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

Last Updated December 28, 2023

This is a guide when applying for the Mental Handicapped Health and Welfare Handbook and Independence Support Medical Care (Mental Outpatient Medical Care) at the same time by "mail".
Please check what you need for the application and complete the procedure. Applications are accepted at a specialized center called the Administrative Processing Center.

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 care)

１．New application (when applying for both notebooks and self-reliance support at the same time)

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

３．About flow from application to grant

４．Destination for mailing application

Type of application

１．New application (when applying for both notebooks and self-reliance 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 (Mental Outpatient Medical Care) at the same time. (Application for mailing)

Documents required for application (new application / personal organizer and self-reliance / mail application)　★Necessary items for new applications (simultaneous handbook and self-reliance / mail) Checklist (PDF: 256KB)
Name	Remarks
①Application form (one for personal organizer and one copy for independence support) [For Notebook] Application form ☑　Excel version (Excel: 69KB) ☑　PDF version (PDF: 205KB) [For Independence Support] Application form ☑　Excel version (Excel: 44KB) ☑　PDF version (PDF: 630KB)	◆If printing is difficult at home or convenience store, you can also request it by mail. (94 yen stamp required) Please see this guide (PDF: 146KB).
②Medical certificate (original) ☑　Medical certificate (for Mental Handicapped Health and Welfare Handbook / A3, 1 sheet version) (PDF: 237KB) ☑　Medical certificate (for Mental Handicapped Health and Welfare Handbook / A4 ・ 2 sheets version) (PDF: 239KB)	◆Please print it out here and give it to family doctor. (The medical certificate must be written by a doctor in charge of psychiatric outpatient care at a designated medical institution.) ◆Please choose either A3 / single version or A4 / 2-size version depending on the printer status. (Please enlarge the A3 version to A3 and print.) When printing in A4 ・ Two-page versions, print on two sides instead of double-sided printing. ) ◆Please check if 6 months have passed since the date of first visit (Shoshin). ◆If it is not described in the items 9-11 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."
③Copy of My Number Card (both sides)	◆If you do not have a My Number card, you can also use a number notification card + identity verification document. If you do not have a My Number or a number notification card, please indicate so where the application is vacant. ◆Please remove the vinyl cover and make a copy of your My Number Card.
④Copy of identity verification documents	◆③This is not required 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 of your face, such as a license or passport. If you do not have a document with a photo, please prepare two items such as a health insurance card or a pension notebook.
⑤A copy of the health insurance card (for the examinee)	◆If you have National Health Insurance →A copy of the insurance card 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 →A copy of the insurance card for all the same household on resident certificate who have the same medical care for the elderly is required. ◆If you have social insurance →A copy of the examinee's insurance card is required.
⑥A copy of the hospital, pharmacy, home-visit nursing station, etc. you want to specify (patient's card Shinryo-ken, medicine bag, etc.)	In principle, one hospital can be designated for independence support medical care, up to two pharmacies, and one home-visit 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 institutions other than Yokohama City on the homepage of each municipality. ◆If you are not able to prepare patient's card Shinryo-ken etc., you can also print the homepage. Please print the part where the name is Address.
⑦Municipal tax taxation certificate and tax exemption certificate of "target person" ※Submissions are required if necessary.	The independence support medical care system checks the taxation status of the following “target persons”. ◆If you have National Health Insurance →For all members of the same household on resident certificate who join the same National Health Insurance ◆If you are enrolled in medical care for the elderly →For all people in the same household on resident certificate who have the same medical care for the elderly ◆If you have social insurance →Insured person (written on the insurance card) -------------------------------------------------------- If the above "target person" meets the following conditions, you can check the taxation status with the Yokohama City system, so you do not need to submit a taxation certificate or tax exemption certificate. (excluding undeclared) ◆If the application at the counter was from January to June, it 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 the conditions are not met, it is necessary to submit a tax certificate or tax exemption certificate for the “target person”. [Acquisition of taxation and tax exemption certificates] Tax and tax exemption certificates are obtained from the Tax Division of the municipality where you lived. Please ask the Tax Division of the relevant municipality for information on how to obtain it. ◆If the application is made at the counter from January to June, the Tax Division of the municipality where you lived (with) as of January 1 of the previous year. ◆If the application at the counter is from July to December, the Tax Division of the municipality where you lived as of January 1 of that year.
⑧(of the examinee's own) income ※Required only for households exempt from municipal tax	Under the independence support medical care system, if the household is a tax-exempt household (all households are tax-exempt), it is necessary to declare the income of the person. Person having the following income, please submit document which understands amount of income. (copies of notices, passbooks, pay slips, etc.) -------------------------------------------------------- Revenues from public pension ◆Old-age pension and corporate pension ◆disability pension ◆Survivor's pension ◆Special disability benefits (benefits provided as a welfare measure because they did not voluntarily join the National Pension Plan (Kokumin Nenkin)) ◆In addition, widow's pension (country), disability allowance (Atsushi), lump-sum disability allowance (both), disability allowance for seafarers, disability pension before revision of the law, and additional work area (for reasons for disability or death) ※For old-age pensions and corporate pensions, refer to the amount of money if they can be confirmed on the city system. ※No need to declare pensioner support benefits. -------------------------------------------------------- [Incomes from Benefits] ◆Special Child Raising Allowance (children under 20 years old) ◆Welfare allowance for children with disabilities (Severely disabled children under 20 years old) ◆Special disability allowance (severely disabled persons aged 20 and over) ◆Transitional welfare allowance (Child Raising Allowance) ※No declaration is required for sickness and sickness benefits, unemployment benefits, labor costs, etc. -------------------------------------------------------- [Other income] (Work injury related) ◆Disability compensation for work injury pension ◆Lump-sum compensation for disability due to work injury ◆Multiple business worker disability benefits ◆Disability benefits (commuting accidents) ※Other benefits for medical treatment, leave compensation, family compensation benefits (pension survivors' compensation pension, lump-sumphysical checkup) ※If the notice only "pension" is described in the notice, it is necessary to confirm which of "Disability Compensation pension" or "Survivor's Compensation pension, and Injury Compensation pension". What you need to declare is "Disability Compensation pension". -------------------------------------------------------- [Total Income Amount under the Local Tax Law] ◆Salary income, dividend income, transfer income, etc. ※Income is the amount obtained by subtracting expenses from the income. The amount before income deductions such as medical expenses deductions and dependent deductions. ※If you can check it in the city's 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 one. ・In the case of paper style, please bring your photo when you finally issue your notebook at the counter. ・Card style → Please submit it at the time of application because it is necessary to print.
⑩(If an agent applies) A copy of the agent's identity verification document	◆If a proxy is applied, you will also need identification documents for the agent. When an adult guardian is applied, a certificate of entry is also required.
⑪(If the person is under 18 years of age) A copy of the parent's identity verification document

