Issuance of medical certificate / certificate
Hours
If you would like various medical certificates or certificates, please request them at the medical certificate reception desk No. XNUMX.
Please note that it will take approximately XNUMX-XNUMX weeks to issue the documents.
If someone other than yourself applies, a power of attorney and identification (driver's license or insurance card) are required.
We do not accept applications by phone or mail, as we cannot verify your identity.
Those that get bring
- Patient registration card
- If you have a designated form such as a medical certificate or certificate, please bring it with you.
We can also mail the documents to your home.
In that case, a separate postage fee will be charged.
Price list
* Side-scrolling is possible
Various documents | Amount (tax included) |
---|---|
Hospital-style general medical certificate [workplace, school, police, etc.] | 3,300 Yen |
English medical certificate [including in-hospital medical certificate] | 7,700 Yen |
Life insurance-related medical certificate (including postal insurance) | 6,600 Yen |
Hospital visit certificate [includes details of medical treatment, etc.] | 3,300 Yen |
Hospital visit certificate [Only the date and number of days of hospital visit] | 1,100 Yen |
Traffic accident medical certificate [non-life insurance, JA, etc.] | 7,700 Yen |
Statement [non-life insurance, JA, etc.] | 3,300 Yen (for one month) |
Medical certificate for residual disability certification such as compulsory automobile liability insurance [Including copy film fee] |
7,700 Yen |
Medical Certificate/Written Opinion for Certification of Physically Disabled Persons [A3 size] | 7,700 Yen |
Medical Certificate for Pension (Citizens/Welfare/Disabled) [A3 size, both sides] | 7,700 Yen |
Clinical survey individual form for specific disease certification [first time] | 3,300 Yen |
Clinical Survey Individual Card for Specified Disease Certification [Continued] | 2,200 Yen |
Medical certificate for license application (permission to possess guns, barber/beautician, pharmacist, etc.) | 3,300 Yen |
Death certificate (autopsy report) 1st copy [4 copies of A2 size] | 6,600 Yen |
Death certificate (autopsy report) 2nd copy [A3 size municipal death notification] | 2,200 Yen |
Death certificate (autopsy report) 3rd or later [original certificate by hospital director] | 1,100 Yen |
Life insurance-related death certificate / autopsy report (A3 size, A4 size, both sides) | 11,000 Yen |
Medical condition inquiry response form from life insurance company, non-life insurance company, research company, lawyer, etc. | 8,800 yen (per sheet) |
Copy film [X-ray, CT, MRI, etc.] | 1 yen per sheet |
Nursery School/Kindergarten/School Certificate of Healing | Free |
Status of medical care, etc. | Free |