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Downloading of designated applications (medical care)

Last Updated September 3, 2024

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

 From January 11, 2024, in principle, we have been accepting applications using the Yokohama City Electronic Application and Notification System. If you perform this procedure, you do not need to submit an application form on paper. 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 Public 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-shi electronic application, report system (outside site)
Electronic application system operation manual (PDF: 1,309KB) related to designated medical care and nursing care institution application

 Only when you cannot use Yokohama-shi electronic application, report system, please submit styles such as the next applications to Health and Social Welfare Bureau life support section after mentioning. 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 Application Forms, etc.

(1) Designation / 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 if they submit a notification as a health medical institution to the local welfare bureau at the same time.

Designated applicationPoints for filling out the designated application form

National Assistance Act designated medical institution designation, designated update application (word: 33KB)
National Assistance Act designated medical institution designation, designated update application (PDF: 200KB)

Designation / designation renewal of medical institution designated by the Public Assistance Act
Points for filling out the application form (PDF: 243KB)

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

List of ninth from 2 Clause 2 second of the Public Assistance Act Article 49 (word: 13KB)

Practitioner
Midwife
Designated application

Points for filling out the designated application form

Application for midwives and practitioners designated by the Public Assistance Act (word: 22KB)
Application for midwives and practitioners designated by the Public Assistance Act (PDF: 219KB)

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

Article 49-2, Paragraph 2 of the 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) Details of

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

Contract (Please submit 2 copies)Points for filling out the contract

Contract (midwife / practitioner) (word: 18KB)
Contract (midwife / practitioner) (PDF: 164KB)

Points for filling out the contract (midwife / practitioner) (PDF: 246KB)

(2) Change
 Change registration formPoints for entry

Medical institutions
Practitioner
Midwife

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

Points for entry of notification of change (medical institution) (PDF: 222KB)
Points for notification of change (midwife / practitioner) entry (PDF: 214KB)

(3) Suspension, abolition, and decline
 Suspension, abolition, decline registration formPoints for entry

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

(4) Reopening
 Reopening registration formPoints for entry

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 to fill in the notice of resumption (medical institution) (PDF: 214KB)
Points for reopening notice (midwife / practitioner) entry (PDF: 210KB)

(5) Disposal
 Disposal registration formPoints for entry

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

2. Where to submit documents and contact information

 Please submit it to the next place. The location to be designated varies depending on the location, etc. For details, please see "2 Designated Contents" on the page "About Designation of Medical Institutions". Applications that do not use the electronic application / notification system will be accepted by mail in principle. If there are any problems with the documents, the person in charge will contact you.


〒231-0005
6-50-10, Honcho, Naka-ku, Yokohama-shi
City of Yokohama, Health and Social Welfare Bureau Life and Welfare Department 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 do not arrive by the deadline will be treated for the following month.

You may need a separate PDF reader to open a PDF file.
If you do not have it, you can download it free of charge from Adobe.
Get Adobe Acrobat Reader DCTo download Adobe Acrobat Reader DC

Inquiries to this page

Health and Social Welfare Bureau Life and Welfare Department Life Support Division

Telephone: 045-671-2403

Telephone: 045-671-2403

Fax: 045-664-0403

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

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Page ID: 950-629-134

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