Membership Application

If you wish to join our society, please carefully read the Membership Information below and send the completed Membership Application Form to our society's office.

Membership Application Form ( PDF ，Exel )

Send the Membership Application Form to:

Department of Psychosomatic Medicine,
Graduate School of Medical Sciences, Kyushu University
3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

(Note) If there are any changes to your current address or workplace, please inform the society's office.