Short-term entrance life care [new designation]

０

Application style (word: 18KB)

Application style to have you submit when applying for a new designation

2012/04/01

１

Other application documents (Excel: 196KB)

Appendix, reference form, etc. to be attached to the application form

2014/03/27

２

About fee such as designated flow, designation application (word: 78KB)

Here is an overview of the application for designation by The Long-term Care Insurance. In addition, please use this form for the certificate stamp affixing fee income at the time of designation and renewal.

2012/04/01

３

Pledge of corporate representatives (1. For home service) (word: 38KB)

This is a written oath for corporate representatives (1. For home service). Please use this form if you do not provide home service and do not provide care prevention services.

2013/05/15

４

Pledge of corporate representatives (2. For care prevention services) (word: 36KB)

This is a written oath for corporate representatives (2. For care prevention services). Please use this form when you perform care prevention service and do not perform home service.

2013/05/15

５

Pledge of corporate representatives (3. For home service and care prevention services) (word: 49KB)

This is a written oath for corporate representatives (3. For home service and care prevention services). Please use this form to provide home service and care prevention service integrally.

2013/05/15

６

Administrator pledge (sample) (word: 36KB) (for short-term entrance life care, care prevention short-term entrance life care)

This is a sample of the manager's pledge (for short-term entrance life care and nursing care prevention short-term entrance life care). As we hand style at the time of the next agency reception, manager, please fill in the spot.

2012/04/01

７

Example of attached documents (word: 127KB)

Example of work style list, resume, floor plan, complaint handling, business plan, income and expenditure budget

2012/04/01

８

※About publication place of documents about addition (word: 28KB)

In the case of new designation, "registration form etc. for addition" is always required even if you do not make an addition, so please check it.

2014/03/11

９

Discount registration form (word: 33KB)

Required when submitting a discount for nursing care fees.

2012/04/01

10

≪Reference 1 Notification of the Elderly Welfare Law (word: 90KB) (H26.3 month version)

Short-term entrance life care providers are also required to submit a notification of the Elderly Welfare Law. The notification method is posted.

2014/03/12

11

≪Reference: Regarding the designation of nursing care institutions under the Livelihood Protection Act

A separate procedure is required for the designation of the Public Assistance Act. Click here for more information.

2012/04/01