Medical certificates, certificates, etc.

Weekday
Document reception from 8:30 to 17:00 (1st floor)
From 17:00 to 20:00　　 Emergency reception (1st basement floor)

Holidays
Emergency reception from 8:30 to 20:00 (1st basement floor)

※For documents that require the date of discharge, please apply after the date of discharge is determined.
※For documents that require the date of going to the hospital or the period of going to the hospital, please apply after going to the hospital or after the end of the period.
※Please apply for a medical certificate etc. for each Medical consultation fee.
※A medical certificate for the physically handicapped, a medical certificate for the after-effects, a personal card for clinical research to be prepared for the first time, and a medical certificate for submission to the Public Safety Commission requires a judgment on whether or not it can be prepared.
※In this hospital, hospitalization reception and document reception are installed together, so reception is very crowded in the morning when there are many inpatient receptions. If you come to the hospital only for application or receipt of documents, you can accept it with a relatively small waiting time if you come to the hospital before 9:30 am or in the afternoon.

Please submit the application form (PDF: 128KB) with the following documents. If there are documents specified by the insurance company, etc., please also submit those documents.
※Please use the application form (Excel: 26KB) when entering.

・patient's card Shinryo-ken
・Applicant's identity verification documents (health insurance card, driver's license, etc.)

・patient's card Shinryo-ken
・Applicant's identity verification documents (health insurance card, driver's license, etc.)
・Power of Attorney or Consent Form (original) of the patient

※The format does not matter if there is a description of the same purpose as the example.

As a general rule, the fee for preparing medical certificates etc. must be paid on the application date. If you are hospitalized, you will be charged together with the hospitalization fee.
In addition, cancellation or refund of the medical certificate etc. already described is not possible. However, if a medical certificate cannot be created at the discretion of the doctor, a refund will be made.

The method of handing over the medical certificate is by mail by letter pack or by hand at the counter. Please specify at the time of application.

When the medical certificate is completed, mail will be sent with letter pack plus (face-to-face receipt).
If you wish to deliver by mail instead of face-to-face pickup, you can also use letter pack light.
In addition to the fee for creating a medical certificate, a letter pack fee will be charged.

I will give it to you at the next place. Be sure to bring your voucher after the date of delivery and come to the counter.

Weekday
Document reception from 8:30 to 17:00 (1st floor)
From 17:00 to 20:00　　 Emergency reception (1st basement floor)

Holidays
Emergency reception from 8:30 to 20:00 (1st basement floor)