Getting an x-ray or medical examination

If you need to get a chest x-ray or medical examination, you'll need to bring certain things along to your appointment. At your appointment the physician will examine you and send us information we can use to check you have an acceptable standard of health.

If you have to get a chest x-ray or medical examination, you’ll need to use a doctor or radiologist from our 'List of Panel Physicians'.

List of panel physicians 

When to have your x-ray or medical examination

The chest x-ray and medical certificates that doctors send us to confirm you’ve had your x-ray and/or medical examination must be no more than 3 months old when we receive them. For this reason, we recommend you arrange any medical appointments as soon as you can before applying for a visa.

What to bring to your appointment

  • an identity document
  • your glasses or contact lenses if you use them
  • a list of any medication you are taking (including dosage)
  • any relevant medical reports or x-rays
  • if you’re 17 or under, your parent or legal guardian with you
  • if you’re using an immigration adviser, a completed ‘Immigration Adviser Details’ form.

If you choose to, you can bring a family member, support person, and/or interpreter to your appointment. Let the clinic know when you make your appointment if you will be bringing another person with you.

Identity documents for x-rays and medical examinations 
Immigration Adviser Details (INZ 1160) PDF 267KB

If you’re from an eMedical country

You’ll need to read a copy of the ‘eMedical consent and declaration’ before your examination. During your examination you’ll be asked to confirm that you understand it and then sign it in front of your physician - if you’re aged 17 years or under, your parent or guardian will need to sign it for you.

After your eMedical examination, you’ll be given an eMedical reference number to include with your visa application.

eMedical consent and declaration document PDF 297KB
eMedical countries

New Zealand is an eMedical enabled country.

If you’re not from an eMedical country

If you’re not from an eMedical country, you’ll also need to bring the following items to your medical appointment:

  • 3 recent passport-sized photos, or only one if you’re having a chest x-ray and not a medical examination – photos must be less than 6 months old
  • printed medical certificates for the examining physician to complete – you’ll need to include the completed certificates with your visa application.

All x-ray and medical certificates must be completed in English.

Evidence you're in good health - medical certificates

What happens at a medical examination

There are 3 parts to the medical examination:

  1. Medical history and physical examination.
  2. Urine and blood tests.
  3. Chest x-ray, if required.

The physician will complete the physical examination. He or she will check your height, weight, mental state, hearing and vision, listen to your heart, lungs, feel your abdomen and check your reflexes, power and the rest of your nervous system.

You’ll need to remove some items of clothing for the physical examination. Some parts of the physical examination may be completed by a nurse or health care assistant.

You will need to provide a urine sample during the medical examination.

You will also need to get blood tests, and possibly a chest x-ray and some other tests if necessary.

You may need to go to different places to get some tests done.

If you’d like a copy of your medical examination results, you should advise the clinic at the time you are undergoing your examination.


You can’t have your medical examination during your period (menstruation) because the blood can affect your results – you’ll need to wait until your period finishes before having your medical examination.

Women aged 45 and over may need to have a breast examination. Your physician will tell you if you need one.


All children, including babies, must have a medical examination.

Children aged 10 and under don’t need to have a chest x-ray, unless the physician thinks it’s necessary or we ask for one.

Children aged 14 and under don’t need to have a blood test, unless the physician thinks it’s necessary or we ask for one.

Cost of your health examination

You’re responsible for paying any fees and costs associated with your medical examinations. Health costs can vary from country to country. For this reason, we recommend that you contact the clinic before your appointment to ask about the fees.

What we do with your x-ray and medical examination results

We use your x-ray and medical examination results to decide if you have an acceptable standard of health.

Once all blood test, urinalysis and chest x-ray exam results have been returned, the examining physician will grade your health examination and send it to us.

If you ask for email notifications, we’ll send you an automated email to let you know when we receive your health information.

If there are no significant abnormal results, our online health system may decide you have an acceptable standard of health within minutes or refer your results to an immigration officer for manual processing.

Immigration officers use your graded examination results to help them decide if you have an acceptable standard of health.

An immigration officer may refer your results to our medical assessors if we need medical advice to decide if you have an acceptable standard of health. We may also ask you to provide more information about your health before making a decision.

See our leaflet Health Requirements (INZ 1121) for more information PDF 265KB