When applying for the Mental Handicapped Health and Welfare Handbook and Independence Support Medical Care (Mental Outpatient Medical Care) at the ward office window at the same time

Last Updated December 28, 2023

It is information when we apply for mental patient health welfare notebook and independence support medical care (psychiatric outpatient medical care) at the same time at "ward office window".
Please confirm what you need for your application and complete the procedure.

Explanation of simultaneous application

▶Return to the page of the Mental Handicapped Health and Welfare Handbook

▶Return to the page of independence support medical care (psychiatric outpatient medical care)

１．New application (when applying for both notebook and independence support at the same time)

２．Application for renewal (when both notebook and independence support are updated at the same time)

３．About the flow from application to grant

Type of application

１．New application (when applying for both notebook and independence support at the same time)

required documents is the first person who applies for the Mental Handicapped Health and Welfare Handbook and Independence Support Medical Care (psychiatric outpatient care) at the same time. (Application for ward office window)

Documents required for application (new application / Simultaneous notebook and independence / ward window)　★Items required for new applications (at the same time as notebook and independence / ward window) Checklist (PDF: 258KB)
Name	Remarks
①Application form (one for notebook and one for independence support) [For personal organizer] Application Form ☑　Excel version (Excel: 69KB) ☑　PDF version (PDF: 205KB) [Independence Support] Application Form ☑　Excel version (Excel: 44KB) ☑　PDF version (PDF: 630KB)	We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②Medical certificate (original) ☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook / A3. 1 sheet version) (PDF: 237KB) ☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook / A4.2 copies version) (PDF: 239KB)	◆Please print it out from here and give it to family doctor. (The medical certificate must be written by a doctor in charge of mental outpatient care at a designated medical institution.) ◆Please choose either A3, 1 or A4 or 2 depending on the printer situation. (Please enlarge the A3 version to A3 and print it out. When printing in A4.2 sheets, print with two sheets on one side instead of double-sided printing. ) ◆Please make sure that six months have passed since your first visit (Shoshin) date. ◆If it is not listed in items 9 to 11 of the medical certificate, it cannot be used for independence support medical care. Ask your doctor to say, "I want to apply for independence support medical care at the same time, so please write that item."
③My Number Card	◆If you do not have a My Number Card, you can also use a number notification card + identity verification document. If you don't have any of them, please let us know at the counter.
④Identity Confirmation Documents	◆③It is not necessary if you have a My Number card. ◆③If you do not have a My Number card, you will need a personal identification document with a photo such as a license or passport. If you don't have any documents with a photo, please bring two health insurance cards and pension notebooks.
⑤Health insurance card (for the examinee) ※National Health Insurance and late-elderly people are for all	◆If you are enrolled in National Health Insurance →All people in the same household on resident certificate who have the same National Health Insurance are required ◆If you are enrolled in medical care for the elderly →All people in the same household on resident certificate who have the same medical care for the elderly are required. ◆If you are enrolled in social insurance →Those who are the examinee are required. ※To reduce waiting time, make a copy in advance if possible. You can copy your family's portion.
⑥Hospitals, pharmacies, home-visit nursing stations, etc. that you want to designate (patient's card Shinryo-ken, medicine bags, etc.)	In principle, there is one hospital that can be designated as independence support medical care, up to two pharmacies, and one visiting nursing station. ◆Only designated medical institutions can be specified. Please search for designated medical institution in Yokohama-shi from this (designated medical institution). Please confirm designated medical institution except Yokohama-shi on homepage of each municipality. ◆If you haven't received it yet and you can't prepare patient's card Shinryo-ken, you can also print on the homepage. Please print a part whose name is known as Address.
⑦Municipal tax taxation certificate, tax exemption certificate of "target person" or my number of "target person" ※Submission is required if necessary	The independence support medical system checks the taxation status of the following "target persons". ◆If you are enrolled in National Health Insurance →For all members of the same household on resident certificate who have joined the same National Health Insurance ◆If you are enrolled in medical care for the elderly →For all persons in the same household on resident certificate who have the same medical care for the elderly ◆If you are enrolled in social insurance →Insured person (written on insurance card) -------------------------------------------------------- If the above "target person" meets the following conditions, you can check the taxation status on the system in Yokohama City, so you do not need to submit a tax certificate or tax exemption certificate. (Excluding undeclared) ◆If the application at the counter was from January to June, he was a Yokohama citizen as of January 1 of the previous year. ◆If the application at the counter was from July to December, he was a Yokohama citizen as of January 1 of that year. -------------------------------------------------------- ※If you do not meet the conditions, you will need to submit a tax certificate / tax exemption certificate for the "target person" or present your My Number for the "target person". (Inquiry with my number.) [Acquisition of taxation certificate and tax exemption certificate] Tax and tax exemption certificates are obtained from the Tax Division of the municipality where you lived. Please ask the relevant municipal Tax Division for information on how to obtain it. ◆If the application at the counter is from January to June, the Tax Division of the municipality where you lived as of January 1 of the previous year. ◆If you apply at the counter from July to December, the Tax Division of the municipality where you lived as of January 1 of that year. [Inquiry by My Number] Please tell the target person's "name", "date of birth", "my number", "Address at that time (or present)" at the ward window.
⑧Those who know the income (of the examinee) ※Only required for households exempt from municipal tax	Under the independence support medical system, if the household is a tax-exempt household (all households are tax-exempt), it is necessary to report the income of the individual. If you have the following income, please bring a document that shows the amount of income. (Copy of notice, passbook, salary statement, etc.) -------------------------------------------------------- [Public pension, etc.] ◆Old-age pension and corporate pension ◆disability pension ◆Survivor's Pension ◆Special disability benefits (benefits provided as welfare measures for the absence of voluntary participation in National Pension Plan (Kokumin Nenkin)) ◆In addition, widow's pension (national), disability allowance (Atsushi), lump-sum disability allowance (both), seafarer disability allowance, disability pension before law revision, additional work area (disability or death) ※Old-age pensions and corporate pensions can be confirmed by the city system, refer to the amount. ※Pension pensioner support benefits are not required to be declared -------------------------------------------------------- [Income of benefits, etc.] ◆Special Child Raising Allowance (Children with disabilities under the age of 20) ◆Welfare allowance for children with disabilities (severe children under 20 years of age) ◆Special disability allowance (severe disabled persons over 20 years old) ◆Transitional welfare allowance (Welfare allowance under the old law / Special Child Raising Allowance) ※Injuries and sickness allowances, unemployment allowances, wages, etc. are not required to be declared -------------------------------------------------------- Other income (Related to work injury) ◆Disability compensation due to work injury pension ◆Lump-sum compensation for disability due to work injury ◆Disability benefits for multiple business workers ◆Disability benefits (commuting accidents) ※Other medical treatment compensation benefits, leave compensation benefits, bereaved family compensation benefits (survivor's compensation pension, survivor's compensation lump sum), funeral fees, sickness compensation pension, nursing care compensation benefits, secondary physical checkup, etc. are not required. ※If the notice only mentions "Work injury pension" in the notice, it is necessary to check which one of the "Disability Compensation pension" or "Bereaved Family Compensation pension, Injury Compensation pension". It is the "Disability Compensation pension" that needs to be declared. -------------------------------------------------------- [Total income amount under the Local Tax Law] ◆Salary income, dividend income, transfer income, etc. ※Income is the amount obtained by subtracting expenses from income. Before deducting income deductions such as medical expenses and dependent deductions. ※If it can be confirmed in the city system, refer to that amount.
⑨One face photo (4cm long x 3cm wide)	◆Please write your name and date of birth on the back of the photo. ◆There are two types of notebooks: paper style and card style, and you can choose either. ・Paper style → It is okay if you can finally bring the photo when you issue the notebook at the counter. You can submit it at the time of application. ・Card style → Please be sure to bring it with you at the time of application.
⑩(When an agent applies) Identification documents of the agent	◆If you are applying for a proxy, you will also need identification documents for the proxy. If an adult guardian is applied, a certificate of entry is also required.
⑪(If you are under 18 years of age) Identification documents for parents

