value=\"10:15 AM\">10:15 AM<\/option><option value=\"10:30 AM\">10:30 AM<\/option><option value=\"10:45 AM\">10:45 AM<\/option><option value=\"11:00 AM\">11:00 AM<\/option><option value=\"11:15 AM\">11:15 AM<\/option><option value=\"11:30 AM\">11:30 AM<\/option><option value=\"11:45 AM\">11:45 AM<\/option><option value=\"1:00 PM\">1:00 PM<\/option><option value=\"1:15 PM\">1:15 PM<\/option><option value=\"1:30 PM\">1:30 PM<\/option><option value=\"1:45 PM\">1:45 PM<\/option><option value=\"2:00 PM\">2:00 PM<\/option><option value=\"2:15 PM\">2:15 PM<\/option><option value=\"2:30 PM\">2:30 PM<\/option><option value=\"2:45 PM\">2:45 PM<\/option><option value=\"3:00 PM\">3:00 PM<\/option><option value=\"3:15 PM\">3:15 PM<\/option><option value=\"3:30 PM\">3:30 PM<\/option><option value=\"3:45 PM\">3:45 PM<\/option><option value=\"4:00 PM\">4:00 PM<\/option><option value=\"4:15 PM\">4:15 PM<\/option><option value=\"4:30 PM\">4:30 PM<\/option><\/select><\/span><\/div><\/div>\n<\/div>\n<div class=\"form-group\">\n <label>Your second preferred day\/time <span class=\"text-danger\">*<\/span><br><small>On Saturdays, our last appointment is at 2:30 pm (in case of COVID-19 tests, the last appointment on Saturdays is at 2:00 pm).<\/small><\/label><div class=\"row\"><div class=\"col-md-12 mb-3 mb-md-0\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-date02\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"appointments-date02\" \/><\/span><\/div><div class=\"col-md-12\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-time02\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"appointments-time02\"><option value=\"9:00 AM\">9:00 AM<\/option><option value=\"9:15 AM\">9:15 AM<\/option><option value=\"9:30 AM\">9:30 AM<\/option><option value=\"9:45 AM\">9:45 AM<\/option><option value=\"10:00 AM\">10:00 AM<\/option><option value=\"10:15 AM\">10:15 AM<\/option><option value=\"10:30 AM\">10:30 AM<\/option><option value=\"10:45 AM\">10:45 AM<\/option><option value=\"11:00 AM\">11:00 AM<\/option><option value=\"11:15 AM\">11:15 AM<\/option><option value=\"11:30 AM\">11:30 AM<\/option><option value=\"11:45 AM\">11:45 AM<\/option><option value=\"1:00 PM\">1:00 PM<\/option><option value=\"1:15 PM\">1:15 PM<\/option><option value=\"1:30 PM\">1:30 PM<\/option><option value=\"1:45 PM\">1:45 PM<\/option><option value=\"2:00 PM\">2:00 PM<\/option><option value=\"2:15 PM\">2:15 PM<\/option><option value=\"2:30 PM\">2:30 PM<\/option><option value=\"2:45 PM\">2:45 PM<\/option><option value=\"3:00 PM\">3:00 PM<\/option><option value=\"3:15 PM\">3:15 PM<\/option><option value=\"3:30 PM\">3:30 PM<\/option><option value=\"3:45 PM\">3:45 PM<\/option><option value=\"4:00 PM\">4:00 PM<\/option><option value=\"4:15 PM\">4:15 PM<\/option><option value=\"4:30 PM\">4:30 PM<\/option><\/select><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"form-group\">\n <label>Your third preferred day\/time <span class=\"text-danger\">*<\/span><br><small>On Saturdays, our last appointment is at 2:30 pm (in case of COVID-19 tests, the last appointment on Saturdays is at 2:00 pm).<\/small><\/label><div class=\"row\"><div class=\"col-md-12 mb-3 mb-md-0\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-date03\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"appointments-date03\" \/><\/span><\/div><div class=\"col-md-12\"><span class=\"wpcf7-form-control-wrap\" data-name=\"appointments-time03\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"appointments-time03\"><option value=\"9:00 AM\">9:00 AM<\/option><option value=\"9:15 AM\">9:15 AM<\/option><option value=\"9:30 AM\">9:30 AM<\/option><option value=\"9:45 AM\">9:45 AM<\/option><option value=\"10:00 AM\">10:00 AM<\/option><option value=\"10:15 AM\">10:15 AM<\/option><option value=\"10:30 AM\">10:30 AM<\/option><option value=\"10:45 AM\">10:45 AM<\/option><option value=\"11:00 AM\">11:00 AM<\/option><option value=\"11:15 AM\">11:15 AM<\/option><option value=\"11:30 AM\">11:30 AM<\/option><option value=\"11:45 AM\">11:45 AM<\/option><option value=\"1:00 PM\">1:00 PM<\/option><option value=\"1:15 PM\">1:15 PM<\/option><option value=\"1:30 PM\">1:30 PM<\/option><option value=\"1:45 PM\">1:45 PM<\/option><option value=\"2:00 PM\">2:00 PM<\/option><option value=\"2:15 PM\">2:15 PM<\/option><option value=\"2:30 PM\">2:30 PM<\/option><option value=\"2:45 PM\">2:45 PM<\/option><option value=\"3:00 PM\">3:00 PM<\/option><option value=\"3:15 PM\">3:15 PM<\/option><option value=\"3:30 PM\">3:30 PM<\/option><option value=\"3:45 PM\">3:45 PM<\/option><option value=\"4:00 PM\">4:00 PM<\/option><option value=\"4:15 PM\">4:15 PM<\/option><option value=\"4:30 PM\">4:30 PM<\/option><\/select><\/span><\/div>\n<\/div>\n<\/div><\/div>\n<div class=\"form-group\">\n <label>Number of persons for your appointment <span class=\"text-danger\">*<\/span><\/label><div data-id=\"group-travel-pcr\" data-orig_data_id=\"group-travel-pcr\"  class=\"\" data-class=\"wpcf7cf_group\"><p class=\"mb-1\"><strong>* If you are making an appointment for 6 persons or more, please contact info@hibari.sprucecare.com directly.