Procedures for granting medical expenses by mail

From the perspective of preventing the spread of COVID-19, the following procedures for granting medical expenses can be notified and submitted by mail. Please note that submissions and inquiries vary depending on the target business. Please refer to the page of each business for details such as necessary documents. Please note that we may contact you or return if there are any deficiencies.

Last Updated August 28, 2023

Procedures by mail (submissions and inquiries are as shown in parentheses)

Subsidies for Medical Expenses for Pediatric Treatment (Ward Office, Insurance and Pension Division)

Medical Certificate for infant Grant Application Form (and Consent Form) Transfer of Child Medical Subjects registration form (PDF: 396KB)

Child medical expenses supply application (PDF version) (PDF: 1,415KB)

Child medical expenses supply application (Excel version) (Excel: 334KB)

Single-parent families (medical expenses OfficeInsurance and Pension Division)

Welfare Medical Certificate grant application (PDF: 1,015KB)

Transfer registration form (PDF: 299KB)

medical expenses Payment Application Form (PDF: 84KB)

medical expenses Support for Severely Disabled Persons (Ward Office Insurance and Pension Division)

Medical Certificate Grant Application for Severely Disabled Persons Transfer of Medical Targets for Severely Disabled Persons registration form (PDF: 108KB)

medical expenses Payment Application Form (PDF: 84KB)

Chronic Pediatric Disease medical care benefits (Ward Office, Children and Families Support Division)

Child chronic specific illness medical expenses supply authorization application "(new, continuation)" (PDF: 138KB)

Child Chronic Specific Disease medical care benefits Change / Reissue Notification (PDF: 199KB)

Child chronic specific illness medical expenses supply application (PDF: 217KB)

Severely ill patient certification application (PDF: 131KB)

Application for wearer such as respirators (PDF: 72KB)

Letter of consent (for income classification inquiry) (PDF: 234KB)

Letter of consent for the use of written opinion for research (PDF: 277KB)

Petition for income (PDF: 169KB)

Letter of consent (for confirmation of high medical costs and additional benefits) (PDF: 86KB)

medical care benefits System for Premature Infants (Ward Office Children and Families Support Division)

Childcare medical care benefits (New / Continuation) Application Form (PDF: 214KB)

Child care statement of opinion (PDF: 63KB)

Household Record (PDF: 67KB)

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.
To download Adobe Acrobat Reader DC