２．Application for renewal (when both notebook and independence support are updated at the same time)

required documents is a person who already has a Mental Handicapped Health and Welfare Handbook and a certificate of recipient of independence support medical care (psychiatric outpatient care) and applies for renewal at the same time. (Application for ward office window)
The notebook is updated once every two years, and independence support is updated once a year. Independence support does not require a medical certificate every year renewed, and a medical certificate is required once every two years. This guide is for those who have the condition that "it is the time to renew the notebook and the time to submit a medical certificate every two years for independence support medical care."
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◆You can apply for renewal of your notebook and independence support three months before the expiration date.

Renewable period quick reference table (notebook and independence)

※For February, the year up to the 29th is replaced with February 29th.
※The ward office cannot accept applications because it is closed on Saturdays, Sundays, holidays, and the year-end and New Year holidays. Please apply as soon as possible.

◆Even if the notebook can be renewed, the independence support cannot be renewed, or vice versa, you cannot apply at the same time.
◆If the expiration date of the notebook and independence support is out of date, it may be possible to arrange it in some cases. (Notebooks cannot change the period, so they will be adjusted with independence support.)
◆We have not sent any updates from Yokohama City. After confirming the expiration date written on your notebook or ID of independence support recipient, please apply for renewal so that you do not forget it.
◆If you apply for renewal by the expiration date, the period will not be interrupted, but it will take a considerable amount of time from applying for your notebook and independence support to grant. The following inconveniences may occur, so we recommend that you apply immediately 3 months ago.
・Notebook ➡ If you present your notebook and use other services, you may not be able to receive the service because you do not have the notebook at hand.
・Independence support ➡ During the period when the recipient ID is not at hand, you will be required to present a copy of the reception confirmation slip and have a medical examination, but depending on the medical institution, you will be charged 30%. For 30% of the period during which there was no beneficiary ID at hand, the difference at a later date can be refunded, but the burden will temporarily increase. (* Refunds will not be made for items outside the validity period.)

