Article 1Persons defined by Order of the Ministry of Health, Labour and Welfare as referred to in item (i), Article 4 of the Medical Practitioners Act (Act No. 201 of 1948; hereinafter referred to as the "Act") are those who lack reasoning, decision making, and communication skills necessary to practice medicine in the proper manner due to impaired vision, hearing, phonation or verbal function or mental function.(Order of the Ministry of Health, Labour and Welfare No. 149 of 2001: addition)sticky_note_2

Article 1-2If the Minister of Health, Labour and Welfare finds that a person applying for a medical license falls under the category of a person defined in the preceding Article, and when making a decision whether or not to grant a license to the person, the minister must take into account the situation in which a medical practitioner with disabilities can practice medicine with the help of the aids which are actually used for their disabilities or levels of their disabilities are lowered by medical treatment which the person is actually receiving.

Article 1-3(1)The written application for a medical license referred to in Article 3 of the Order for Enforcement of the Medical Practitioners Act (hereinafter referred to as the "Order") is to be applied using a Form No. 1.

(2)Documents which must be attached to the written application referred to in the preceding paragraph pursuant to the provisions of Article 3 of the Order are as follows:

(3)If an applicant provides the date and place of the examination and the examinee's number for the National Examination which the applicant has passed in the written application referred to in paragraph (1), the documentation to be attached referred to in item (i) of the preceding paragraph may be omitted.

(4)The receipt of the registration and license tax or a revenue stamp equivalent to the amount of the registration and license tax must be affixed to a written application referred to in paragraph (1).(Order of the Ministry of Health and Welfare No. 14 of 1954: complete revision; Order of the Ministry of Health and Welfare Nos. 41 of 1954, 24 of 1967, 34 of 1981 and 39 of 2000: partial revision; Order of the Ministry of Health, Labour and Welfare No. 149 of 2001: the Former Article 1 is moved down to the next and partially amended; Order of the Ministry of Health, Labour and Welfare Nos. 25 of 2007 and 2 of 2013: partial revision)sticky_note_2

Article 2Particulars to be registered in a register of medical practitioners pursuant to the provision of item (xii) of Article 4 of the Order, other than the particulars set forth in items (i) through (xi) of that Article, are as follows:

Article 3(1)A written request for correction of a register of medical practitioners referred to in paragraph (2) of Article 5 of the Order must be accompanied by a transcript or extract of the family register (must be accompanied by a copy of the certificate of residence and documentation for identification verification and the reason for the request referred to in paragraph (1) of that Article in the case of a medium to long-term resident and a special permanent resident, or a copy of a passport or any other documentation for identification verification and documentation clarifying the grounds for the request referred to in that paragraph in case of a person set forth in any item of Article 19-3 of the Immigration Control and Refugee Recognition Act).

(2)The receipt of the registration and license tax or a revenue stamp equivalent to the amount of the registration and license tax must be affixed to a written request referred to in the preceding paragraph.(Order of the Ministry of Health and Welfare No. 14 of 1954: complete revision; Order of the Ministry of Health and Welfare No. 24 of 1967 and Order of the Ministry of Health, Labour and Welfare Nos. 25 of 2007 and 2 of 2013: partial revision)sticky_note_2

Article 3-2When a medical practitioner files a request to delete their registration in a register of medical practitioners pursuant to the provisions of paragraph (1) of Article 6 of the Order on the grounds that the practitioner falls under item (i) or (ii) of Article 4 of the Act, after the Minister of Health, Labour and Welfare has given notice under the provisions of paragraph (1), Article 15 of the Administrative Procedure Act (Act No. 88 of 1993) or after the prefectural governor has given notice under the provision of paragraph (1), Article 15 of the Administrative Procedure Act as applied mutatis mutandis pursuant to paragraph (6), Article 7 of the Act, to the medical practitioner pertaining to the disposition implemented against the medical practitioner to revoke their license pursuant to the provisions of paragraph (2), Article 7 of the Act, a doctor's certificate stating that the medical practitioner falls under item (i) or (ii) of Article 4 of the Act must be attached to the written application.(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2

