With revision of law about the prevention of infectious disease and medical care for patient of infectious disease, office work such as designation of tuberculosis medical institution was transferred from Tokyo on April 1, 2012. The place to apply is the public health center that has jurisdiction over the medical institution.

1. When applying for a new designated medical institution

Applicant

Owners of hospitals, clinics or pharmacies

Designated date

1. The day it became a designated medical institution Designated date Publicly funded medical care cannot be provided until after this date. If you wish to designate an earlier date, please attach a "retroactive request".
   *Retroactive may not be possible.
2. In the case of reapplication after withdrawal, it will be a non-designated medical institution until the date of redesignation is decided.
   If the public-funded patient is undergoing medical treatment, please submit a "retroactive request" together so that the designated date will continue.

Application documents

Tuberculosis designated medical institution designation application etc.

Attached document

Documents confirming that you are a medical institution [Copy of opening permit (notification form)]
Notes
Please write your address exactly as it appears on your address, such as ○-chome, ○-number, ○○ building, ○ floor.

2. When withdrawing from a designated medical institution

Applicant

The founder of a designated medical institution (if the founder is deceased, his/her family)

Decline date

day to quit

Application documents

Tuberculosis designated medical institution refusal notice

Attached document

Medical institution designation
(If you lose it, attach "Notification of Loss of Designated Medical Institution for Tuberculosis")

3. When there is a change in the specified contents

If there is a change in the name or location of the medical institution that has already been designated, you will need to submit a notification of the change. Please note that the procedure differs depending on the content of the change.

1. If you decline the current designation and apply for a new designation

1. When the founder changes (e.g. parent → child, change of legal entity, etc.)
2. When the founder changes from an individual to a corporation (including so-called "one-person medical corporations") or from a corporation to an individual.
3. When relocating a medical institution (including temporary relocation due to extension or renovation)
4. When changing a clinic to a hospital or a hospital to a clinic

Applicant

The founder of a designated medical institution (if the founder is deceased, his/her family)

Application documents

1. Tuberculosis Designated Medical Institution Refusal Form( 2. When withdrawing from a designated medical institution (see
2. Medical institution designation
   *If you have lost your certificate, please attach a “Notification of Loss of Certificate of Institution Designated for Tuberculosis”.
3. Tuberculosis designated medical institution designation application ( 1. When applying for a new designated medical institution (see
   *Includes attached documents for new applications.

2. When submitting a notification of change

1. When simply changing the name of the medical institution.
2. When there is a change in the name of the location name of the medical institution and the lot number due to a change in the residential address, etc.
3. When there is a change in the name of the founder due to marriage, adoption, change of corporate name, etc.
4. When there is a change in the address of the founder.

Applicant

Establisher of designated medical institution

Application documents

1. Tuberculosis designated medical institution notification of change
2. Medical institution designation
   (If you lose it, attach "Notification of Loss of Designated Medical Institution for Tuberculosis")

change date

date of change
remarks
In the case of change of representative of corporation, report is unnecessary.

Place of submission

Infectious Disease Control Division, 3rd floor, Itabashi Public Health Center
* Submission by mail is possible.

responsible person

Itabashi Ward Public Health Center Infectious Disease Control Division Infectious Disease Office Phone number 03-3579-2321

※Issuance of designation certificate for tuberculosis designated medical institution is at the contact point of Itabashi Ward Public Health Center Infectious Disease Control Division.