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Short-term entrance life care [new designation]

Last Updated October 26, 2022

※Businesses considering short-term entrance life care should bring their drawings and come to the design stage (before applying for building confirmation). Prior consultation slip (Excel: 18KB)

Application documents, etc.

Items

Document name (file type / file size)

Document contents

Date of registration

Application style (word: 18KB)

Application style to be submitted when applying for a new designation

2012/04/01

Other application documents (Excel: 196KB)

Attachments, reference styles, etc. to be attached to the application form

2014/03/27

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

Here is an overview of The Long-term Care Insurance's designated application. Also, please use the certificate stamp affixed form for the fee for designation and renewal.

2012/04/01

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

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

2013/05/15

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

This is a written oath (2. For preventive care services) for corporate representatives. If you provide care prevention services and do not provide home services, please use this form.

2013/05/15

Pledge such as corporate representatives (3. For home service, care prevention service) (word: 49KB)

It is written oath (3. For home service, care prevention service) such as corporate representatives. Please use this form when you perform home service and care prevention service integrally.

2013/05/15

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

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

2012/04/01

Created by attached documents (word: 127KB)

Work style list, resume, floor plan, complaint handling, business plan, income and expenditure budget preparation example

2012/04/01

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

In the case of new designation, even if you do not receive the addition, "registration form etc. related to addition" will be required.

2014/03/11

Discount registration form (Word: 33KB)

Necessary when reporting a discount on nursing care fees.

2012/04/01

10

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

Short-term entrance life care providers also need to submit a notification of the Elderly Welfare Law. The report method is described.

2014/03/12

11

≪Reference≫ About designation of nursing care institution by the Public Assistance Act

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

2012/04/01

Inquiries to this page

Health and Social Welfare Bureau Elderly Health and Welfare Department Senior Facilities Division

Telephone: 045-671-3923

Telephone: 045-671-3923

Fax: 045-641-6408

Email address: kf-shisetsu@city.yokohama.lg.jp

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Page ID: 319-903-546

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