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Applications and notifications style of designated independence support medical institution (mind going to hospital medical care)

The last update date:
 

   When designated application of designated independence support medical institution (mind going to hospital medical care) based on law (person with a disability synthesis support law) to support everyday life of person with a disability and social life generally, update application, change, the abolition, refusal of appointment contents are done, procedure is necessary by the following division.

 

 When appointment of designated independence support medical institution (mind going to hospital medical care) or update is applied for, please submit every following required document to Disabled Persons Welfare Division by 25 days a month (open agency day after that first in the case of closed days). (possible mail)


  When we admit that it is suitable, we appoint on 1st in the next month.

 

 Appointment independence support medical institution (mind going to hospital medical care) medical treatment charge official regulations, the designated point


 

Hospital or medical office

 When, at hospital or medical office, designated application of designated independence support medical institution (mind going to hospital medical care), update application, change, the abolition, refusal of appointment contents are done, from style of each following please submit.
 
 ・In the case of change (from private management corporation change to management, transfer of business rights) of establisher, we have you submit the abolition notification form by old establisher and will have you submit written applications for designation by new establisher.
 
・When medical institution cord is changed with name of insurance medical institution or change of the location, we will have you submit the abolition notification form and written applications for designation of insurance medical institution appointed now by establisher of insurance medical institution to establish newly.
 
・We will have you submit change notification form by establisher in the case of the location of corporation which is establisher, change of representative.
 
 

Designated application

 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) written application for designation (style 1-(1))
 ・Written oath
 ・Record of qualifications and experience (attached sheet 1) of doctor mainly in charge of
 ・Full name, the date of birth of officer and address (attached sheet 2)
 ・Copy of doctor driver's license of doctor mainly in charge of
 

Change

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) change notification form (style 2-(1))

 ・Record of qualifications and experience (attached sheet 1) of doctor mainly in charge of

 ・Full name, the date of birth of officer and address (attached sheet 2)

 ・Copy of doctor driver's license of doctor mainly in charge of

 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned.

  


 

The abolition (business closings of insurance medical institution)

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) abolition notification form

 


 

Refusal (if we do not mainly meet designated requirements by the retirement of doctor in charge of equal)

 When you decline, please submit refusal offer book more than one month of refusal day ago.

 

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) refusal offer book

 


 

Designated update application

 Appointment updates six years before passing, and please apply for designated independence support medical institution in designated one which will cease to be effective from designated date if you do not receive the update every six years.

 
 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) appointment update application (style 3-(1))
 ・Written oath
 ・Full name, the date of birth of officer and address (attached sheet 2)
 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned.
 


 

Pharmacies

 When, in Pharmacies, designated application of designated independence support medical institution (mind going to hospital medical care), update application, change, the abolition, refusal of designated contents are done, from style of each following please submit.
 
 ・In the case of change (from private management corporation change to management, transfer of business rights) of establisher, we have you submit the abolition notification form by old establisher and will have you submit written applications for designation by new establisher.
 
・When medical institution cord is changed with name of health insurance pharmacy or change of the location, we will have you submit the abolition notification form and written applications for designation of health insurance pharmacy appointed now by establisher of health insurance pharmacy to establish newly.
 
・We will have you submit change notification form by establisher in the case of the location of corporation which is establisher, change of representative.
 
 

Designated application

 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) written application for designation (style 1-(2))
 ・Written oath
 ・Record of qualifications and experience (attached sheet 1) of pharmacist
 ・Full name, the date of birth of officer and address (attached sheet 2)
 ・Copy of pharmacist driver's license of pharmacist

 


 

Change

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) change notification form (style 2-(2))

 ・Record of qualifications and experience (attached sheet 1) of pharmacist

 ・Full name, the date of birth of officer and address (attached sheet 2)

 ・Copy of pharmacist driver's license of pharmacist

 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned.

 


 

The abolition (the shut station of health insurance pharmacy)

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) abolition notification form

 


 

Refusal (cases that Pharmacies itself continues, but declines designation of independence support medical institution)

 When you decline, please submit refusal offer book more than one month of refusal day ago.

 

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) refusal offer book

Designated update application

 Appointment updates six years before passing, and please apply for designated independence support medical institution in designated one which will cease to be effective from designated date if you do not receive the update every six years.

 
 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) appointment update application (style 3-(2))
 ・Written oath
 ・The reception desk situation (attached sheet 3) of prescription
 ・Full name, the date of birth of officer and address (attached sheet 2)
 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned. 

Temporary nursing at home stations

 When, in temporary nursing at home stations, designated application of designated independence support medical institution (mind going to hospital medical care), update application, change, the abolition, refusal of designated contents are done, from style of each following please submit.
 
 ・In the case of change (from private management corporation change to management, transfer of business rights) of establisher, we have you submit the abolition notification form by old establisher and will have you submit written applications for designation by new establisher.
 
・When office number is changed with names such as temporary nursing at home stations or change of the location, we will have you submit written applications for designation such as the abolition notification forms such as temporary nursing at home stations appointed now by establisher and temporary nursing at home station to establish newly.
 
・We will have you submit change notification form by establisher in the case of the location of corporation which is establisher, change of representative.
 
 

Designated application

 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) written application for designation (style 1-(3))
 ・Written oath
 ・The fixed number (attached sheet 1) of the staff
 ・Full name, the date of birth of officer and address (attached sheet 2)

Change

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) change notification form (style 2-(3))

 ・The fixed number (attached sheet 1) of the staff

 ・Full name, the date of birth of officer and address (attached sheet 2)

 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned.

The abolition (business closings such as temporary nursing at home stations)

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) abolition notification form 

Refusal (if we do not meet designated requirements by the retirement of the staff equal)

 When you decline, please submit refusal offer book more than one month of refusal day ago.

 

 Submission documents

 ・Designated independence support medical institution (mind going to hospital medical care) refusal offer book

 

Designated update application

 Appointment updates six years before passing, and please apply for designated independence support medical institution in designated one which will cease to be effective from designated date if you do not receive the update every six years.
 
 Submission documents
 ・Designated independence support medical institution (mind going to hospital medical care) appointment update application (style 3-(3))
 ・Written oath
 ・The fixed number (attached sheet 1) of the staff
 ・Full name, the date of birth of officer and address (attached sheet 2)
 ※About matter which change does not produce from application (including change Notifecations) point of latest designation, we can omit attached documents pertaining to the matter concerned.
 

 Word Designated update application documents (designated temporary nursing at home companies) We open with the other window(word: 22.9 kilobytes)


   Submission of application

 〒840-8570
 1-1-59, Jonai, Saga-shi
 Saga Department of Health and Welfare Disabled Persons Welfare Division mental health welfare charge

 

 

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Saga prefectural government office (corporation number 1000020410004) 〒 840-8570  1-1-59, Jonai, Saga-shi   Tel: 0952-24-2111 (main)     
Copyright© 2016 Saga Prefecture.All Rights Reserved.

Saga prefectural government office (corporation number 1000020410004)

〒840-8570
1-1-59, Jonai, Saga-shi
Tel: 0952-24-2111 (main)
Copyright© 2016 Saga Prefecture.All Rights Reserved.