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

This is required documents who already has a Mental Handicapped Health and Welfare Handbook and a certificate of recipient of independence support medical care (psychiatric outpatient medical care) recipient and applies for renewal at the same time. (Application for mailing)
Notebooks are updated once every two years, and independence support is renewed once a year. Independence support does not require a medical certificate every time it is renewed, but a medical certificate is required once every two years. This guide is for those who have the condition that "the time to renew the notebook and the renewal time to submit a medical certificate once 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.

Quick Reference table (handbook and self-reliance)

※For February, the year until 29th is replaced with February 29.
※The paperwork center is closed on Saturdays, Sundays, holidays, and the year-end and New Year holidays, so applications cannot be accepted. Please apply as soon as possible.
◆Even if the notebook can be renewed, if the independence support cannot be renewed, or vice versa, you will not be able to apply simultaneously.
◆If the expiration date of the notebook and the independence support are different, depending on the case, it may be possible to arrange it. (Because the notebook cannot change the period, it will be adjusted with independence support.)
◆We have not sent any update notice from Yokohama City. After confirming the expiration date written on your notebook and identification card of independence support recipient, please apply for renewal so that you do not forget.
◆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 a notebook and independence support to grant. The following inconveniences may occur, so we recommend that you apply immediately three months ago.
・Notebook ➡ If you are using other services by presenting your notebook, you may not be able to receive the service because you do not have your notebook.
・Independence support ➡ During the period when the recipient ID is not at hand, you will be required to present a copy of the receipt confirmation slip and have a medical examination, but depending on the medical institution, it will be charged 30%. For the 30% burden during the period when you did not have a beneficiary ID, you can refund the difference at a later date, but the burden will be temporarily increased.
　

