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Patient
① Patient’s ID
※ Generally from age 10 and up (if capable of decision-making),
the patient may apply directly with their ID.
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Parent with parental authority over
a patient under 19
① ID of the parent with parental authority
② Documents verifying parental authority (family relations certificate, etc.)
※ Generally from age 10 and up (if capable of decision-making),
the patient may apply directly with their ID.
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Patient’s relatives
(patient’s spouse, patient’s
lineal ascendants and descendants, spouse’s
lineal ascendants)
① Applicant’s ID
② Copy of the patient’s ID (if age 17 or older)
③ Documents verifying the family relationship (certificate of resident registration or family relations certificate, etc.)
④ Consent form signed by the patient in handwriting (if age 14 or older)
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Proxy
(siblings, insurance company staff,
daughter-in-law, son-in-law, etc.)
① Applicant’s ID
② Copy of the patient’s ID
③ Consent form signed by the patient in handwriting
④ Letter of authorization signed by the patient in handwriting
※ If authorized by the parent with parental authority over a patient under age 19,
① Applicant’s ID
② Copy of the ID of the parent with parental authority
③ Documents verifying parental authority (family relations certificate, etc.)
④ Consent form handwritten and signed by the parent with parental authority
⑤ Letter of authorization handwritten and signed by the parent with parental authority