Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698831911018.pdf (Saint Vincent and the Grenadines)
THE 2019 JAPAN EXCHANGE AND TEACHING (JET) PROGRAMME STATEMENT OF PHYSICIAN Explanation of items as indicated by patient on the Self-Report of Medical Condition(s) PLEASE PRINT CLEARLY To the Examining Physician (PLEASE READ THOROUGHLY) This individual is an applicant to the Japan Exchange and Teaching (JET) Programme and must submit this form concerning his or her health as indicated on his or her Self-Report of Medical Condition(s).
The applicant, if chosen, may be offered a year-long contract to work in schools and in public offices in Japan as an Assistant Language Teacher (ALT), Coordinator for International Relations (CIR), or a Sports Exchange Advisor (SEA).

Assistant Language Teacher (ALT) Coordinator for International Relations (CIR) Sports Exchange Advisor (SEA) ALTs work in local boards of education to assist in foreign language instruction at the primary, junior and senior high school levels.
CIRs work in local public offices or international exchange organisations handling international projects, exchange programmes, translation, interpretation, etc.

SEAs work in local boards of education to assist with sports and physical education in schools and the local community.
While the JET Programme is an invaluable experience and a time of personal and professional development for participants, it is important for candidates and their physicians to understand that by its nature, the JET Programme can also be both emotionally and physically demanding.
Participants must adapt to working in and immersion in a different culture and linguistic environment, and may be situated in rural areas with limited access to mental and or physical health care services in their native language(s).

This can often involve emotional and or physical stress during the adaptation period which varies from person to person.
If a candidate is experiencing current medical, emotional, psychological, or family difficulties or has only recently recovered from such difficulties, the adjustment demands of the JET Programme can severely exacerbate such difficulties or even be cause for a relapse.

For this reason, a thorough and accurate profile of each applicant’s health status and medical history is required.
Information provided in this form will not only be used to determine eligibility, but may also be used to assign working places to applicants, so it is essential to have complete and accurate information to determine employers and location of work so as to better meet any special requirements applicants may have.

To be completed and signed by examining physician.

Physician must not be a relative of applicant.


Applicant’s Name: Medical Details and Explanation: Prescribed Medicines (Please write as clearly and legibly as possible) Amount / Frequency Regular Check-Ups (if yes, write frequency) Please use generic nomenclature for all listed medicines and refrain from using doctor’s shorthand.

Do you foresee any difficulties or special considerations regarding this applicant’s participation on the JET Programme?
Based on your current examination and knowledge of this patient’s medical history, please describe his or her medical condition and whether you think he or she is physically and mentally fit to work in Japan for one year as a JET Programme participant.

In view of the applicant's current medicine regimen, medical history, and the above information, is it your observation that this patient’s health status is adequate to go abroad to participate on the JET Programme for one year?
Date: Physician’s Name in Print: Office/Institution: Address: TEL: □YES □NO Physician’s Signature: FAX: E-mail: Note: Japanese law may prohibit importation of certain medications (such as amphetamines and other stimulants).

In this case, the applicant may need to use an alternative medication.

Additionally, it may be necessary for the applicant to complete medical import forms for importation of certain medication.