Medical Certificates and Proof of Hospitalization

During your stay

To apply, please consult your ward clerk.
To receive the documents, please visit your ward clerk’s office. Office hours: 8:00 - 16:30
Documents necessary to apply: A receipt slip issued by the clerk when you apply.
If you would like someone other than yourself to receive the certificate, you will need a proxy.
If you would like your certificates mailed, please inform a clerk.

To apply, please visit the reception desk on the 1st floor of the K-Tower.
If you would like someone other than yourself to apply for the certificate, you will need to apply for a proxy.
To receive the documents, please visit the cashier counter located on the 1st floor of the K-Tower.
If you would like someone other than yourself to receive the certificate, you will need a proxy.

Enclose the documents stated below and send them via registered mail to the given address.

1

Designated form from the insurer
2

Document issue fees ( If you need the documents to send to an insurance company, the expense will be 7,700 yen including tax.
3

Document containing the following requirements (any format is acceptable)
a.Name of patient
b.Kameda Hospital ID number
c.The period (dates) you wish to be certified.
d.Contact address during daytime
e.If you have asked someone else to apply for the document, you will need to state the relation and proxy.
4

Copy of Kameda’s hospital ID card or copy of identification card (such as your driving license)
5

Proxy documents and a copy of the applicant’s identification ( for example a copy of their license)
6

Please include a postage paid envelope to send you the documents you requested.