Documents Required for Your Hospital Stay

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Preparing for Your Hospital Stay (Booklet)

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・Please fill in the “Declaration Form”, “Verification of Hospital Admission History ”, and “Application for Patient Wear Rental and Diaper Service” in advance, and bring it with you at the time of your admission.

・The joint guarantor of the Declaration Form is limited to those who can bear the medical expenses etc. in a responsible manner, and who belongs to a different household from the guarantor of the patient’s identity (relatives, acquaintances, friends, siblings in different households, parents, children, etc.).

Required Information

  • Hospital card
  • My Number Card (Health Insurance Card or Eligibility Certificate)
  • Other medical certificates 　
(e.g., Eligibility Certificate for Ceiling-Amount Application [if applicable], Welfare Medical, Public Medical, etc.)
  • Declaration Form  and ADMISSION HISTORY
　※Please submit the application form  to Desk 35 at the Hospital Gown Rental Office, located on the 1st floor of the Outpatient Building.

  • Application for Rental Hospital Gown

  • Medical Set

Requests

  •  Please bring "Admission Information Handbook" with you during your stay.
  • If you do not present your My Number Card (Health Insurance Card or Eligibility Certificate), you may be required to cover all expenses yourself.
  • If your insurance eligibility or any related medical certificates are updated or changed, please present them to the admission counter immediately. 　Delayed presentation may result in your expenses not being covered by insurance.
  • If hospitalization is due to a traffic accident or work-related injury, please inform the admission counter, as different insurance may apply.