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Download of designated applications (medical care)

Last update date April 9, 2024

 About designation of medical institution by the National Assistance Act, please see About designation of medical institution for explanation of procedure contents.
 From July 1, 2023, some formats and notification methods related to designated medical institutions and practitioners have changed. For more information, please refer to the following link.
About the handling about report of designated medical institution based on the National Assistance Act and change of style (PDF: 573KB)

 From January 11, 2024, we have been accepting applications using the Yokohama City Electronic Application and Notification System in principle. If you have completed this procedure, you do not need to submit a paper application form. For more information, please refer to the following link.
About introduction of electronic application, report system in report of designated medical institution based on the National Assistance Act and designated care institution (PDF: 1,483KB)

 Please access the electronic application and notification system from the following link. For details on how to use it, please refer to the notice and the following manual.

Yokohama City Electronic Application and Notification System (outside site)
Electronic application system operation manual (PDF: 1,309KB) for designated medical care and nursing institution application

 Only when you cannot use the Yokohama City Electronic Application and Notification System, please submit styles such as the following applications to the Health and Social Welfare Bureau Life Support Section. Depending on the browser, the display and layout may be disrupted. In that case, please contact the Health and Social Welfare Bureau Life Support Division.

1 Each designated application, etc.

(1) Designation and designation update

Medical institutions
※Medical institutions other than home-visit nursing care providers can omit the notification to the Health and Social Welfare Bureau Life Support Division when submitting a notification as a health medical institution to the local welfare bureau.

Designated applicationPoints for filling out the designated application form

National Assistance Act designated medical institution designation, designated update application (word: 33KB)
Designated National Assistance Act Designated Medical Institution Designated / Designated Renewal Application (PDF: 200KB)

Designated medical institution designated by the Public Assistance Act
Points for filling out the application form (PDF: 243KB)

Details of Article 49-2, Paragraph 2, Items 2 to 9 of the Public Assistance Act (Reasons for Designated Disqualification)

List of No. 9 from Article 49-2, Paragraph 2, Item 2 of the Public Assistance Act (word: 13KB)

Practitioner
Midwife
Designated application

Points for filling out the designated application form

Midwifery / practitioner application form (word: 22KB)
Midwifery / practitioner application form (PDF: 219KB)

Midwives and practitioners designated by the Public Assistance Act
Points for filling out the application form (PDF: 303KB)

Each item of Article 49-2, Paragraph 2 of the same Act, which is applied mutatis mutandis in Article 55, Paragraph 2 of the Public Assistance Act (excluding No. 1, No. 4 proviso, No. 7 and No. 9) ))

List of each item of Article 49-2, Paragraph 2 of the Act, which is applied mutatis mutandis in Article 55, Paragraph 2 of the Public Assistance Act (word: 13KB)

Contract (Please submit two copies)Points to fill out the contract

Contract (midwife, practitioner) (word: 18KB)
Contract (midwife / practitioner) (PDF: 94KB)

Points for filling out the contract (midwife / practitioner) (PDF: 131KB)

(2) Changes
 Changes registration formPoints to fill in

Medical institutions
Practitioner
Midwife

Medical institutions, midwives, and practitioners designated by the Public Assistance Act
Changed registration form (word: 23KB)
Changed registration form (PDF: 134KB)

Points to fill in notification of change (medical institution) (PDF: 220KB)
Points for notification of change (midwife / practitioner) entry (PDF: 214KB)

(3) Suspended, Abolition, Decline
 Suspension, abolition or decline registration formPoints to fill in

Medical institutions
Practitioner
Midwife

Medical institutions, midwives, and practitioners designated by the Public Assistance Act
registration form (word: 25KB)
registration form (PDF: 140KB)

Points for entry of suspension, abolition, decline notice (medical institution) entry (PDF: 226KB)
Points for entry of suspension, abolition, decline notice (midwife, practitioner) entry (PDF: 218KB)

(4) Resumption
 Reopening registration formPoints to fill in

Medical institutions
Practitioner
Midwife

Medical institutions, midwives, and practitioners designated by the Public Assistance Act
Reopening registration form (word: 25KB)
Reopening registration form (PDF: 134KB)

Points for reopening notification (medical institution) (PDF: 214KB)
Points for reopening notification (midwife / practitioner) (PDF: 210KB)

(5) Disposal
 Disposal registration formPoints to fill in

Medical institutions
Practitioner
Midwife

Medical institutions, midwives, and practitioners designated by the Public Assistance Act
Disposal registration form (word: 25KB)
Disposal registration form (PDF: 135KB)

Points to fill out the notification of disposal (medical institution) (PDF: 215KB)
Points for disposal notification (midwife / practitioner) entry (PDF: 211KB)

2. Where to submit documents and inquiries

 Please submit it to the following address. In addition, the place to receive the designation differs depending on the location. For details, please see "2 Designated Contents" on the "About designation of medical institutions" page. Applications that do not use the electronic application / notification system are, in principle, accepted by mail. If there are any deficiencies in the documents, please contact us.


〒231-0005
6-50-10, Honcho, Naka-ku, Yokohama-shi
City of Yokohama, Health and Social Welfare Bureau Life Support Section, Life Support Section, Life Support Section

[Contact]
TEL 045-671-4088

3 Deadline for submission of documents


 10th of every month (must arrive)
※Documents that have not arrived by the deadline will be treated as the following month.

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For inquiries to this page

Health and Social Welfare Bureau Lifestyle Support Division

Phone: 045-671-2403

Phone: 045-671-2403

Fax: 045-664-0403

Email address: kf-seikatsushien@city.yokohama.jp

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Page ID: 950-629-134

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