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About application at ward office window-Mental Handicapped Health and Welfare Handbook-

Last Updated September 27, 2024

Contents

Window


It is guidance when we apply for "person with a mental disability health welfare notebook" at "ward office window".
Please confirm what you need for your application and go to the ward office's Elderly and Disabled Support Division window.
(If you live in a group home for the disabled or a nursing home, the ward office you apply for may be different from usual.)

Office contact information


Type of application

1.New application

This is required documents, the first person who applies for the Mental Handicapped Health and Welfare Handbook.
If you apply for independence support medical care (psychiatric outpatient medical care) at the same time, please move to (simultaneous application at the ward office) (simultaneous application by mail).

Explanation of simultaneous application


In principle, the judgment of the Mental Handicapped Health and Welfare Handbook is based on a medical certificate, but if you have received disability pension or special disability benefits due to mental illness, you can submit a copy of your pension certificate (without submitting a medical certificate). In that case, the grade of disability pension is the grade of the notebook.

Documents required for application (new application) ★Checklist required for new applications (PDF: 243KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.

②Copy of medical certificate (original) or pension certificate
※Please choose one of them.

When applying with a medical certificate

☑ 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)

When applying with a pension certificate

The following 1-3 is required.

1.A copy of documents proving that you are currently receiving pension due to mental illness

2.Consent Form (PDF: 116KB) (Consent Form for confirming receipt status from Yokohama City to the pension Office, etc.)
3.seal (Shachihata is acceptable)

When applying with a medical certificate

◆Please print it out from here and give it to family doctor. Depending on the hospital, you may have a medical certificate style of Yokohama City, so please check it once.

◆Please choose either A3, 1 or A4 or 2 depending on the printer situation. (Please enlarge the A3/1 sheet version to A3 and print it. 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.

◆I will not apply for the independence support medical system this time, but it may be done at a later date.…In that case, please also write items 9-11 of the medical certificate.

When applying with a pension certificate

Document 1 corresponds to the following.
・Pension certificate
・pension Transfer Notice
・pension Payment Notice
・Certificate of Eligibility for Special Disability Benefit
◆You need something with the basic pension number.
◆The so-called "disability pension" is the target. Mental disorders include developmental disorders and epilepsy, but exclude intellectual disabilities. (Because intellectual disability is not subject to the Mental Handbook.)
◆Old-age pensions and survivors' pensions are not eligible.
◆From January 2024, we will refer to the pension Office with My Number.

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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

⑤One 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.

(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.

(If the person who wants to obtain a notebook is under the age of 18)
Identification documents for parents

 

2.Application for renewal and reapproval

If the person who already has a notebook renews within the validity period (= renewal application) or if the person who has a notebook but has expired applies again (= reapproval) It is required documents.
If you apply for independence support medical care (psychiatric outpatient medical care) at the same time, please move to (simultaneous application at the ward office) (simultaneous application by mail).

Explanation of simultaneous application

-
◆You can apply for renewal at least three months before the expiration date.

Notebook


In the case above, the expiration date is March 31, 2022. In that case, you can apply for renewal from January 1, 2022, three months ago.
[Renewal application period chart]

Update period chart


※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.
◆We have not sent a notice of renewal time from Yokohama City. Please check the expiration date written in your notebook and 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 about 2 to 3 months from application to issuance of your notebook. (It depends on the time and content of the application.) 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, so it will be 3 months before We recommend applying immediately.

Documents required for application (renewal & reapproval application) ★What is required for renewal & reapproval application checklist (PDF: 247KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.

②Copy of medical certificate (original) or pension certificate
※Please choose one of them.

When applying with a medical certificate

☑ 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)

When applying with a pension certificate

The following 1-3 is required.
1.A copy of documents proving that you are currently receiving pension due to mental illness
2.Consent Form (PDF: 116KB) (Consent Form for confirming the receipt status from Yokohama City to the pension Office, etc.)
3.seal (Shachihata is acceptable)

When applying with a medical certificate

◆Please print it out from here and give it to family doctor. Depending on the hospital, you may have a medical certificate style of Yokohama City, so please check it once.

◆Please choose either A3, 1 or A4 or 2 depending on the printer situation. (Please enlarge the A3/1 sheet version to A3 and print it. When printing in A4.2 sheets, print with two sheets on one side instead of double-sided printing. )

◆I will not apply for the independence support medical system this time, but it may be done at a later date.…In that case, please also write items 9-11 of the medical certificate.

When applying with a pension certificate

Document 1 corresponds to the following.
・Pension certificate
・pension Transfer Notice
・pension Payment Notice
・Certificate of Eligibility for Special Disability Benefit
◆You need something with the basic pension number.
◆The so-called "disability pension" is the target. Mental disorders include developmental disorders and epilepsy, but exclude intellectual disabilities. (Because intellectual disability is not subject to the Mental Handbook.)
◆Old-age pensions and survivors' pensions are not eligible.
◆From January 2024, we will refer to the pension Office with My Number.

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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

⑤One face photo (4cm long x 3cm wide)
You do not need to submit a photo if you have excess renewal space in your notebook.