Article 4A written request for replacement license referred to in paragraph (2) of Article 8 of the Order must be accompanied by a transcript or extract of the family register (a copy of a certificate of residence and documentation clarifying the grounds for the request referred to in paragraph (1) of that Article in the case of a medium to long-term resident and a special permanent resident, or a copy of a passport or any other documentation for identity verification and documentation clarifying the grounds for the request referred to in that paragraph in cases of a person set forth in any item of Article 19-3 of the Immigration Control and Refugee Recognition Act).(Order of the Ministry of Health and Welfare No. 14 of 1954: complete revision; Order of the Ministry of Health, Labour and Welfare Nos. 25 of 2007 and 2 of 2013: partial revision)sticky_note_2

Article 4-2The written request referred to in Article 9, paragraph (2) of the Order must be accompanied by a transcript or extract of the family register or a copy of a certificate of residence (limited to a copy providing the particulars set forth in Article 7, item (v) of the Act on Basic Register of Residents (the nationality, etc. specified in Article 30-45 of that Act in the case of a medium to long-term resident and a special permanent resident)) (or a copy of a passport or any other documentation for identify verification in cases of a person set forth in any item of Article 19-3 of the Immigration Control and Refugee Recognition Act).(Order of the Ministry of Health, Labour and Welfare No. 2 of 2013: addition)sticky_note_2

Article 5(1)The amount of the fee referred to in Article 9, paragraph (3) of the Order is 3,100 yen.

(2)A revenue stamp equivalent to the fee referred to in the preceding paragraph must be affixed to the written request for reissuance of the license referred to in Article 9, paragraph (2) of the Order.

Article 6(1)The term "every second year as specified by Order of the Ministry of Health, Labour and Welfare" in Article 6, paragraph (3) of the Act means every second year starting from 1982.

(2)When providing a notice pursuant to the provisions of paragraph (3) of Article 6 of the Act, the notice of the particulars to be provided in Form No. 2 must be provided.(Order of the Ministry of Health and Welfare No. 14 of 1954: complete revision; Order of the Ministry of Health and Welfare Nos. 44 of 1982 and 127 of 2000 and Order of the Ministry of Health, Labour and Welfare No. 149 of 2001: partial revision)sticky_note_2

Article 7The training specified by Order of the Ministry of Health, Labour and Welfare referred to in paragraph (1) of Article 7-2 of the Act are as follows:

Article 8A person who intends to undergo ethical training or technical training provided by the Minister of Health, Labour and Welfare (hereinafter referred to as "group training") must pay the fee specified respectively in the following items according to the categories set forth in the following items:

Article 9(1)A person to whom an order referred to in paragraph (1) of Article 7-2 of the Act (hereinafter referred to as the "order to take refresher course and training") for ethical training or technical training has been given (excluding group training; hereinafter referred to as "individual training") must prepare an individual training plan providing the following particulars and submit the plan to the Minister of Health, Labour and Welfare no later than 30 days prior to the date on which the person intends to start the individual training:

(2)When the person intends to prepare the individual training plan pursuant to the provisions of the preceding paragraph, the person must obtain the cooperation of the advisor/instructor in advance.

(3)When the person submits the individual training plan which has been prepared pursuant to the provisions of paragraph (1) to the Minister of Health, Labour and Welfare, the person must obtain the signature of the advisor/instructor proving that the individual training plan is appropriate, in advance.

(4)The Minister of Health, Labour and Welfare may give an order to revise the particulars provided in the individual training plan when the minister finds it necessary to provide refresher course and training in an appropriate way.

Article 10(1)Upon completion of the individual training, a person to whom an order to take refresher course and training for the individual training has been given must promptly prepare a written report on completion of the individual training providing the following particulars and submit the written report to the Minister of Health, Labour and Welfare:

(2)A copy of the Individual Training plan must be attached to the written report of completion of the Individual Training prescribed in the preceding paragraph.

(3)When the person submits the written report on completion of the individual training which is prepared pursuant to the provisions of paragraph (1) to the Minister of Health, Labour and Welfare, the person must obtain the signature of the advisor/instructor proving that the advisor/instructor acknowledges that the person to whom the order to take refresher course and training for the individual training has completed the individual training.

