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]
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
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.
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.
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.
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)
Nurture medical care benefits (new continuation) application (PDF: 214KB)
Nurture medical care statement of position (PDF: 63KB)
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Person who does not have can download free of charge from Adobe company.
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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]
Page ID: 284-029-221