Back of notebook

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)

⑥Health and Welfare Handbook for Mentally Handicapped (original)  

(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.

(If the person who wants to obtain a notebook is under the age of 18)
Identification documents for parents

 

3.Application for class change

This is required documents if you want to change the grade of your notebook.
-
◆The grades of the Mental Handicapped Health and Welfare Handbook are three levels: grade 1, grade 2, and grade 3. (The first grade is the heaviest and the third grade is the lightest.)
◆If you wish to change your grade, you will be required to submit a copy of your medical certificate or pension certificate and undergo a review again.
◆If the grade change is approved, the validity period will change from your current notebook.
◆If the grade change is not approved (= grade did not change), we will send you a disapproval notice.

Documents required for application (graduate change application) ★What you need for grade change application checklist (PDF: 245KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.

②Copy of medical certificate (original) or pension certificate
※Please choose one of them.

When applying with a medical certificate

☑ 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)

When applying with a pension certificate

The following 1-3 is required.
1.A copy of documents proving that you are currently receiving pension due to mental illness
2.Consent Form (PDF: 116KB) (Consent Form for confirming receipt status from Yokohama City to the pension Office, etc.)
3.seal (Shachihata is acceptable)

When applying with a medical certificate

◆Please print it out from here and give it to family doctor. Depending on the hospital, you may have a medical certificate style of Yokohama City, so please check it once.
◆Please choose either A3, 1 or A4 or 2 depending on the printer situation. (Please enlarge the A3/1 sheet version to A3 and print it. When printing in A4.2 sheets, print with two sheets on one side instead of double-sided printing. )
◆If you want to use this notebook medical certificate for independence support medical care, please also write items 9-11 of the medical certificate. However, if the grade change is not approved and disapproved, the medical certificate cannot be used to apply for the independence support medical system at a later date. (If the grade change in the notebook and the application for independence support medical care are at the same time, even if the grade change in the notebook is disapproved, it will be certified if the requirements are met for independence support.)

When applying with a pension certificate

Document 1 corresponds to the following.
・Pension certificate
・pension Transfer Notice
・pension Payment Notice
・Certificate of Eligibility for Special Disability Benefit
◆You need something with the basic pension number.
◆The so-called "disability pension" is the target. Mental disorders include developmental disorders and epilepsy, but exclude intellectual disabilities. (Because intellectual disability is not subject to the Mental Handbook.)
◆Old-age pensions and survivors' pensions are not eligible.
◆From January 2024, we will refer to the pension Office with My Number.

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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

⑤One face photo (4cm long x 3cm wide)

◆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 also submit it at the time of application. If the grade change is not approved, the photo will be returned.
・Card style → Please be sure to bring it with you at the time of application. If the grade change is not approved, the photo will be returned.

⑥Health and Welfare Handbook for Mentally Handicapped (original)  

(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.

(If the person who wants to obtain a notebook is under the age of 18)
Identification documents for parents

 

4.Out-of-city transfer application

This is required documents when I moved from a municipal office other than Yokohama to Yokohama.
-
If the previous municipality has been issued a Mental Handicapped Health and Welfare Handbook, the contents will be taken over until the expiration date of the handbook.
If less than three months before the expiration date and you have not renewed at the previous municipality, you need to apply for renewal in Yokohama City.

Documents required for application (suburban transfer application) ★Thing necessary for suburban transference application checklist (PDF: 238KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②My 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.
③Identity Confirmation Documents

◆②It is not necessary if you have a My Number card.
◆②If 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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

④One 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.

⑤Mental Handicapped Health and Welfare Handbook (original) issued in the previous municipalities

◆The notebook issued in the previous municipalities will be replaced with the notebook newly issued in Yokohama City, so please bring the original notebook.
◆If you have lost your notebook issued in the previous municipality or if you are in the renewal procedure in the previous municipality, you will be referred to the previous municipality from Yokohama City, so please write this consent form (PDF: 171KB) Please bring it with you.

(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.

(If the person who wants to obtain a notebook is under the age of 18)
A copy of the parent's identity verification document

 

5.Application for change of items described

This is required documents when the name and address (moving in Yokohama) change.
-
If you move from Yokohama to a municipality other than Yokohama, you will need to apply for a suburban transfer in a new municipality. At that time, it is necessary to bring the notebook issued in Yokohama City, so be careful not to lose it.

Documents required for application (application for change of items described) ★Items Required for Application for Change of Items Checklist (PDF: 230KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②My 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.
③Identity Confirmation Documents

◆②It is not necessary if you have a My Number card.
◆②If 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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

④Health and Welfare Handbook for Mentally Handicapped (original)

◆In principle, we will correct it on the spot.
Correct by handwriting or by machine in the ward.
◆If you wish to issue a new notebook instead of modifying handwriting, etc., please also apply for reissuance.

(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.

(If the person who wants to obtain a notebook is under the age of 18)
A copy of the parent's identity verification document

 

6.Application for re-grant

required documents if you lose, get dirty, or break your notebook.

