Medical certificate (child)

It is in PDF file format, so please print it out and use it.
Note: Plain paper is recommended for printing paper, and A4 is recommended for printing size.
Thermal paper for thermal printers cannot be accepted.

We will refund the medical expenses paid to the medical institution (the self-paid portion of insured medical treatment).
Please apply following the instructions at the link.

Note : Applications must be submitted within 5 years from the day after the payment of medical expenses and within the validity period of the medical certificate.
Note : If you have other special medical expenses, you may need additional documents, so please inquire at the Child Care Support Division.
Note : It takes about two months from application to payment (account transfer).

The above documents can also be submitted by mail.
Please check the attached documents on the website and submit them without any omissions, seal omissions, or incomplete attachments.

The reception date by mail will be the date the application/notification arrives at the city hall.
If the date of arrival at the city office is delayed due to a postal accident, etc., the date of entitlement to receive the benefits may be delayed (the month in which you start receiving benefits or the start of the period of validity of your medical certificate may be delayed). In order to ensure that the application form/notification reaches the city hall, please send it by specific record/simple registered mail.
In addition, if there are any deficiencies in the application or notification, we will contact you by phone or letter at a later date. Be sure to fill in your address, name and phone number.