Routine vaccination request form for children

Routine vaccination request form

Meguro Ward will issue a "Routine Vaccination Request Form" to the mayor of the municipality where you are staying or the head of the medical institution where you are staying.
If you apply for a cost subsidy to the Vaccination Section of the Health and Prevention Division within one year after receiving the vaccination using the request form issued by Meguro Ward, you will receive a subsidy for part or all of the cost of the vaccination. In addition, it is subject to relief measures in the unlikely event that health damage occurs after vaccination.
It takes about 10 days to 2 weeks to issue the request form.

Items to confirm with the municipality of the place of stay

If you wish to have a “Routine Immunization Request Form” issued, please check in advance with the person in charge of vaccination at the municipality where you are staying regarding (1) to (3) below.
(1) Address to submit the “Routine Immunization Request Form” (to the mayor of the municipality or to the head of the medical institution)
(2) Presence or absence of vaccination costs (In some municipalities, Meguro residents may be vaccinated free of charge.)
(3) How to receive the vaccination slip and the procedure up to inoculation (methods and procedures differ depending on the municipality, so please check.)

Items to check with the medical institution where you are considering vaccination

Please check in advance with the medical institution where you are considering inoculations regarding (1) to (2) below.
(1) Presence or absence of vaccination during homecoming (2) Presence or absence of vaccination slip

Apply to Meguro Ward

At least 2 weeks before the scheduled vaccination date, please submit the "Routine Immunization Request Form Issuance Application" to the Immunization Section of the Health and Prevention Division by mail or at the counter, or apply using the electronic application below.
Electronic application (Tokyo joint electronic application/notification service)

Health Prevention Division

The entry example describes an application example of a schedule that generally inoculates between 2 months and 6 months after birth.

Routine immunization cost subsidy system for children such as homecoming

If you wish to receive routine immunizations in a municipality other than the 23 wards of Tokyo due to reasons such as a parent returning home to give birth or being hospitalized at a medical institution outside Tokyo for a long period of time, all or part of the vaccination costs will be subsidized upon application. increase.
In order to use the subsidy system, a "Routine Immunization Request Form" addressed to the medical institution or municipality in advance is required. Be sure to apply for issuance of a “Routine Immunization Request Form” to the Immunization Section of the Meguro Ward Public Health and Prevention Division before receiving vaccinations.

See the next page for details.

Routine immunization cost subsidies for children such as those returning home (for vaccinations after June 2020)

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Inquiries

Person in charge ofhealth prevention section vaccination is in charge of this page.

Address 〒153-8573 2-19-15 Kamimeguro, Meguro-ku

Telephone 03-5722-7047

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