- What it is for
- Records the outcome of a health examination undertaken by a panel physician or approved clinic so that a visa decision-maker can assess whether an applicant meets Australia's health requirement.
- Who completes it
- The visa applicant undergoes the examination, but the completed form is prepared by the examining panel physician or clinic and sent by them to the Department rather than lodged by the applicant.
- Information it collects (in general terms)
- Identity and passport details, the visa subclass and name being applied for, declared medical history and known health conditions, and the physician's clinical examination findings and required test results (for example HIV and immunisation-related information).
- When it is used
- Used when an applicant is required to complete a health examination as part of, or ahead of, an Australian visa application, whether onshore through a Migration Medical Services Provider or offshore through a panel physician.
This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.