(4)When the Minister of Health, Labor and Welfare receives the written report on completion of the individual training submitted by the person pursuant to the provisions of paragraph (1) and acknowledges that the person to whom the order to take refresher course and training for the individual training has completed the individual training, the minister is to issue the certificate for completion on the individual training to the person.(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2

Article 10-2(1)A person who intends to be registered pursuant to the provisions of paragraph (2) of Article 7-2 of the Act must submit a written application using a Form No. 2-2, together with a copy of their medical license, to the Minister of Health, Labour and Welfare.

(2)A revenue stamp equivalent to the amount of the fee must be affixed to the written application referred to in the preceding paragraph.

(3)With regard to the application of the provisions of paragraph (1) to a person to whom an order to take refresher course and training for individual training, the term "their medical license" in that paragraph is deemed to be replaced with "their certificate of completion on individual training and their medical license".(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2

Article 10-3(1)A medical practitioner who is registered as those having completed the refresher course and training (hereinafter referred to as the "medical practitioner who is registered as those having completed refresher course and training") may apply for a replacement registration certificate of completion on refresher course and training when any of the particulars provided in the registration certificate for completion on refresher course and training has changed.

(2)When filing the application referred to in the preceding paragraph, the applicant must submit a written application using a Form No. 2-3, together with a copy of their registration certificate for completion on refresher course and training and a copy of their medical license, to the Minister of Health, Labour and Welfare.

(3)A revenue stamp equivalent to the amount of the fee must be affixed to the written application referred to in the preceding paragraph.(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2

Article 10-4(1)A medical practitioner who is registered as those having completed refresher course and training may request the reissuance of the registration certificate for completion on refresher course and training when the medical practitioner has torn off, soiled or lost the registration certificate for completion on refresher course and training.

(2)When filing the request referred to in the preceding paragraph, the requester must submit a written request using a Form No. 2-4, together with a copy of the medical license, to the Minister of Health, Labour and Welfare.

(3)A revenue stamp equivalent to the amount of the fee must be affixed to the written request referred to in the preceding paragraph.

(4)If a medical practitioner who is registered as those having completed refresher course and training has torn off or soiled their registration certificate for completion on refresher course and training and files the application referred to in paragraph (1), a copy of the registration certificate for completion on refresher course and training and a copy of their medical license must be attached to the written request.

(5)If a medical practitioner who is registered as those having completed refresher course and training finds their lost registration certificate for completion on refresher course and training, after their registration certificate for completion on refresher course and training has been issued, the medical practitioner must return the lost certificate to the Minister of Health, Labour and Welfare within five days.(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2

Article 11(1)The practical training related to medical care and public health specified in item (ii) of Article 11 of the Act must be received at a medical school at a university set forth in item (i) of Article 11 of the Act (including a university that is deemed to be a university referred to in item (i) of Article 11 of the Act pursuant to the provisions of Article 43 of the Act) or at a hospital which is affiliated to a research institute of the university, or at a hospital designated by the Minister of Health, Labour and Welfare and a health center or other facility for public health designated by the Minister of Health, Labour and Welfare; provided, however, that the practical training for public health at a health center or other facility must be provided for at least two weeks.

(2)Notwithstanding the provisions of the preceding paragraph, when special circumstances exist, the practical training related to medical care and public health under the provisions of item (ii), Article 11 of the Act may be received, in whole or in part, at a hospital or facility for public health in a foreign state that is deemed to be appropriate by the Minister of Health, Labour and Welfare.(Order of the Ministry of Health and Welfare No.18 of 1953: complete revision; Order of the Ministry of Health and Welfare Nos. 15 of 1968, 23 of 1972 and 127 of 2000: partial revision)sticky_note_2

Article 12The date and location of the National Examination and the Preliminary National Licensing Examination for Medical Practitioners (hereinafter referred to as the "Preliminary Examination") and the due date for filing an application for examination is announced to the public in advance.(Order of the Ministry of Health and Welfare No. 46 of 1951: partial revision)sticky_note_2

Article 13A person who intends to take the National Examination must submit a written application for examination (Form No. 3), together with the documentation set forth in the following items, to the Minister of Health, Labour and Welfare:

Article 14(1)The Preliminary Examination is divided into the Part 1 Exam and Part 2 Exam, and Part 2 Exam is further divided into a written exam and a practical exam, and the subject content of the respective examinations are as follows:

(2)A person who does not pass the Part 1 Exam may not take the Part 2 Exam.

