Roppongi Mental Clinic六本木メンタルクリニック
English top > Sick leave

Taking sick leave
from work

We write the certificate your employer needs, and the monthly statement for the sickness allowance.

Our doctor has worked as an occupational physician — he has sat on the company side as well, and knows what an employer is actually looking for in these documents.

Stopping work in Japan is mostly a paperwork process. Two different documents, from two different systems, are usually needed — and they are easy to confuse.

Two documentsWhat you will actually need

Medical certificate
shindansho
For your employer. States that you need to rest, and for how long. Same day. ¥6,600.
Sickness allowance statement
shoubyou teate kin
For your health insurance. Certifies the period you were unable to work. Same day. No document fee — it is covered by insurance.
  • Bring the insurer's own form. Each health insurance society uses a different one.
  • Full fee list on the certificates page.

Sickness allowanceHow shoubyou teate kin works

This is paid by your health insurance, not by your employer and not by the clinic.

Three parties fill in one form. You, your employer, and your doctor. All three parts are needed before it can be submitted — the doctor's section alone is not enough.

It covers the 4th day onward after three consecutive days unable to work. Those first three days include paid leave, weekends and public holidays; whether you were paid does not matter. If you work on the third day, the waiting period does not complete.

It is payable for up to 18 months in total from the first day of payment.

You will usually submit it every month, which is why we write it during the consultation rather than asking you to come back.

  • We can only certify periods we have actually seen you. Not before your first visit here, and not periods treated at another clinic. This is how the system works, not a clinic policy.
  • Amounts, eligibility and how to submit are decided by your insurer and your employer. We cannot answer those.

TimingCome earlier rather than later

The most common problem we see is people coming after they have already stopped going to work for several weeks. Those weeks cannot be certified.

If you are starting to think about stopping, that is already a good time to come.

Coming backReturning to work

Going back is not a single date. We can discuss when, and which duties first.

  • We write the fitness-for-work opinion your employer needs to accept you back.
  • We can write to, or speak with, your company's occupational physician or HR when that is needed.
  • A work information sheet (kinmu jouhou teikyousho), used to ask for adjusted duties, is also available.

Cost while off workReducing what you pay

Time off usually means less income and more medical visits at once. Jiritsu shien iryou reduces your share of psychiatric outpatient costs from 30% to 10%, with a monthly ceiling based on household income.

We are a designated clinic for this scheme and write the application form here. Ask at any consultation. Details in Japanese

Book an appointment

Online, 24 hours a day. No phone call needed.

Book online

1 minute from Roppongi Station, Exit 2 · Weekdays until 19:00 (last reception 18:30) · Open Saturdays
Or call 03-3470-1606