Inquiry to this page
Health and Social Welfare Bureau life Welfare Division medical assistance section
Telephone: 045-671-4115
Telephone: 045-671-4115
Fax: 045-664-0403
E-Mail address [email protected]
About procedure for medical expenses furtherance by mail
From point of view preventing new coronavirus infection spread, report, application by mail is available for the next procedure for medical expenses furtherance. As submission, inquiry varies according to target business, please be careful. About the details such as necessary documents, please confirm page of each business. In addition, when there are defects, notification please note that may send back.
Last update date June 19, 2020
About procedure by mail (submission, reference is street in parenthesis)
Subsidies for Medical Expenses for Pediatric Treatment (ward office Insurance and Pension Division)
Children medical expenses supply application (PDF: 645KB)
※As for the application, one piece becomes necessary for every medical institution (Medical consultation fee) together with patient for each hospitalization, outpatient department together with medical treatment (composition) month.
Single-parent families support medical expenses (ward office Insurance and Pension Division)
The welfare Medical Certificate grant application (PDF: 566KB)
Transfer registration form (PDF: 299KB)
Medical expenses supply application (PDF: 127KB)
※As for the application, one piece becomes necessary for every medical institution (Medical consultation fee) together with patient for each hospitalization, outpatient department together with medical treatment (composition) month.
The severeness person with a disability medical expenses furtherance (ward office Insurance and Pension Division)
Medical expenses supply application (PDF: 152KB)
※As for the application, one piece becomes necessary for every medical institution (Medical consultation fee) together with patient for each hospitalization, outpatient department together with medical treatment (composition) month.
Children chronicity identification illness medical care benefits (ward office Children and Families Support Division)
Report of children chronic specific illness medical care benefits change, reissue (PDF: 199KB)
Children chronicity identification illness medical expenses supply application (PDF: 219KB)
Patients with serious case authorization application (PDF: 187KB)
Person of wearing applications (PDF: 99KB) such as respirators
Written consent (PDF: 158KB) about the use to studies of statement of position
Petition for income (PDF: 170KB)
Premature infant nurture medical care benefits system (ward office Children and Families Support Division)
Nurture medical care benefits (new continuation) application (PDF: 214KB)
Nurture medical care statement of position (PDF: 63KB)
Adobe Acrobat Reader DC (old Adobe Reader) is necessary to open file of Portable Document Format.
Person who does not have can download free of charge from Adobe company.
To downloading of Adobe Acrobat Reader DC
