Applicants for New Zealand visas must have an acceptable standard of health. We consider you to have an acceptable standard of health if you are:
You may be required to provide medical and X-ray certificates to enable Immigration New Zealand to establish whether you have an acceptable standard of health.
For information on when medical and X-ray certificates are required, refer to our leaflet Health Requirements (INZ 1121) [PDF, 70KB].
Panel physicians are doctors and radiologists approved by Immigration New Zealand to complete medical examinations and chest X-rays for New Zealand visa applications. Our approved list provides information on the physicians you can use to undertake your medical examination in your country.
Not all countries have approved panel physicians. For countries without approved panel physicians, a registered or board certified or licensed medical practitioner or physician may complete your medical certificates. Medical certificates will not be accepted if completed by nurses, physician's assistants and osteopaths.
Read our frequently asked questions about the alignment of the INZ and DIBP panel physician networks.
From early 2015 INZ will require visa applicants in New Zealand to use panel physicians for immigration medical examinations. Read our frequently asked questions about implementation of an onshore panel physician network in New Zealand. More information is available here.
Immigration New Zealand has entered into partnership with Australia’s Department of Immigration and Border Protection (DIBP) and Citizenship and Immigration Canada in the use of eMedical, an online immigration health processing platform.
As INZ implements eMedical in countries with panel physicians, health examinations will be processed online and panel physicians with eMedical will no longer use paper-based INZ medical certificates.
This means that applicants’ health examination results will be recorded in the eMedical system and the examining physician or radiologist will be required to grade the health examination with:
Once graded, the examining physician or radiologist will electronically submit the health examination results to Immigration New Zealand to be associated with an applicant’s visa application once it is submitted.
The grading given by the physician does not determine whether the applicant meets Immigration New Zealand’s health requirements. The immigration officer who assesses the applicant’s visa application will determine whether they have an acceptable standard of health.
From 24 November 2014, panel physicians in the following countries will be using eMedical:
Refer to our eMedical Fact Sheet for more information on the benefits of eMedical and when it will be introduced elsewhere.
You should contact the panel physician’s clinic to make an appointment unless otherwise stated on the clinic’s website. Some clinics only accept walk-in clients on a first-in first served basis. The panel physician will be able to indicate how long the appointment will take and the timeframes and methods for receiving test results.
You should arrange your appointment when you are in a position to submit your visa application within the following three months, as medical and chest X-ray certificates must be no more than three months old when your visa application is submitted to Immigration New Zealand.
You may bring a family member, support person, chaperone and/or interpreter to your appointment. Applicants who are less than 18 years of age must attend the examination with their parent(s) or guardian. Please let the clinic know when you make your appointment if you will be bringing another person with you.
Note: Medical certificates and any accompanying laboratory or specialist reports must be completed in English.
If you are not sure whether eMedical has been implemented in the country where you are having your exam (see above under ‘Immigration New Zealand’s health assessment process is changing’), or you can check with the clinic when you make your appointment).
You will need to bring the following documents to your appointment for a medical and/or chest X-ray examination:
A valid passport is Immigration New Zealand’s primary and preferred form of identification, however, the following identity documents are acceptable evidence of identity for your health examination if you are unable to provide a passport:
Hong Kong (People's Republic of China)
China, People's Republic of
Russia Note: Internal passports are considered equivalent to a National Identity Card.
All applicants (including those attending an eMedical clinic) should read the ‘Applicant’s notes’ in the front of INZ’s paper-based medical and chest X-ray certificates for further guidance about preparing for your appointment, and what to expect during your examination. These certificates also provide you with information about the medical history questions the examining physician will discuss with you and the examination requirements.
The cost of health examinations will vary in each country. However, you can expect the fees to be similar to those charged locally for a comprehensive examination or report by a qualified medical practitioner. We recommend that you contact the clinic before your appointment to ask about the fees.
You are responsible for paying any fees and costs associated with the health examinations, including the cost of the examining physician or radiologist, any special tests, investigations and treatment that might be required, any specialists you might need to see, and any courier fees.
Exception: Your do not have to pay for your health examination if you have been accepted into New Zealand’s Refugee Quota Programme as a mandated refugee or Refugee Quota Family Reunification (RQFR) Category Applicant.
