Medical care for the latter-stage elderly

It is in PDF file format, so please print it out and use it.
Note: For documents 2, 3, and 14 below, if someone other than the applicant himself/herself brings them to the counter, please bring something that can verify the identity of the person who brings the application form.

Note: Plain paper is recommended for print paper, and A4 is recommended for print size.
Thermal paper for thermal printers cannot be accepted.