Medical system
Medical System
Keldsen Family Clinic is a designated medical institution under the Welfare Medical Subsidy Program.
Treatment for conditions in the fields of Psychosomatic Medicine and Psychiatry often requires regular, ongoing outpatient care, which can lead to significant medical expenses. To help ease this financial burden and make it easier to access care, a public assistance program exists that covers a portion of outpatient medical costs — including consultations, tests, and medications — under the Welfare Medical Subsidy Program (Mental Health Outpatient Care). With this program, your out-of-pocket cost is just 10%, regardless of your insurance type. (A monthly cap on total out-of-pocket expenses also applies, based on income.)
Certain conditions must be met to receive benefits, and a Medical Certificate from your doctor is required. If you are interested, please speak with your doctor or our front desk. We will prepare the Medical Certificate, and you will then gather the remaining required documents and complete the application at your local municipal office. Please note that you will need to designate a specific medical institution and pharmacy when applying — the 10% co-pay rate applies only at those designated locations.
Your 10% co-pay rate takes effect from the date your application is submitted. After that, please present your Welfare Medical Subsidy Certificate at the front desk at each visit. The certificate is valid for one year, so please remember to renew it annually if needed. (A Medical Certificate from your doctor is required once every two years for renewal.) If you have any questions, please don't hesitate to ask our front desk staff.
The Mental Disability Welfare Certificate is a program designed to support the independence and social participation of individuals who continue to experience significant limitations in daily or social life six months or more after their first medical consultation. Certificates are issued in three grades based on the degree of impact on daily and social functioning: Grade 1 — the most severe disabilities, typically requiring constant care; Grade 2 — requiring substantial support in daily life; Grade 3 — some limitations in daily life or social activities, but with a degree of independent functioning possible. The benefits and discounts available may vary by grade. Certificate holders may be eligible for discounts on public utilities, tax exemptions and reductions, employment under disability hiring quotas, and priority access to public housing, among other supports. At Keldsen Family Clinic, we issue Medical Certificates for eligible patients applying for the Mental Disability Welfare Certificate. Please feel free to speak with us.
The Disability Pension Program is a pension benefit program for individuals whose daily life or ability to work has been significantly affected by a psychiatric condition. Its purpose is to provide financial support as part of a broader social safety net for those living with persistent mental health disabilities. The program is available to individuals recognized as having difficulty with daily life or employment due to a psychiatric condition. Eligible conditions may include Schizophrenia, Depression, Bipolar Disorder, developmental disorders, and others.
To be eligible for benefits, the following conditions must be met:
The Disability Pension Program uses a grading system based on the severity of disability, and the amount of pension paid varies by grade. In general, recipients are classified into Disability Grade 1, Disability Grade 2, or Disability Grade 3.
At Keldsen Family Clinic, we issue Medical Certificates for eligible patients applying for the Disability Pension Program. Please feel free to speak with us.
Documents
A medical certificate in which the physician confirms that the patient needs to take a leave of absence from work (or school) in order to focus on their recovery.
A medical certificate in which the physician confirms that a patient who has been on leave of absence is now fit to return to work.
The Sick Pay Allowance is a benefit provided by health insurance when illness makes it difficult to work. Your attending physician will complete the required fields in the designated section of the application form.
When registering for job-seeking services or handling unemployment insurance procedures at Hello Work, you may be required to submit an Attending Physician's Opinion Letter or an Illness & Injury Certificate. Below is an overview of each document and how to obtain them.
The Attending Physician's Opinion Letter is a document in which the physician evaluates and records the stability of symptoms and the patient's ability to work, for individuals with a mental disability registering for job-seeking services at Hello Work. This allows Hello Work to provide appropriate job placement support.
The Illness & Injury Certificate is a document in which the physician certifies that a job seeker is unable to work due to illness or injury. It is used when applying for unemployment insurance sick benefits or when justifying a temporary suspension of job-seeking activities.
Individuals enrolled in unemployment insurance who become unemployed and register for job-seeking services at Hello Work may be eligible to receive basic unemployment benefits. If you are unable to work due to illness or other reasons, submitting an Attending Physician's Opinion Letter or Illness & Injury Certificate to Hello Work may allow you to receive benefits for up to three years.
A document in which the physician certifies that a job seeker is fit to work. This certificate may be required during unemployment insurance benefit procedures or when applying for jobs.
Unemployment Insurance Benefits: This certificate is submitted to confirm that you are fit to work when resuming job-seeking activities after having extended your unemployment insurance benefit period due to illness or injury.
Job Applications: Some employers may request this certificate as proof of your health status when you apply for a position.
We provide the following at our clinic:
Please feel free to reach out to us with any questions.
For details on these programs, please refer to our Medical Systems & Certificates page.
For certificate fees, please refer to our Fees page.
Please note that the following medical certificates are not available on your first visit. We appreciate your understanding.
For any other questions regarding medical programs or certificates, please don't hesitate to ask our front desk.
| Document Format | Document Name | Issuance | Fee (tax included) |
|---|---|---|---|
| Clinic Format | Medical Certificate (Clinic Format – Japanese) | Same Day | 5,500JPY |
| Medical Certificate (Clinic Format – English) | Same Day | 8,800JPY | |
| Insurance-Covered (30% Co-pay) | Sick Pay Allowance Application Form (Health Insurance) | Same Day | 300JPY (Insurance Applies) |
| Sick Pay Allowance Application Form (National Health Insurance, etc.) | Same Day | 6,600JPY | |
| Medical Referral Letter (Addressed to a Medical Institution) | Same Day | 750JPY (Insurance Applies) | |
| 診療情報提供書(医療機関以外、産業医、民間カウンセラーなど) | Same Day | 2,500JPY | |
| External Organization Format | Certificate for Welfare Medical Subsidy Program Application | Approx. 1 Week | 5,500JPY |
| Certificate for Mental Disability Welfare Certificate Application | Approx. 1 Week | 8,800JPY | |
| Certificate for Disability Pension Program Application | Approx. 1 Week | 11,000JPY | |
| Medical History Certificate (for Pension and Benefit Claims) | Same Day | 6,600JPY | |
| Attending Physician's Opinion Letter (Hello Work Format) | Same Day | 4,400JPY | |
| Work Capability Certificate (Hello Work Format) | Same Day | 4,400JPY | |
| Medical Certificates for Insurance Company Submission | Same Day | 4,400JPY | |
| Driver's License Medical Certificate | Same Day | 4,400JPY | |
| Firearm Permit Medical Certificate | Same Day | 4,400JPY | |
| Cosmetology License Certificate (for Beautician's License) | Same Day | 4,400JPY |
Please feel free to contact us for any certificates not listed above.
Clinic Information
Medical Information
Medical Hours
| Mon | Tue | Wed | Thu | Fri | Sat | Sun | |
|---|---|---|---|---|---|---|---|
| 9:00〜12:30 | |||||||
| 14:30〜18:00 |
Parking Information
We do not have a dedicated parking lot, but you are welcome to use our partner parking facilities nearby.
When you visit, simply let our front desk know and we will provide you with a Free Parking Ticket.
Free Parking Ticket: 40 min. free
| Daily Max | ¥600 / 24 hrs after entry |
Free Parking Ticket: 30 min. free
| Daily Max | ¥1,100 / 24 hrs after entry |
※ Parking rates are subject to change. Please check the posted signs at each parking facility for the latest information.