Documents required for application (renewal application / Simultaneous notebook and independence / ward window)　★Items required for renewal application (at the same time as notebook and independence / ward window) Checklist (PDF: 261KB)
Name	Remarks
①Application form (one for notebook and one for independence support) [For personal organizer] Application Form ☑　Excel version (Excel: 69KB) ☑　PDF version (PDF: 205KB) [Independence Support] Application Form ☑　Excel version (Excel: 44KB) ☑　PDF version (PDF: 630KB)	We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②Medical certificate (original) ☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook / A3. 1 sheet version) (PDF: 237KB) ☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook / A4.2 copies version) (PDF: 239KB)	◆Please print it out from here and give it to family doctor. (The medical certificate must be written by a doctor in charge of mental outpatient care at a designated medical institution.) ◆Please choose either A3, 1 or A4 or 2 depending on the printer situation. (Please enlarge the A3 version to A3 and print it out. When printing in A4.2 sheets, print with two sheets on one side instead of double-sided printing. ) ◆If it is not listed in items 9 to 11 of the medical certificate, it cannot be used for independence support medical care. Ask your doctor to say, "I want to apply for independence support medical care at the same time, so please write that item."
③My Number Card	◆If you do not have a My Number Card, you can also use a number notification card + identity verification document. If you don't have any of them, please let us know at the counter.
④Identity Confirmation Documents	◆③It is not necessary if you have a My Number card. ◆③If you do not have a My Number card, you will need a personal identification document with a photo such as a license or passport. If you don't have any documents with a photo, please bring two health insurance cards and pension notebooks.
⑤Health insurance card (for the examinee) ※National Health Insurance and late-elderly people are for all	◆If you are enrolled in National Health Insurance →All people in the same household on resident certificate who have the same National Health Insurance are required ◆If you are enrolled in medical care for the elderly →All people in the same household on resident certificate who have the same medical care for the elderly are required. ◆If you are enrolled in social insurance →Those who are the examinee are required. ※To reduce waiting time, make a copy in advance if possible. You can copy your family's portion.
⑥Hospitals, pharmacies, home-visit nursing stations, etc. that you want to designate (patient's card Shinryo-ken, medicine bags, etc.) ※Not required if there is no change from the place specified now	In principle, there is one hospital that can be designated as independence support medical care, up to two pharmacies, and one visiting nursing station. ◆Only designated medical institutions can be specified. Please search for designated medical institution in Yokohama-shi from this (designated medical institution). Please confirm designated medical institution except Yokohama-shi on homepage of each municipality. ◆If you do not have patient's card Shinryo-ken, you can also print on the homepage. Please print a part whose name is known as Address.
⑦Municipal tax taxation certificate, tax exemption certificate of "target person" or my number of "target person" ※Submission is required if necessary	The independence support medical system checks the taxation status of the following "target persons". ◆If you are enrolled in National Health Insurance →For all members of the same household on resident certificate who have joined the same National Health Insurance ◆If you are enrolled in medical care for the elderly →For all persons in the same household on resident certificate who have the same medical care for the elderly ◆If you are enrolled in social insurance →Insured person (written on insurance card) -------------------------------------------------------- If the above "target person" meets the following conditions, you can check the taxation status on the system in Yokohama City, so you do not need to submit a tax certificate or tax exemption certificate. (Excluding undeclared) ◆If the application at the counter was from January to June, he was a Yokohama citizen as of January 1 of the previous year. ◆If the application at the counter was from July to December, he was a Yokohama citizen as of January 1 of that year. -------------------------------------------------------- ※If you do not meet the conditions, you will need to submit a tax certificate / tax exemption certificate for the "target person" or present your My Number for the "target person". (Inquiry with my number.) [Acquisition of taxation certificate and tax exemption certificate] Tax and tax exemption certificates are obtained from the Tax Division of the municipality where you lived. Please ask the relevant municipal Tax Division for information on how to obtain it. ◆If the application at the counter is from January to June, the Tax Division of the municipality where you lived as of January 1 of the previous year. ◆If you apply at the counter from July to December, the Tax Division of the municipality where you lived as of January 1 of that year. [Inquiry by My Number] Please tell the target person's "name", "date of birth", "my number", "Address at that time (or present)" at the ward window.
