Issuance of Mental Handicapped Health and Welfare Handbook

It has been announced that JR and other railway companies will introduce discounts for mentally ill persons, but details have not yet been determined. We will inform you on the website as soon as it is decided, so please wait for a while.

Those with mental illness who have long-term restrictions on daily life or social life due to mental illness (*)
※Mental disorders include developmental disorders and epilepsy.
※You must be at least six months after your first visit (Shoshin) date.
※Intellectual disability is not subject to the Mental Handicapped Health and Welfare Handbook because there is a notebook of love.

Depending on the degree of disability, you will be certified from grade 1 to grade 3. (The first grade is the heaviest and the third grade is the lightest.)
Judgment of grade is made based on the contents of the submitted "Medical certificate for the Mental Handicapped Health and Welfare Handbook".
If you are receiving disability pension or special disability benefits due to mental illness, you can make a judgment by copying your certificate. In that case, the grade of disability pension is the grade of the Health and Welfare Handbook for the Mentally Handicapped. (For example, if disability pension is a second grade, the mental notebook is also a second grade.) ※Intellectual disability is not eligible.

You can choose either paper style or card style. (There is no difference in the service available.)
Please see this guide (PDF: 390KB) for the difference between paper style and card style.
※In general, paper styles tend to be issued earlier than card styles.

There are two ways to apply: at your ward office (Elderly and Disabled Support Division) or by mail.
Please confirm what you need for application from the link below before applying.
●Those who apply at the ward office window → Please see (about application at each ward office window).
●Those who apply by mail → Please refer to the following URL.
※It takes about two months from the application to the issuance of the notebook. If the medical certificate is incomplete, it may take some more time.
　The period required for grant varies depending on the timing and content of the application. (Transfer outside the city, re-grant, and changes to the items described tend to be a little earlier.)
※You can pick up your notebook at the ward office Elderly and Disabled Support Division. (Even if the application is mailed, you can receive the notebook at the ward office.)

◆The Health and Welfare Handbook for Mentally Handicapped is valid for two years.
◆You can apply for renewal at least three months before the expiration date. If you wish to continue using the notebook, be sure to apply for renewal.

(Example) In the case of the notebook above, the expiration date is March 31, 2022, written in (toshi). You can apply for renewal from January 1, 2022 because it is only three months ago. If you are using the services that can be received by presenting your notebook, we recommend that you apply immediately when it is time to renew.
[Renewal application period chart]

※Years with February until the 29th are replaced with February 29th.
※The ward office and the paperwork center that accepts mail applications are closed on Saturdays, Sundays, holidays, and the year-end and New Year holidays, so applications cannot be accepted. Please apply as soon as possible.
◆Regarding the renewal application, Yokohama City will not notify you individually in advance, so please check the expiration date written in your notebook yourself.

If you are also applying for the “Independence Support Medical Care (Mental Outpatient Care)” system that reduces medical expenses for outpatient visits, please refer to the following page for what you need to apply.
●When applying for the Mental Handicapped Health and Welfare Handbook and Independence Support Medical Care (Mental Outpatient Medical Care) at the ward office at the same time
●When applying for the Mental Handicapped Health and Welfare Handbook and Independence Support Medical Care (Mental Outpatient Care) by mail at the same time

If you are receiving disability pension or special disability benefits due to mental illness, you can submit a copy of the certificate to your personal organizer. In the past, Yokohama City had made inquiries to the pension Office, etc. on paper regarding the status of receipt of disability pension, etc., but from January 2024, we decided to use My Number to make inquiries.
For more information, please see this information (PDF: 309KB).

If you already know the required style, please download and use it below.
◆Application form (samples are also included)
　☑　Application Form Excel Form (Excel: 69KB)
　☑　Application PDF style (PDF: 205KB)
◆Medical certificate (Please select and print one of the forms depending on the printing environment.)
　☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook) Excel style (Excel: 359KB)
　☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook) PDF style / A3.1 sheet (PDF: 237KB)　※Please print on A3.1 sheet.
　☑　Medical certificate (for the Mental Handicapped Health and Welfare Handbook) PDF style / A4.2 sheets (PDF: 239KB)　※Please print with A4.2 sheets (2 sheets on one side).
※Medical institutions often have the medical certificate form, so please check it once.
※If you also use the independence support medical care (psychiatric outpatient medical care) system, be sure to include it in the column 9-11 of the medical certificate. However, if you are hospitalized and are not expected to be discharged, you cannot use it as a medical certificate for independence support medical care.
※If you would like a copy-type medical certificate form, you can hand it over at the ward office Elderly and Disabled Support Division window.
◆Consent Form
　☑　pension Inquiry Consent Form (PDF: 116KB) (Used by those who apply in disability pension)
　☑　Agreement for Pre-Municipal Inquiry (PDF: 171KB) (Used by those who have lost their notebooks issued in the previous municipalities or those who are undergoing renewal procedures.)
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※If you are unable to print your application or medical certificate and cannot go to the ward office, you can mail it from the paperwork center. Please see this guide (PDF: 146KB) for the procedure.

This is a summary of the points you need to be aware of when filling out a medical certificate. Please read it.
　☑　Example of medical certificate (PDF: 198KB)
　☑　Example of medical certificate with check (PDF: 233KB)
　☑　Check sheet (PDF: 86KB)
　☑　Notes on entry (PDF: 154KB)
※⑨It cannot be used for independence support medical care (psychiatric outpatient medical care) unless described in items to ~ 11. Please check with your patient if you have any plans to use it.
※If the ICD code for the main mental disorder is F4 to F9, simply stating 11 (1) and (2) does not correspond to the "severe and continuous" of independence support medical care. ④Please confirm once again whether (6) or (7) is marked.
※If you would like to send a copy-type medical certificate, please call the Mental Health Consultation Center. （045-671-4455）
※It is not possible to answer the patient's application status over the phone. If you have received your application, you will be given a form called the reception confirmation slip (A4), so please check there. If you can call the paperwork center (045-671-3623), you can reply back.

Various services may be available by presenting the Mental Handicapped Health and Welfare Handbook. (There are various conditions.)
For more information, please refer to this page.
※For services provided at private facilities such as movie theaters and theme parks, please contact the implementing company.

If you need a copy of your medical certificate, please ask the hospital or clinics first.
If you are unable to receive a copy of your medical certificate at a hospital or clinics, you can receive a copy by requesting the City of Yokohama to disclose it.
※The reception desk for disclosure requests is "Ward Administration Promotion Division Public Relations Section in your ward" or "Citizen Information Center".
※It takes about one month from the request to the delivery of the copy.
※The method of grant is either "window (window of mental health consultation center)" or "mail (mailing fee paid by the person)".
※At the time of request, it is necessary to specify the documents to be disclosed, such as the "Medical certificate for the Mental Handicapped Health and Welfare Handbook submitted in 200", so please check with the submission address in advance when a medical certificate is required .
※Please note that Yokohama City will call the doctor who listed the medical certificate to confirm that the medical certificate may be disclosed.
※The preservation period of the medical certificate submitted to Yokohama City is 5 years. We can't handle anything older than that.
For more information, please refer to this page.

About system of person with a disability certificate (outside site)