Documents required for application (re-grant application) ★Checklist required for re-grant application (PDF: 236KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②My 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.
③Identity Confirmation Documents

◆②It is not necessary if you have a My Number card.
◆②If 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 of your face, please bring two copies of your health insurance card, pension notebook, and independence support medical care certificate.

④One face photo (4cm long x 3cm wide)

◆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.
・Card style → Please be sure to bring it with you at the time of application.

⑤Health and Welfare Handbook for Mentally Handicapped (original)

◆You don't need it if you lose it.
◆Please bring it with you if it gets dirty or torn.

(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.

(If the person who wants to obtain a notebook is under the age of 18)
A copy of the parent's identity verification document

 

7.Card style change application

This is required documents if you currently have a paper notebook and want to change it to a card style.
※If you want to change the card-style notebook to a paper style, you need to apply for a reissue.

Documents required for application (application for change of card style) ★Items Required for Card Style Change Application Checklist (PDF: 212KB)
Name Remarks

①Application Form
☑ Excel version (Excel: 69KB)
☑ PDF version (PDF: 205KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②One face photo (4cm long x 3cm wide)

◆Please write your name and date of birth on the back of the photo.
◆Please be sure to bring it with you at the time of application.

③Health and Welfare Handbook for Mentally Handicapped (original) ◆We will send you a new notebook when you are ready to receive it. We will enclose a letter pack for return, so please use it to return your old notebook.

8.Notification of return

This is required documents when you don't need your personal organizer.
-
If you return your notebook, it may affect various situations. Please read the guidance (PDF: 221KB) and return it after accepting it. Once returned, it cannot be revived. If you need a personal organizer again, it will be a new application. (The number of the notebook will also be changed.)

Documents required for application (return) ★Items Required for Return Application Checklist (PDF: 207KB)
Name Remarks

①Notification of return
☑ Excel version (Excel: 31KB)
☑ PDF version (PDF: 115KB)

◆We can take out at window of ward office, but please print and write in advance as much as possible to reduce waiting time.
②Health and Welfare Handbook for Mentally Handicapped (original)  

9.About the flow from application to issuance of notebook

◆It takes about 2 to 3 months from application to issuance of the notebook. It depends on the timing and content of the application.
◆As a result of examination, when grant of notebook 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 a notebook at the ward office Elderly and Disabled Support Division window. (Only card style change, we mail notebook directly from health consultation center of city heart.)
◆As a result of examination, when it becomes disapproval, we send notice of disapproval from health consultation center of city heart.

10.FAQs

Q
I have been short since I was diagnosed with mental illness. Can I apply for a notebook?
A

If more than six months have passed since the date of first visit (Shoshin), your notebook will not be approved. Please wait for 6 months to apply.
※If you are transferred, "first visit (Shoshin)" is not the day of first visit (Shoshin) at the hospital you are currently attending, but the day you were first diagnosed with the disability.

Q
I am currently hospitalized, can I apply for a notebook?
A

You can apply even if you are hospitalized. However, the independence support medical care (psychiatric outpatient medical care) system that can be applied at the same time with the same medical certificate is a system for outpatient visits, so if you are still hospitalized at the time of examination and there is no prospect of discharge, independence support medical care will not be certified It becomes.

Q
Is intellectual disability covered by the Mental Handicapped Health and Welfare Handbook?
A

Intellectual disability is not covered by the Mental Handicapped Health and Welfare Handbook because there is a separate system called the "Love Handbook".
Please refer to this page for the "Love Notebook" system.

Q
Will medical expenses be cheaper if I have a Mental Handicapped Health and Welfare Handbook?
A

medical expenses, such as Psychiatry, is cheaper by the independence support system (psychiatric outpatient care) system.
Just applying for a notebook does not mean that you have applied for independence support medical care, but you need to apply separately.
Please see this page about the independence support medical system.

Q
Do you have any other requirements for your face photo?
A

Photographs must meet the following conditions.
◎4cm long x 3㎝
◎Do not wear a hat (for religious or medical reasons, it is OK to cover the head with a cloth, etc., as long as the outline of the face is known)
◎I don't wear sunglasses
◎The upper body is shown so you can identify yourself.
◎There is no other person in sight
◎Photo taken within one year
◎When printing at home, etc., on the photo mount (it may break if it is a copy paper)
◎Polaroid photo, Cheki NG
※In the case of card style, even if you submit a color photo, the finish will be black and white.

Q
When I handed the medical certificate printed from the homepage to family doctor, I was told that I wanted a copy.
A

The copy-type medical certificate form is distributed at the ward office Elderly and Disabled Support Division.
You can also order it by mail. Please see this guide (PDF: 146KB) for details.

Q
Can I have my notebook sent to my home?
A

Notebooks can only be issued at the ward office Elderly and Disabled Support Division window. If you are unable to get it, you can also receive it by a proxy. (Identification documents of the agent are required.)
※Only change from paper style to card style is mailed from health consultation center of city heart.

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Inquiries to this page

Health and Social Welfare Bureau Health and Welfare Department Mental Health Consultation Center

Telephone: 045-671-4455

Telephone: 045-671-4455

Fax: 045-662-3525

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

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Page ID: 261-254-784

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