For those who wish to be vaccinated outside of Inagi City

• As a general rule, vaccinations are requested at designated medical institutions in Inagi City.
• If you wish to receive vaccinations at a medical institution other than Inagi City's designated medical institution due to unavoidable circumstances, please complete the procedure for issuing a "Vaccination Request Form" in advance and receive the vaccination request form from the city. You can receive a refund (reimbursement) for the expenses related to.
• You can download the application for issuance of the vaccination request form from the following.

Those who have a resident registration in Inagi City on the day of vaccination and have difficulty getting vaccinated at a designated medical institution in the city for any of the following reasons.

1. When vaccination by a family doctor is necessary due to medical circumstances or a doctor's judgment
2. If you stay in another ward or municipality due to childbirth, illness, etc. and need to be vaccinated at a medical institution in your stay
3. If you are in a medical institution, welfare facility, etc. and it is difficult to get vaccinated at a designated medical institution
4. In addition, when the mayor deems it appropriate to inoculate at a medical institution other than the implementing medical institution

Note: Those who have a resident registration in Inagi City on the day of vaccination are eligible. Please be careful if you are planning to move out.

The following vaccinations are covered.
However, it is limited to those who have received a vaccination request form in advance and have been vaccinated while observing the target age and appropriate vaccination intervals.

• Hib
• pediatric pneumococcal
• Hepatitis B
• Five-way mix
• Four-way mix
• 3 kinds of mixture
• polio
• BCG
• rotavirus
• Measles-rubella mixture (MR)
• Chickenpox
• Japanese encephalitis
• Mixture of two
• cervical cancer
• elderly pneumococcus
• Elderly influenza (Note: For those who fall under the following 1 or 2, the cost subsidy will be provided from around mid-October to around the end of January of the following year. 1. People over 65 years old 2. Over 60 years old and under 65 years old and have a disability that severely restricts daily life due to heart, kidney, respiratory function, or immune function due to human immunodeficiency virus)
• Herpes zoster
• Mumps

1 Application for issuance of “Vaccination Request Form”

Please apply for issuance of the request form in advance when issuing the vaccination request form.
Please fill in the necessary items on the “Application for Vaccination Request Form” (A4 size) and submit it to the Health Division (Health Center) in person or by mail.
The application form for issuance can be obtained in one of the following ways:

• Download and print from above
• Handed over directly at the health center, Hirao/Wakabadai branch office
• Mail (Note: If you would like to mail, please contact the Health Center)

Note: If you wish to have the elderly pneumococcal vaccination or the elderly influenza vaccination outside the city, and if you fall under any of the following, please attach a certificate to the application form for issuance.

• Those receiving public assistance (public assistance receipt certificate)
• Recipients of support benefits for Japanese remaining in China, etc. (copy of identity verification card of support benefit certificate)
• Those aged 60 to 65 who have impaired heart, kidney, or respiratory function, or immune function due to human immunodeficiency virus (a copy of a grade 1 physical disability certificate)

Where to submit the application for issuance

Postal code 206-0804 112-1 Hyakumura, Inagi City Inagi City Health Center Inagi City Health Division Inoculation Section

2 Inagi City issues/sends a “vaccination request form” etc.

After Inagi City receives the grant application form, send the documents necessary for receiving vaccinations outside the city (vaccination request form, pre-examination form, vaccination cost subsidy application form, etc. ) to the address specified by the applicant. will be mailed to

• It takes about one week to ten days to issue a vaccination request form. I would like grant application procedure well in advance on the scheduled date of vaccination.

3 Vaccination at a medical institution

After receiving the documents sent by the city, please get vaccinated at a medical institution.
[What to bring on the day of vaccination]

1. Immunization request form
2. Preliminary examination slip of Inagi city
3. Identity verification documents (health insurance card, driver's license, etc.)
4. Maternal and child handbook or proof of vaccination

After completing the vaccination, pay the vaccination fee at the medical institution window, be sure to receive a "pre-examination ticket (for city copy) ", "receipt", and "vaccination certificate (for elderly people only) " , and apply for a subsidy to Inagi City. Please keep it in a safe place until you do.
Note: If you receive the cost subsidy system of Inagi City, you need to pay the vaccination cost once.

4 Application for vaccination subsidy to Inagi City

Documents required for application

• Pre-examination slip (for city copy)
• Receipt (original)
• Inagi City Vaccination Subsidy Application Form, etc.

Note: For details on the required documents, please check the documents sent by the city together with the vaccination request form.

Apply to

Please bring it to the Inagi City Health Center window or submit it by mail .
[Submit to]
Postal code 206-0804 112-1 Hyakumura, Inagi City Inagi City Health Center Inagi City Health Division Inoculation Section

Application deadline

Within 1 year after completion of vaccination Note 1: The application deadline for elderly pneumococcus may differ from the above. Please check the documents mailed by the city along with your vaccination request form for the application deadline.
Note 2: If applying by mail, please ensure that the documents arrive within the application deadline.

Subsidy amount

There is an upper limit to the amount of subsidy for vaccination costs. For details, please check the documents mailed from the city.

About grant decision

If you decide to receive the grant after applying, we will mail you the “Inagi City Vaccination Subsidy Grant Decision Notice” .
Note: If the subsidy cannot be paid because it does not meet the subsidy requirements, etc., we will mail a “Notification of Inagi City Vaccination Subsidy Denial Decision” stating that fact.

About payment

The grant will be transferred to the designated bank account approximately one month after the application date.

Regarding routine immunizations for children, the five cities in the Minami-Tama health and medical care zone (Inagi City, Hachioji City, Machida City, Hino City, and Tama City) signed an agreement in 2015, so the above procedures are unnecessary. . You can get vaccinated at any medical institution in each city.
Please check the link below for the medical institutions in the four neighboring cities.

• Hachioji City designated medical institution (external link)

• Machida City designated medical institution (external link)

• Hino City designated medical institution (external link)

• Tama City designated medical institution (external link)