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The Official Website for UK Applicants

Self-Assessment Medical Report

The Self-Assessment Medical Report consists of eight questions (see below) and aims to give a complete overview of your medical history and current medical conditions. Applicants should complete the Self-Assessment Medical Report clearly and accurately. It is important to make sure you are fully aware of your medical history and answer all questions as comprehensively as possible, giving as much detail as you can.

Information disclosed in this form will not hinder your chance of success. However, due to our sponsor’s policy, we require as much information as possible at this stage.

How can I get the Self-Assessment Medical Report Form, Authorisation and Release Form, and Statement of Physician Form?

The Self-Assessment Medical Report Form, Authorisation and Release Form, and Statement of Physician Form will be printed automatically when printing a completed Application Form after online submission.

Question 1: Are you currently seeing a physician and/or undergoing treatment?

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  • If yes, please explain the nature of your consultations and / or treatments. (Colds, and fevers may be omitted. Visits to obstetrics / gynecology facilities or consultations to request contraception may be also omitted). Your doctor must also complete the Statement of Physician. Any false information or withheld information will result in disqualification from the application process.

Question 2a: What serious diseases, injuries and/or medical conditions have you had in the past five years?

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  • Please provide details of all serious diseases, injuries or medical conditions that you have suffered from in the past 5 years and all consultations with a doctor / specialist during that time. Your doctor must also complete the Statement of Physician. If any of these resulted in hospitalisation, please explain when, why and the duration of the treatment. Minor illnesses such as colds / flu or small injuries can be omitted. However, please email the JET Desk if you are at all unsure. Once again, please be aware that any false information or withheld information will result in disqualification from the application process.

Question 2b: Other than those stated in 2a., have you ever been treated for any other serious diseases, injuries, and/or medical conditions, including heart disease, blood disease, auto immune disease, cancer, epilepsy, congenital disease, recurrent disease, or any other disease, injury, or medical condition involving permanent damage?

Question 3: Have you ever suffered from any nervous or mental disorders? (including but not limited to anxiety, depression, ADD, ADHD, eating disorders, etc.).

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  • You must provide full details if you have consulted with your GP or a specialist regarding any mental or nervous disorders at any time in your life. This applies even for a one-off consultation. You must also attach a Personal Medical Statement to your application giving details of the conditions; the cause(s) of the condition(s); whether you saw a specialist doctor or counsellor; the regularity and time period over which you consulted a doctor/specialist; specific dates; the types and time period of any medication taken; and the results of the treatment and your condition now. Please be as accurate as possible.

    Furthermore, you must enclose a Statement of Physician completed by your psychiatrist, therapist or doctor detailing each condition, when the symptoms became apparent, the cause of the condition, how long the condition lasted and the treatment involved (giving full details of medication if appropriate), as well the results of the treatment and your condition now.

    Your doctor or psychiatrist must also state whether or not you are fit to participate on the JET Programme and, as such, to live and work overseas. Please note that we may contact your doctor if further information is necessary, and that any false information or information withheld will result in disqualification from the application process.

Question 4: Do you foresee any physical challenges resulting from the need to go up and down several flights of stairs on a daily basis? If yes, please explain.

Question 5: Do you have any allergies? If yes, are you currently undergoing treatment?

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  • If applicable, please indicate which allergies you have and provide details of any treatment that you are currently undergoing for them e.g. medication to alleviate symptoms. Please enclose a Statement of Physician completed by your doctor if you have a serious allergy.

Question 6: If you are currently taking, or have taken in the last five years, any prescription medication, other than oral contraceptives, please give details including the name of the medication, purpose, and dates taken.

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  • Please ensure that you have detailed all medical conditions related to this medication in your previous answers. You must also explain why you were/are taking each of these medications. Please enclose a Statement of Physician if you are currently taking prescription medication. Any false information or information withheld will result in disqualification from the application process.

Question 7: Are there any foods or substances which, for medical or personal reasons, you do not eat?

Question 8: Please explain any other health-related issues or disabilities below (e.g. legally blind, hearing impaired, colour blindness, confined to wheelchair, pending medical treatment, learning difficulties etc.).

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  • Please give details of any other health-related issues, disabilities or learning difficulties previously undisclosed in this Self-Assessment Medical Report. Your doctor must fill out the Statement of Physician. Candidates with certified dyslexia or dyspraxia must also provide a copy of their diagnostic assessment report. Candidates with tattoos and / or body piercings should also provide details in this section, including the amount, size and location.

Statement of Physician

The Statement of Physician must be completed by your GP or a specialist who has access to your medical history and must address whether, based on their knowledge of your medical history, you would be fit to work in Japan for a minimum of 12 months as a participant on the JET Programme. The GP or the specialist should also give a description of your past and/or existing medical conditions.

The Statement of Physician is NOT a full medical; however, an examination may be necessary if your GP deems it so. All costs incurred are the responsibility of the applicant.

A Statement of Physician is usually required in the following circumstances:
- If you have received treatment or taken medication in the last five years.
- If you are currently taking medication or having treatment.
- If you have a condition which reoccurs.
- If you have ever been treated for nervous or mental conditions.

Please note that a Statement of Physician is not required for applicants who declare nothing on their Self-Assessment Medical Report.

If you are unsure whether you require a Statement of Physician, please contact the JET Desk.

The Statement of Physician form cannot be released prior to the application form.

Some doctors may be hesitant to fill out the Statement of Physician or provide an equivalent letter without a detailed explanation of the JET Programme and the medical documents required, or may insist that a fee equivalent to the cost of a full medical be charged when this is not necessarily needed. Applicants in this situation should print out the following document and show it to their physician along with a completed Self-Assessment Medical Report and a blank Statement of Physician.

Information for Physicians

Personal Medical Statement

Applicants with ongoing medical conditions or who have been treated for any kind of mental, emotional, nervous or eating disorder or for depression at any time in their lives are required to detail their condition at the time of application. This applies for even a one-off consultation with a doctor or specialist. This can be done on the Self-Assessment Medical Report or on an additional sheet, if necessary. This additional sheet is referred to as the Personal Medical Statement. Please provide as much detail as possible, including the cause of the condition, whether you saw any specialist doctors or counsellors, specific dates, type and time period of medication taken and how you feel now.

 

We ask for your patience in reading through all the instructions.

 

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