⑧Those who know the income (of the examinee) ※Only required for households exempt from municipal tax	Under the independence support medical system, if the household is a tax-exempt household (all households are tax-exempt), it is necessary to report the income of the individual. If you have the following income, please bring a document that shows the amount of income. (Copy of notice, passbook, salary statement, etc.) -------------------------------------------------------- [Public pension, etc.] ◆Old-age pension and corporate pension ◆disability pension ◆Survivor's Pension ◆Special disability benefits (benefits provided as welfare measures for the absence of voluntary participation in National Pension Plan (Kokumin Nenkin)) ◆In addition, widow's pension (national), disability allowance (Atsushi), lump-sum disability allowance (both), seafarer disability allowance, disability pension before law revision, additional work area (disability or death) ※Old-age pensions and corporate pensions can be confirmed by the city system, refer to the amount. ※Pension pensioner support benefits are not required to be declared -------------------------------------------------------- [Income of benefits, etc.] ◆Special Child Raising Allowance (Children with disabilities under the age of 20) ◆Welfare allowance for children with disabilities (severe children under 20 years of age) ◆Special disability allowance (severe disabled persons over 20 years old) ◆Transitional welfare allowance (Welfare allowance under the old law / Special Child Raising Allowance) ※Injuries and sickness allowances, unemployment allowances, wages, etc. are not required to be declared -------------------------------------------------------- Other income (Related to work injury) ◆Disability compensation due to work injury pension ◆Lump-sum compensation for disability due to work injury ◆Disability benefits for multiple business workers ◆Disability benefits (commuting accidents) ※Other medical treatment compensation benefits, leave compensation benefits, bereaved family compensation benefits (survivor's compensation pension, survivor's compensation lump sum), funeral fees, sickness compensation pension, nursing care compensation benefits, secondary physical checkup, etc. are not required. ※If the notice only mentions "Work injury pension" in the notice, it is necessary to check which one of the "Disability Compensation pension" or "Bereaved Family Compensation pension, Injury Compensation pension". It is the "Disability Compensation pension" that needs to be declared. -------------------------------------------------------- [Total income amount under the Local Tax Law] ◆Salary income, dividend income, transfer income, etc. ※Income is the amount obtained by subtracting expenses from income. Before deducting income deductions such as medical expenses and dependent deductions. ※If it can be confirmed in the city system, refer to that amount.
⑨One face photo (4cm long x 3cm wide) ※If you have excess renewal space in your current notebook, you do not need to submit a photo. However, if only the paper style notebook changes at the time of renewal or reapproval, a photo must be submitted at the time of issuing the notebook. ※If you want to change the photo even if you do not need to submit a photo, please submit it.	◆Please write your name and date of birth on the back of the photo. ・Paper style → It is okay if you can finally bring the photo when you issue the notebook at the counter. You can submit it at the time of application. (Not required if there is excess update space in the notebook) ・Card style → Please be sure to bring it with you at the time of application. (Not required if there is excess update space in the notebook)
⑩Health and Welfare Handbook for Mentally Handicapped (original)
⑪(When an agent applies) A copy of the identity verification document of the agent	◆If you are applying for a proxy, you will also need identification documents for the proxy. If an adult guardian is applied, a certificate of entry is also required.
⑫(If you are under 18 years of age) A copy of the parent's identity verification document

３．About the flow from application to grant

◆It takes about 2 to 3 months from application to delivery. It depends on the timing and content of the application.
◆The notebook will be issued at the ward window, and the ID of the independence support recipient will be issued by mail (specific record).
◆About notebook, when grant is decided, we send guidance called "news of grant of mental patient health welfare notebook" from ward office. Please bring the belongings written there and receive it at the window of Elderly and Disabled Support Division.　※Notebooks cannot be issued by mail. If you cannot go to the window of the ward due to circumstances, you can receive it by a substitute.
◆As a result of examination, when it becomes disapproval, we send notice of disapproval from health consultation center of city heart.

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