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pregnancy related

Update date: April 1, 2024

Notes

  • It is in PDF file format, so please print it out and use it. Plain paper is recommended for printing, and print sizes of A4 and B5 are recommended. Do not use thermal paper or paper lining.
  • Please complete with black ballpoint pen or black ink (do not use erasable ballpoint pens).
  • If a seal is required, rubber stamps or stamps cannot be used.

Pregnancy notification form, etc.

File Download Opens in a new window.Pregnancy notification form (PDF: 626KB)

File Download Opens in a new window.Pregnancy Notification Form (Example) When the pregnant woman herself submits the notification (PDF: 802KB)

File Download Opens in a new window.Pregnancy Notification Form (Example) When someone other than the pregnant woman notifies the pregnant woman (PDF: 811KB)

File Download Opens in a new window.Pregnancy Notification Power of Attorney (PDF: 55KB)

Application related to subsidies for pregnant women's health checkups and subsidies for newborn hearing tests

File Download Opens in a new window.Application form for medical examination fee subsidy (PDF: 85KB)

File Download Opens in a new window.Example of filling out application form for medical treatment fee subsidy (PDF: 401KB)

File Download Opens in a new window.Consultation fee subsidy request form (PDF: 81KB)

File Download Opens in a new window.Example of how to fill out a medical consultation fee subsidy request form (PDF: 164KB)

Specific infertility treatment medical expenses subsidy application related

File Download Opens in a new window.Inagi City Specified Infertility Treatment Medical Expense Subsidy Application Form (Medical Expenses for Advanced Medical Infertility Treatment, etc.) (Form No. 1) (PDF: 282KB)

File Download Opens in a new window.Example of filling out the Inagi City Specified Infertility Treatment Medical Expense Subsidy Application Form (Medical Expenses for Advanced Medical Infertility Treatment, etc.) (Form No. 1) (PDF: 387KB)

File Download Opens in a new window.Inagi City Specified Infertility Treatment Medical Expense Subsidy Project Certificate of Consultation (Medical Expenses for Advanced Medical Infertility Treatment, etc.) (Form No. 2) (PDF: 127KB)

File Download Opens in a new window.Inagi City Specified Infertility Treatment Medical Expense Subsidy Project Certificate of Consultation (Advanced Medical Infertility Treatment, etc. Medical Expenses) (Form No. 2) Example (PDF: 254KB)

File Download Opens in a new window.Inagi City Specified Infertility Treatment Medical Expenses Subsidy Request Form (Medical Expenses for Advanced Medical Infertility Treatment, etc.) (Form No. 4) (PDF: 79KB)

File Download Opens in a new window.Example of filling out the Inagi City Specified Infertility Treatment Medical Expenses Subsidy Request Form (Medical Expenses for Advanced Medical Infertility Treatment, etc.) (Form No. 4) (PDF: 170KB)

File Download Opens in a new window.Inagi City Specific Infertility Treatment Subsidy Application (Advanced Medical Treatment Infertility Treatment, etc. Medical Expenses) Document Submission Checklist (PDF: 107KB)

File Download Opens in a new window.Inagi City Specified Infertility Treatment Subsidy Application (Medical Expenses for Advanced Medical Infertility Treatment, etc.) Common-law Marriage Application Form (Example) (PDF: 261KB)

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Inquiries about this page

Inagi City Child Welfare Department Oyako Comprehensive Support Center
112-1 Hyakumura, Inagi City, Tokyo (inside Inagi City Health Center)
Telephone: 042-378-3434 Fax: 042-377-4944

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Oyako Comprehensive Support Center Division

  • pregnancy related

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2111 Higashinagumanuma, Inagi City, Tokyo 206-8601
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