Read the guide for more information how your health is assessed and which medical certificates to complete.
Before you complete this form please check to see if you are required to have your examination performed by an Immigration New Zealand appointed panel physician. See also how to submit the medical form online.
Limited Medical Certificate PDF [321KB]
You must use the General Medical Certificate if one of the following applies to you:
You must use the Limited Medical Certificate if one of the following applies to you:
*You must not use this certificate if you are applying for a visa as the partner or dependent child of a New Zealand citizen or resident and you were not included in, or were withdrawn from the earlier residence application made by your partner or parent. If this situation applies to you, you must use the General Medical Certificate (INZ 1007).
You must use the Chest X-ray Certificate if:
Children under 11 years of age and women who are pregnant are not required to undergo a chest X-ray examination unless requested by INZ.
Adobe Acrobat Instructions
Problems opening or downloading forms?
Request hard copy of form