<\/strong><\/p><\/div><span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-numbers\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"appointment-numbers\"><option value=\"\">&#8212;\u4ee5\u4e0b\u304b\u3089\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><\/select><\/span>\n<\/div>\n<div data-id=\"group-appointment-numbers01\" data-orig_data_id=\"group-appointment-numbers01\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Appointment Name 1<br><small>If the appointment is for a person other than you, or for two persons or more, please enter the name and date of birth for each person. <\/small><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-name01\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"appointment-name01\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Appointment DOB 1<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-dob01\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"appointment-dob01\" \/><\/span>\n<\/div>\n<\/div>\n<div data-id=\"group-appointment-numbers02\" data-orig_data_id=\"group-appointment-numbers02\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Appointment Name 2<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-name02\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"appointment-name02\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Appointment DOB 2<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-dob02\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"appointment-dob02\" \/><\/span>\n<\/div>\n<\/div>\n<div data-id=\"group-appointment-numbers03\" data-orig_data_id=\"group-appointment-numbers03\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Appointment Name 3<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-name03\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"appointment-name03\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Appointment DOB 3<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-dob03\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"appointment-dob03\" \/><\/span>\n<\/div>\n<\/div>\n<div data-id=\"group-appointment-numbers04\" data-orig_data_id=\"group-appointment-numbers04\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Appointment Name 4<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-name04\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"appointment-name04\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Appointment DOB 4<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-dob04\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"appointment-dob04\" \/><\/span>\n<\/div>\n<\/div>\n<div data-id=\"group-appointment-numbers05\" data-orig_data_id=\"group-appointment-numbers05\"  class=\"\" data-class=\"wpcf7cf_group\">\n<div class=\"form-group\">\n <label>Appointment Name 5<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-name05\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"appointment-name05\" \/><\/span>\n<\/div>\n<div class=\"form-group\">\n <label>Appointment DOB 5<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"appointment-dob05\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" placeholder=\"Please enter mm\/dd\/yyyy format\" value=\"\" type=\"text\" name=\"appointment-dob05\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"form-group\">\n <label>If you are making an appointment from <strong>outside New Jersey,<\/strong> please enter the name of your state.<\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-state\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"form-group\">\n <label>Message <span class=\"text-danger\">*<\/span><\/label>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/div>\n<div class=\"form-group\">\n <!-- Mailchimp for WordPress v4.11.1 - https:\/\/www.mc4wp.com\/ --><input type=\"hidden\" name=\"_mc4wp_subscribe_contact-form-7\" value=\"0\" \/><span class=\"mc4wp-checkbox mc4wp-checkbox-contact-form-7 \"><label><input type=\"checkbox\" name=\"_mc4wp_subscribe_contact-form-7\" value=\"1\" ><span>Sign Up For Hibari Family Medical Newsletter<\/span><\/label><\/span><!-- \/ Mailchimp for WordPress -->\n<\/div>\n<div class=\"form-group\">\n <p class=\"mb-2\"><span class=\"text-danger\">*<\/span> <strong>This is the contact form for our New Jersey clinic.<br>\n If you wish to contact the Boston clinic, <a href=\"https:\/\/hibarimedicalboston.com\/en\/contact-appointment\/\" target=\"_blank\" role=\"link\" style=\"text-decoration:underline;\">please use this form instead<\/a>.<\/strong><\/p>\n <span class=\"wpcf7-form-control-wrap\" data-name=\"confirmation\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"confirmation[]\" value=\"I have confirmed the above.\" \/><span class=\"wpcf7-list-item-label\">I have confirmed the above.<\/span><\/label><\/span><\/span><\/span>\n<\/div>\n<div class=\"form-group mt-4\">\n <input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-sm btn-dark\" type=\"submit\" value=\"Submit\" \/>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n<p><!-- col --><\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Contact &#038; Appointment Form * Friday mornings are reserved for Annual Executive Checkups. Regular appointments are available in the afternoon. Please see more details for the office schedule in May. Check out our Instagram for the most up-to-date information! Please call us or use the Contact Form below for any inquiries and to schedule an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-123","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Contact &amp; Appointment - Hibari Family Medical<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hibarifamilymedical.com\/en\/contact-appointment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contact &amp; Appointment - Hibari Family Medical\" \/>\n<meta property=\"og:description\" content=\"Contact &amp; Appointment Form * Friday mornings are reserved for Annual Executive Checkups. 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