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Book or Contact us via Google Forms
Easily Book Your Dental Visit in Tokyo by Google Forms
Prefer to communicate in English via forms?
You can book your appointment at Sakura Platinum Dental Clinic directly through Google Forms .
Our English-friendly support (via translation app) ensures smooth communication, even if you don’t speak Japanese.
Step-by-Step: How to Book via Google Forms
1. Access the Google Forms
2. Fill out the form
Please fill out the Google Forms with the required information and 3 possible dates and times for your visit.
3. Wait for confirmation email
We will confirm your appointment by email — we’ll reply as soon as possible!
Note: A confirmation email will follow within 24 hours.If not, check your spam folder.
For details including the sender’s email address, please refer to the Google Forms.
Important Notes
All services for non-Japanese speakers are self-pay (from ¥33,000)[Services & Fees].
We’ll explain everything clearly before treatment.
We reply via chat, so be sure to check for updates and follow our guidance for smooth booking.
Confirmation & Cancellation Policy
Your appointment is fully confirmed once you receive a message titled [Confirmation] with your scheduled date and time.
This is not a tentative booking.
We reserve approximately 1 hour exclusively for your visit.
If you cancel or change your appointment after confirmation, a ¥11,000 cancellation fee will apply.
We kindly ask for your understanding.
If your schedule changes after sending your booking request, please be sure to inform us as soon as possible.
Late Arrival Policy
If you arrive more than 10 minutes late without notice, we may not be able to proceed with your treatment.
If you expect to be more than 5 minutes late, please contact us in advance.
This helps us adjust our schedule and ensure smooth care for all patients.
Start Booking Now
Book or Contact us via Google Forms
Prefer Instant Booking or chats?
If you’d rather book instantly or prefer chats, check out our Complete Booking Options Page.
Instant Booking
Book or contact via WhatsApp or LINE
Open Daily 12PM–5AM / 1 min from Shibuya Station
| Instant Booking | Book & Ask | Book & Ask |
| Japanese form, with English Guide | Google Forms (Email Confirmation) | WhatsApp or LINE |
English & multilingual support (via app) / Private care for non-Japanese speakers from ¥33,000.