Medical care for the elderly in later stages of life

It is in PDF file format, so please print it out and use it.
Note: If the following documents 2, 3, and 14 are brought to the counter by someone other than the applicant, please bring something that can be used to verify the identity of the person bringing the application form.

Note: We recommend plain paper and A4 print size.
Thermal paper for thermal printers cannot be accepted.