Pre-Immigration Details

    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:

    Your Details

    Title
    MrMrsMsMissDr

    Gender
    MaleFemale

    I would like email confirmation that my health examination has been completed: yesno

    Identity Information

    Identity document type
    Original PassportCertificate of IdentityNational ID Card

    Visa Type

    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)

    Temporary
    VisitorStudentWorker with job offerWorker without job offer

    Residence
    Skilled - BusinessPacific CategoriesFamilyHumanitarian UNHCRHumanitarian other

    Work to Residence
    WorkerFamily of worker

    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?
    YesNo

    Open Hours

    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**

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