Documents required for application (renewal application / personal organizer and self-reliance / mail application)　★Necessary items for renewal application (simultaneous handbook and independence / mailing) Checklist (PDF: 258KB)
Name	Remarks
①Application form (one for personal organizer and one copy for independence support) [For Notebook] Application form ☑　Excel version (Excel: 69KB) ☑　PDF version (PDF: 205KB) [For Independence Support] Application form ☑　Excel version (Excel: 44KB) ☑　PDF version (PDF: 630KB)	◆If printing is difficult at home or convenience store, you can also request it by mail. (94 yen stamp required) Please see this guide (PDF: 146KB).
②Medical certificate (original) ☑　Medical certificate (for Mental Handicapped Health and Welfare Handbook / A3, 1 sheet version) (PDF: 237KB) ☑　Medical certificate (for Mental Handicapped Health and Welfare Handbook / A4 ・ 2 sheets version) (PDF: 239KB)	◆Please print it out here and give it to family doctor. (The medical certificate must be written by a doctor in charge of psychiatric outpatient care at a designated medical institution.) ◆Please choose either A3 / single version or A4 / 2-size version depending on the printer status. (Please enlarge the A3 version to A3 and print.) When printing in A4 ・ Two-page versions, print on two sides instead of double-sided printing. ) ◆If it is not described in the items 9-11 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."
③Copy of My Number Card (both sides)	◆If you do not have a My Number card, you can also use a number notification card + identity verification document. If you do not have a My Number or a number notification card, please indicate so where the application is vacant. ◆Please remove the vinyl cover and make a copy of your My Number Card.
④Copy of identity verification documents	◆③This is not required 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 of your face, such as a license or passport. If you do not have a document with a photo, please prepare two items such as a health insurance card or a pension notebook.
⑤A copy of the health insurance card (for the examinee)	◆If you have National Health Insurance →A copy of the insurance card 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 →A copy of the insurance card for all the same household on resident certificate who have the same medical care for the elderly is required. ◆If you have social insurance →A copy of the examinee's insurance card is required.
⑥A copy of the hospital, pharmacy, home-visit nursing station, etc. you want to specify (patient's card Shinryo-ken, medicine bag, etc.) ※Not required if there is no change from the current location specified.	In principle, one hospital can be designated for independence support medical care, up to two pharmacies, and one home-visit 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 institutions other than Yokohama City on the homepage of each municipality. ◆If you do not have patient's card Shinryo-ken, you can also print the website. Please print the part where the name is Address.
⑦Municipal tax taxation certificate and tax exemption certificate of "target person" ※Submissions are required if necessary.	The independence support medical care system checks the taxation status of the following “target persons”. ◆If you have National Health Insurance →For all members of the same household on resident certificate who join the same National Health Insurance ◆If you are enrolled in medical care for the elderly →For all people in the same household on resident certificate who have the same medical care for the elderly ◆If you have social insurance →Insured person (written on the insurance card) -------------------------------------------------------- If the above "target person" meets the following conditions, you can check the taxation status with the Yokohama City system, so you do not need to submit a taxation certificate or tax exemption certificate. (excluding undeclared) ◆If the application at the counter was from January to June, it 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 the conditions are not met, it is necessary to submit a tax certificate or tax exemption certificate for the “target person”. [Acquisition of taxation and tax exemption certificates] Tax and tax exemption certificates are obtained from the Tax Division of the municipality where you lived. Please ask the Tax Division of the relevant municipality for information on how to obtain it. ◆If the application is made at the counter from January to June, the Tax Division of the municipality where you lived (with) as of January 1 of the previous year. ◆If the application at the counter is from July to December, the Tax Division of the municipality where you lived as of January 1 of that year.
