What this document is
Immigration requires a health certificate on the official 参考様式第1-3号 form for every Tokutei change-of-status application. Your company's annual check-up sheet or a clinic's own form cannot substitute if any item is missing — the checklist states it must cover every examination item on the official form.
What it must show
- Form 参考様式第1-3号 (health check-up record) — filled, signed and stamped by the clinic
- Form 参考様式第1-3号別紙 (examinee's declaration) — you fill it in and SIGN BY HAND after the check-up
- Have EVERY item on the form examined (height/weight, vision & hearing, blood pressure, chest X-ray, blood test, urine test, ECG…)
- If the certificate is in a foreign language → a Japanese TRANSLATION must be attached
Where to get it
Any Japanese hospital or clinic that offers health check-ups. Call ahead: say you need a health check-up for a Specified Skilled Worker residence application and will bring the form. Not every clinic can do a chest X-ray and an ECG.
How to get it
- Download 参考様式第1-3号 from the Immigration Services Agency site (Specified Skilled Worker reference forms) and PRINT it
- Book an appointment; bring the form + your residence card — fast beforehand if the clinic requires it (blood test)
- Collect the results (usually a few days to 1-2 weeks), then write and sign the examinee's declaration
- Health check-ups are NOT covered by health insurance → you pay the full price, which varies by clinic; ask first
Notes
This is the slowest item in the whole file (booking + waiting for results) — start EARLY, not right before filing. An abnormal result is not an automatic refusal, but talk to your support organisation before submitting.