(3)A person who does not pass the written exam of the Part 2 Exam may not take the practical exam of the Part 2 Exam.(Order of the Ministry of Health and Welfare No. 26 of 1972: complete revision; Order of the Ministry of Health and Welfare Nos. 22 of 1981 and 59 of 1992 and Order of the Ministry of Health, Labour and Welfare No. 138 of 2008: partial revision)sticky_note_2

Article 15A person who intends to take the Preliminary Examination must submit a written application for examination (Form No. 3), together with the documentation set forth in items (iii) and (iv) of Article 13 (the ((i-yo)) symbol, instead of the ((i)) symbol, must be written on the backside of the documentation referred to in item (iv)), to the Minister of Health, Labour and Welfare.(Order of the Ministry of Health and Welfare No. 22 of 1981: complete revision; Order of the Ministry of Health and Welfare No. 127 of 2000 and Order of the Ministry of Health, Labour and Welfare No. 149 of 2001: partial revision)sticky_note_2

Article 16(1)A person applying for the National Examination must pay a fee of 15,300 yen.

(2)A person applying for the Preliminary Examination must pay a fee of 70,000 yen (or 35,000 yen if the person only applies for either the Part 1 Exam or the Part 2 Exam).(Order of the Ministry of Health and Welfare No. 10 of 1949: complete revision; Order of the Ministry of Health and Welfare Nos. 18 of 1972, 40 of 1975, 11 of 1978, 22 of 1981, 25 of 1984, 14 of 1987, 14 of 1989, 10 of 1991, 19 of 1994, 25 of 1997 and 55 of 2000: partial revision)sticky_note_2

Article 17A certificate of passing the examination is given to a person who has passed the National Examination or the Preliminary Examination.

Article 18(1)A person who has passed the National Examination or the Preliminary Examination may file an application for the certificate of passing the examination.

(2)A person who files an application for the certificate of passing of the examination pursuant to the provisions of the preceding paragraph must pay a fee of 2,950 yen.(Order of the Ministry of Health and Welfare Nos. 15 of 1968, 40 of 1975, 11 of 1978, 25 of 1984, 14 of 1987, 10 of 1991, 19 of 1994, 25 of 1997 and 55 of 2000: partial revision)sticky_note_2

Article 19When paying the fee, a revenue stamp equivalent to the amount of the fee must be affixed to the written application.

Article 20(1)Medical practitioners must provide the following particulars in a death certificate or certificate of postmortem examination issued by them and affix their name and seal or signature to the certificate:

(2)The descriptions under the provisions of the preceding paragraph must be provided by using a Form No. 4.(Order of the Ministry of Health and Welfare Nos. 42 of 1949, 31 of 1967, 37 of 1979, 22 of 1981, 61 of 1988, 49 of 1990, 68 of 1994 and 91 of 1999: partial revision)sticky_note_2

Article 21When issuing a prescription to a patient, the medical practitioner must provide the name and age of the patient, the name, quantity, dosage and administration of the medicine, the issuance date of the prescription, the period of use, and the name and location of the hospital or clinic or the address of the medical practitioner, and their name and seal or signature must be affixed to the prescription.

Article 22On the container or package of medicine provided to a patient, the medical practitioner must clearly describe the dosage and administration of the medicine, the date on which the medicine is provided, the name of the patient, and the name and location of the hospital or clinic or the address and name of the medical practitioner.

Article 23The particulars described in a medical record are as follows:

Article 23-2A certificate referred to in paragraph (2) of Article 7-3 of the Act must be issued by using a Form No. 5.(Order of the Ministry of Health, Labour and Welfare No. 25 of 2007: addition)sticky_note_2