You will need to know what type of medical certificate (or examination) you are required to complete (ie. a General Medical Certificate also known as a 501 Medical examination in eMedical, a Chest X-ray Certificate also known as a 502 Chest x-ray examination in eMedical, and/or a Limited Medical Certificate also known as a 512 Limited medical examination in eMedical). Refer to our leaflet Health Requirements (INZ 1121) [PDF, 70KB] to see which certificates apply to your situation.
You will need to know what type of visa category you will be applying under in order for clinic staff to record this information. You will need to select from the following list:
Clinic staff will ask you whether you wish to receive an automated email confirming that your health examination (your health case) has been completed and submitted to Immigration New Zealand. If so, you will need to provide a personal email address for this purpose.
If you have an immigration adviser and would like them to be able to contact the clinic on your behalf, you and your adviser should complete the form Immigration Adviser Details (INZ 1160) [PDF, 108KB] and have the clinic staff attach a copy of the form to your health case records. If you have an immigration adviser we recommend you ask to receive an automated email confirming the submission of your health case to Immigration New Zealand.
During your examination you will be asked to confirm that you have read and understood the eMedical consent and declaration document, and you will be asked to sign it in the presence of the physician. For applicants less than 18 years of age, a parent or guardian must sign on their behalf. It is important that you read the consent and declaration document before your appointment and that you ensure you understand the content. A copy of the consent and declaration and further information about the privacy and security of your personal health information can be found on the eMedical factsheet.
Your medical history and health examination results will be recorded in eMedical. You should receive an information sheet from the clinic confirming your examination details, if you don’t, you can request one. The eMedical information sheet will include an Immigration New Zealand reference number (NZER) which you should provide Immigration New Zealand when you submit your visa application. This enables your health case to be associated with your visa application.
If a significant health condition is identified during your health examination, the physician may refer you for additional tests or reports.
The ‘Applicant’s notes’ and instructions in the medical and chest X-ray certificates provide information about the requirements and what to expect for a non-eMedical examination.
Once all blood test, urinalysis and X-ray exam results have been returned, the examining physician will grade and submit your health case to Immigration New Zealand. If you confirmed that you wanted to receive email notification that your health case has been completed and submitted, an automated email will be sent to you at this time.
Where there are no significant abnormal results your health case may be cleared within minutes by the system or otherwise referred to Immigration New Zealand for manual processing.
When you submit your application you should provide your eMedical reference number (NZER), which is on the eMedical information sheet you received at your appointment, to enable Immigration New Zealand to associate your health case with your visa application.
Your certificate(s) will be graded by the examining physician with an ‘A’ or a ‘B’ in the same way that eMedical examinations are graded. The certificate(s) will given back to you, to submit to Immigration New Zealand with the rest of your visa application.
NZimed Medicals Online is a system which allows physicians in New Zealand, who are registered to use the system, to record and directly submit examination results online to Immigration New Zealand. Immigration New Zealand will be implementing a panel physician network in New Zealand in early 2015 and panel physicians will be required to use eMedical. Subsequently the NZimed Medicals Online process will be phased out.
Medical and chest X-ray certificates (including eMedical examinations) are valid for three months from being completed by the examining physician. For information about reusing medical and chest X-ray certificates for future visa applications, refer to our leaflet Health Requirements (INZ 1121) PDF [70KB].
The grading given to your health examination by the panel physician does not determine whether you meet health requirements. The immigration officer makes the decision on whether or not you have an acceptable standard of health.
We may refer your medical certificate (including eMedical examinations) to our medical assessors (who are based in New Zealand) for further advice on whether you have an acceptable standard of health. This can take about six to eight weeks. Further medical information may be requested from you.
Our leaflet Health Requirements (INZ 1121) [PDF, 70KB] provides information on what happens if it is determined that you do not have an acceptable standard of health.
For information on requirements specific to pregnant applicants, refer to our leaflet Health Requirements (INZ 1121) [PDF, 70KB].
If you have active or inactive (old, healed) TB, your medical and chest X-ray certificates are likely to be referred to an Immigration New Zealand medical assessor. Applicants with a history of TB should provide all documentation (X-ray films/plates/scans) to show recent and past history of diagnosis and treatment. X-ray films/plates/scans should have corresponding reports attached.
If you are applying for a short-term visa but your intention is to stay in New Zealand for a length of time that would normally require medical or chest X-ray certificates, then it is recommended that you provide these certificates to avoid any delays in the processing of your application.