Departmental form 1392
Pregnancy Health Undertaking
Health · PDF form · updated 25/05/2022
Important notice: General information only — not immigration assistance or legal advice. For advice about your circumstances, book a verified practitioner.
Compiled from official Department of Home Affairs sources — practitioner verification pending.
- What it is for
- This form records a formal undertaking by a pregnant visa applicant to complete a required chest x-ray tuberculosis screening after the birth of their child, when the x-ray was deferred because of the pregnancy. It is an agreement to attend a Migration Medical Services Provider and follow any directed treatment.
- Who completes it
- The pregnant visa applicant who has not undergone the required chest x-ray as part of their health examinations.
- Information it collects (in general terms)
- General categories include personal and contact details, passport information, intended duration of stay, the signed health undertaking commitments, and consent for health information to be shared among the relevant health and departmental bodies.
- When it is used
- Used when a visa applicant is pregnant and the required chest x-ray has been postponed, committing the applicant to attend for screening within a set period after the visa is granted and the child is born.
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