⑧(of the examinee's own) income ※Required only for households exempt from municipal tax	Under the independence support medical care system, if the household is a tax-exempt household (all households are tax-exempt), it is necessary to declare the income of the person. If you have the following income, please bring a document that shows the amount of income. (copies of notices, passbooks, pay slips, etc.) -------------------------------------------------------- Revenues from public pension ◆Old-age pension and corporate pension ◆disability pension ◆Survivor's pension ◆Special disability benefits (benefits provided as a welfare measure because they did not voluntarily join the National Pension Plan (Kokumin Nenkin)) ◆In addition, widow's pension (country), disability allowance (Atsushi), lump-sum disability allowance (both), disability allowance for seafarers, disability pension before revision of the law, and additional work area (for reasons for disability or death) ※For old-age pensions and corporate pensions, refer to the amount of money if they can be confirmed on the city system. ※No need to declare pensioner support benefits. -------------------------------------------------------- [Incomes from Benefits] ◆Special Child Raising Allowance (children under 20 years old) ◆Welfare allowance for children with disabilities (Severely disabled children under 20 years old) ◆Special disability allowance (severely disabled persons aged 20 and over) ◆Transitional welfare allowance (Child Raising Allowance) ※No declaration is required for sickness and sickness benefits, unemployment benefits, labor costs, etc. -------------------------------------------------------- [Other income] (Work injury related) ◆Disability compensation for work injury pension ◆Lump-sum compensation for disability due to work injury ◆Multiple business worker disability benefits ◆Disability benefits (commuting accidents) ※Other benefits for medical treatment, leave compensation, family compensation benefits (pension survivors' compensation pension, lump-sumphysical checkup) ※If the notice only "pension" is described in the notice, it is necessary to confirm which of "Disability Compensation pension" or "Survivor's Compensation pension, and Injury Compensation pension". What you need to declare is "Disability Compensation pension". -------------------------------------------------------- [Total Income Amount under the Local Tax Law] ◆Salary income, dividend income, transfer income, etc. ※Income is the amount obtained by subtracting expenses from the income. The amount before income deductions such as medical expenses deductions and dependent deductions. ※If you can check it in the city's system, refer to that amount.
⑨One face photo (4cm long x 3cm wide) ※You do not need to submit a photo of your current notebook if you have surplus update columns for your current notebook. However, if the grade has changed at the time of renewal or re-approving only the paper style notebook, you will need to submit a photo when issuing the notebook. ※If you do not need to submit a photo, please submit it if you want to change the photo.	◆Please write your name and date of birth on the back of the photo. ・In the case of paper style, please bring your photo when you finally issue your notebook at the counter. (This is not necessary if there is an extra update column in the notebook.) ・Card style → Please submit it at the time of application because it is necessary to print. (This is not necessary if there is an extra update column in the notebook.)
⑩Copy of the Mental Handicapped Health and Welfare Handbook (both sides)
⑪(If an agent applies) A copy of the agent's identity verification document	◆If a proxy is applied, you will also need identification documents for the agent. When an adult guardian is applied, a certificate of entry is also required.
⑫(If the person is 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 grant. It depends on the timing and content of the application.
◆The notebook will be issued at the ward window, and the independence support recipient ID will be issued by mail (specific record).
◆About notebook, when decision of grant is made, we send guidance called "news of grant of mental patient health welfare notebook" from ward office. Please bring your belongings written there and receive it at the ward Elderly and Disabled Support Division window. ※Notebooks can not be issued by mail. If the person cannot go to the ward window due to circumstances, a proxy can also receive it.
◆As a result of examination, when it becomes disapproval, we send notice of disapproval from health consultation center of city heart.

４．Destination for mailing application

Submission of documents to be submitted

◆In the case of mail application, the date on which the paperwork center receives the documents = the application date. In the case of a new application, the notebook and independence support will be effective from that date.
◆The paperwork center is closed on Saturdays, Sundays, national holidays, and the year-end and New Year holidays, so the documents arrived on that day will be the next open agency day.
◆If the contents of the application form are incomplete or missing documents, we will contact you from the paperwork center. Please be sure to fill out the application form with Phone number which can be contacted during the day. If no additional submission is made, we will return it as non-acceptance.
◆Documents cannot be brought directly to the paperwork center or city hall (6-50-10, Honmachi, Naka-ku). Please be sure to mail it. If you would like to bring your documents, please bring it to the ward office.
◆Please make sure that there is no shortage of stamps.

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