PALFIELD

Custom insole Appointment Form

Accepting Appointment

This form is used to reserve a consultation prior to purchasing custom insoles. We would like the opportunity to discuss your foot problems and potential solutions with you. Each consultation lasts approximately one hour.

While reservations are suggested, they are not required. Please use this form to select a convenient time for your consultation. If you need to cancel your reservation, please contact us either through the online form or by phone at Tel: 089-971-1141
Sign up is available only within Japan.

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    Sign up is available only within Japan.