Physical Disability Certificate

This is a certificate necessary for individuals with physical disabilities to receive various forms of support. It is issued when recognized as corresponding to the types and degrees of disabilities defined by the Physical Disability Welfare Act. The grades of the certificate 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

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.

Physical Disability Certificate・Opinion Statement

Only doctors designated under Article 15 of the Physical Disability Welfare Act can create Physical Disability Certificates and Opinion Statements. The format varies depending on the type of disability. You can download it from below.

• Tokyo Physical Disability Center HP "Physical Disability Certificate Diagnosis and Opinion Statement"(External Link)

• Physical Disability Certificate / Opinion Statement (for Visual Impairment) (PDF 158.0KB)
• Physical Disability Certificate / Opinion Statement (for hearing, balance function, speech, language, or chewing function disabilities) (PDF 225.1KB)
• Physical Disability Certificate / Opinion Statement (for Physical Disabilities) (PDF 555.8KB)
• Physical Disability Certificate / Opinion Statement (for Cerebral Motor Dysfunction) (PDF 200.5KB)
• Physical Disability Certificate / Opinion Statement (for Cardiac Function Disability) for 18 years and older (PDF 182.9KB)
• Physical Disability Certificate / Opinion Statement (for Heart Function Disability) for Under 18 Years Old (PDF 164.8KB)
• Physical Disability Certificate / Opinion Statement (for renal function impairment) (PDF 149.2KB)
• Physical Disability Certificate / Opinion Statement (for Respiratory Function Disability) (PDF 161.4KB)
• Physical Disability Certificate / Opinion Statement (for bladder or rectal dysfunction) (PDF 221.5KB)
• Physical Disability Certificate / Opinion Statement (for Small Intestinal Dysfunction) (PDF 161.2KB)
• Physical Disability Certificate / Opinion Statement (for Immune Function Disorders) for Ages 13 and Above (PDF 207.1KB)
• Physical Disability Certificate / Opinion Statement (for Immune Function Disorders) for Under 13 Years Old (PDF 215.5KB)
• Physical Disability Certificate / Opinion Statement (for Liver Function Disorder) (PDF 180.8KB)
• Physical Disability Certificate / Opinion Statement (for chewing function disorders due to cleft lip and palate sequelae) (PDF 82.0KB)

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