We look forward to meeting you for your immigration medical. To ensure the process runs as smoothly as possible for you, we require some information to load onto your e-medical prior to your examination.
Please complete the following and bring back to us as soon as you can before your examination date. We will take the photograph of you at the same time:
Title Other (please specify)
Date of Birth
Country of Birth
I would like email confirmation that my health examination has been completed: yesno
Identity document type
Original PassportCertificate of IdentityNational ID Card
Identity document number
Date of Issue
Date of Expiry
Which visa category you are applying? Please tick the correct boxes below. It is important we know this and if you are unsure, please check the immigration NZ website or contact immigration NZ. (Please select only one box)
VisitorStudentWorker with job offerWorker without job offer
Skilled - BusinessPacific CategoriesFamilyHumanitarian UNHCRHumanitarian other
Work to Residence
WorkerFamily of worker
What is your intended occupation in New Zealand (if applying under the work/skills category)?
How long do you intend to stay in NZ?
Less than 6 months6-12 months12-24 monthsMore than 24 months
Do you require?
Chest X rayFull Medical (not including chest x-ray)Limited Medical (not including chest x-ray)
(in some circumstances you can complete a limited medical examination- for example if you are the partner or dependent child of a NZ citizen or resident, but please check with immigration)
Have you had ever been diagnosed as having TB (tuberculosis) before?
Urgent Care & Pharmacy Every day 8am to 8pm
GP Suites & Special Services (closed on public holidays)
Monday - Friday 8am to 5pm
CALL US ON (06) 873 8999
FAX US ON (06) 873 8555
303 St Aubyn St West, entry via Nelson St
**IN AN EMERGENCY CALL 111 FOR AN AMBULANCE**