Physical Disability Certificate

This is a certificate necessary for people with physical disabilities to receive various types of support. It is issued when it is recognized that the type and degree of disability correspond to those stipulated in the Physical Disability Welfare Act. The certificate grades range from Grade 1 (most severe) to Grade 6 (mild).
The types of disabilities include visual impairment, hearing impairment, balance dysfunction, speech or language or chewing function impairment, physical disabilities, and internal function disorders.
In principle, there are no updates, but if changes are expected, such as a reduction in the condition of the disability, re-certification may be conducted after a certain period following the issuance of the handbook.

• Ministry of Health, Labor and Welfare Website "About Physical Disability Certificates"(External Link)

Type of Disability

1. Visual Impairment
2. Hearing or balance function impairment
3. Disability of audio function, language function, or chewing function
4. Physical Disability
5. Disability of heart, kidney, or respiratory function
6. Disability of bladder or rectal function
7. Disorder of Small Intestine Function
8. Impairment of immune function due to human immunodeficiency virus
9. Liver Function Impairment

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Application Method

Please bring the following items and apply at the Disability Welfare Division counter in principle.

1. Application Form (Available at the Disability Welfare Division counter)
2. Physical Disability Certificate and Opinion Statement (created by a designated physician as stipulated in Article 15 of the Disability Welfare Act within the last year)
3. Photo (4cm tall x 3cm wide. No hat, upper body, taken within one year from the application date)
4. My Number Card Related Documents

• Note: The application form is in the format of Tokyo Metropolis and is a carbon copy type, so it cannot be downloaded from the city website or other sources.
• Note: It may be possible to accept applications for services at the same time as the application for the notebook.
  In that case, depending on the services you are applying for, you will need documents that identify your personal account and a copy of your Health Insurance Card, among others. Additionally, there are eligibility requirements for the services, so please contact the Disability Welfare Division for more details.

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Physical Disability Certificate・Opinion Statement

Only doctors designated under the provisions of Article 15 of the Act on Welfare of Physically Disabled Persons are authorized to prepare the Physical Disability Certificate and Opinion Statement. The format varies depending on the type of disability. The forms can be downloaded from the website of the Tokyo Metropolitan Welfare Center for the Physically and Mentally Disabled below.

• Tokyo Metropolitan Physical and Mental Disability Welfare Center HP "Physical Disability Certificate and Opinion Statement"(External Link)

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Other Topics

• Based on the application, an examination will be conducted by Tokyo Metropolitan Government, and if a grade is determined, a handbook will be issued. There may be cases where a handbook is not issued, or where a grade different from that stated in the medical certificate or Opinion Statement is issued.
• It takes about 2 months until the notebook is issued.
• In the following cases, procedures will be required. For details about the procedures, please contact the Disability Welfare Division.
  1. When the situation of the disability changes or when adding new information
  2. When there are changes to your address or name
  3. When you lose or damage your notebook
  4. When the holder of the notebook passes away
  5. When you no longer qualify for the disability handbook

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