Tools related last updated: June 3, 2022 Benefits for people with disabilities staying at home are basic. Application is required before purchase or repair. prosthetic This program covers the cost of purchasing or repairing assistive devices such as eyeglasses, hearing aids, prosthetic limbs, wheelchairs, etc., to replace lost parts of disabled persons and help them lead a smooth life. ◆ Click here for types of assistive devices. Introduction to assistive devices (link) 1. Precautions when applying (1) Apply before purchasing or repairing. (2) A written opinion should be prepared by a designated doctor, and a written estimate by a registered trader. (3) Please attach an image when repairing or reissuing. Image attachment form (word) *Please contact the Welfare Office for the Disabled in each ward for information on designated doctors and registered assistive device vendors. 2. cost In principle, 10% copayment (there is a maximum monthly copayment amount according to income) ◎Since the cost of assistive devices includes expensive items, it is possible to select “receipt by proxy” to pay the public expense directly to the assistive device supplier. If you wish to receive on behalf of a prosthetic device, you will need to register for proxy receipt. *Guidelines for registration of prosthetic device suppliers involved in receipt of Shizuoka City prosthetic device costs ≪Please see here for the registration procedure. (Information) ≫ (1) Assistive device supplier registration application form (Form No. 1 (related to Article 3)) [Example] (2) Assistive device supplier registration change notification form (Form No. 3 (related to Article 6)) (3) Notification of discontinuation (suspension/resumption) of assistive device business (Form No. 4 (related to Article 6)) 3. Items required for application Please inquire in advance at the welfare office of each ward. Depending on the equipment, a medical certificate or statement of opinion may be required.・Physical disability certificate (1) Application form (2) Survey form (a document that asks you to fill in your family situation) (3) Statement of opinion: A document prepared by a designated doctor. Please submit when necessary. (4) Quotation: A written estimate for the applicant by the registered trader. (5) If you do not have an address in Shizuoka City as of January 1, please submit the municipal tax certificate for your previous address. If you are under 18 years of age, your spouse, the whole household ・Proof of income status (municipal tax certificate, etc.) ・Proof of household status (copy of resident card, etc.) Four. When the prosthesis is completed ・If you have made a statement based on the written opinion, please have the completed prosthesis checked by the designated doctor and get a signature on the supply ticket.・In order to confirm the completed assistive device, please attach an image when requesting the city for the public expense. Please contact Persons with Disabilities Support Promotion Section for billing of image attachment paper and public expenses. <Documents required for claiming> ・Prosthetic device cost supply ticket ・Prosthetic device cost payment request form and power of attorney for proxy receipt [Example]・Image of completed prosthetic device (main prosthetic device and when worn) daily life tools Convenience of daily life for severely disabled persons (children) at home, such as special beds, special mats, bath aids, clocks for the visually impaired, magnifying readers for the visually impaired, communication devices for the hearing impaired, dialysis heaters, etc. We will subsidize the cost of purchasing tools to plan 1. Precautions when applying (1) Apply before purchase. (2) The following equipment cannot be provided to persons covered by long-term care insurance. toilet bowl, toilet bowl railing special bed, special mat special urinal Posture changer, mobility lift, bathing aid, movement/transfer support equipment Home life movement aid 2. cost In principle, 10% copayment (there is a maximum monthly copayment amount according to income). 3. What you need for your application Depending on the equipment, a medical certificate or statement of opinion may be required. Please inquire in advance at the welfare office of each ward. ・Disabled Person's Handbook (1) Application form (2) Survey form (a document that asks you to fill in your family situation) (3) Quotation: A written estimate for the applicant by the registered trader. (4) Catalog of the equipment to be applied for (items with fixed prices) (excluding ostomy appliances and disposable diapers, etc.) (5) In the case of housing renovations, photos of the areas to be remodeled, plans before and after remodeling (6) If you do not have an address in Shizuoka City as of January 1, please submit a municipal tax certificate for your former address. (7) If you do not consent to the survey related to income status, etc., the following documents * If you are 18 years old or older, you and your spouse, and if you are under 18 years old, your entire household. ・Certificate of income status (municipal tax certificate, etc.) ・Proof of household status (copy of resident card, etc.) Inquiries and application counters regarding applications Aoi Welfare Office Disability Support Division 5-1 Otemachi, Aoi-ku, Shizuoka City 2F Aoi Ward Office Phone 054-221-1099 / FAX 054-254-6322 Suruga Welfare Office Disabled Persons Support Division 10-40 Minamiyawata-cho, Suruga-ku, Shizuoka City Suruga Ward Office 1F Telephone 054-202-5818 / FAX 054-287-8660 Shimizu Welfare Office Disability Support Division Shimizu Ward Office 1F, 6-8 Asahi-cho, Shimizu-ku, Shizuoka-shi Tel: 054-354-2106 / Fax: 054-352-0323 Inquiries about the system 〇 Inquiries about the assistive device system 〇 Independence Support Section, Support Promotion Division for Persons with Disabilities (Shizuoka Government Building New Building 15F) Phone: 054-221-1098 / FAX: 054-221-1108 〇 Inquiries about the system for daily life equipment 〇 Person with Disabilities Support Promotion Division Home Support Section (Shizuoka Government Building New Building 15F) Phone: 054-221-1587 / FAX: 054-221-1108
