In your research, you you may have came across the following sites:

• https://www.mhlw.go.jp/english/policy/care-welfare/welfare-disabilities/assistance_dogs/index.html
• https://www.moudouken.net/en/

I would suggest contacting them as your first option as they can let you know what certification you can get (or not get) in your situation.

As for…

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If it is a manual wheelchair or at least can easily reach the tube, a bicycle ship could likely help.

Also, may be able to buy a patch kit at a hardware store or even a department store selling bicycles.