for an Australian visa
This form is for applicants who are requested to undergo a
medical examination as part of an application for an Australian
visa. Forms 1071i Health requirement for permanent entry to
Australia and 1163i Health requirement for temporary entry
to Australia provide further information.
Please be aware that if you do complete your medical
examinations before lodging your visa application you may
need to undertake additional medical examinations if:
The Department of Immigration and Citizenship (the
department) is authorised to collect the personal information
on this form under section 60 of the Migration Act 1958.
When you complete this form and give it to the doctor or
clinic, the Commonwealth of Australia becomes the owner of
the personal information on the form. The doctor is required
to send the form to the department.
• you decide to stay in Australia for a longer period;
• you later lodge a visa application for a different visa
• you do not complete all the required medical examinations;
• your medical examinations expire prior to a decision being
made on your visa application.
You must truthfully disclose your medical history and details
of any known medical conditions.
If you have not lodged a visa application and a significant
health condition is identified which may impact on your ability
to meet the health requirement you will not be provided with
an opinion of the Medical Officer of the Commonwealth until
after you lodge your visa application.
If outside Australia you must attend the same doctor during
the course of your medical examinations.
Visa subclass and visa name
The costs of medical examinations are paid by you directly to
the doctors or clinics undertaking the examinations. There
may be additional costs if further tests or couriers are
To assist the department to link your...