1392 (Design date 07/19) - Page 1© COMMONWEALTH OF AUSTRALIA, 2019
Pregnancy health undertaking
Department of Home Affairs
Important – Please read this information carefully before you
complete your pregnancy health undertaking. Once you have
completed your pregnancy health undertaking we strongly
advise that you keep a copy for your records.
Who is required to sign a pregnancy health
A pregnancy health undertaking is required for pregnant visa
applicants who have not had the required chest x-ray.
What is a pregnancy health undertaking for?
Tuberculosis is a serious infectious disease of public concern
in Australia and a chest x-ray is the best screening tool for
You have been asked to sign a pregnancy health undertaking
because you have not undergone a chest x-ray as part of the
health examinations required for your visa application due to
A pregnancy health undertaking is an agreement that is
made with the Australian Government, which obliges you
to undergo a chest x-ray at the Migration Medical Services
Provider after the birth of your child.
By signing this pregnancy health undertaking you also agree
to undergo any course of treatment or investigation that the
health clinic directs.
Important: You must contact the Migration Medical Services
Provider within 9 months of the grant of your visa and make
How to make an appointment for a pregnancy health
For information on how to make an appointment for a
pregnancy health undertaking see
What do I do now?
Should you agree to abide by the pregnancy health
undertaking, you should sign this form and return it to
the Department of Home Affairs (the Department) office
processing your visa application.
You will then be provided with a copy of this form.
Please keep the copy as you will need it when you
attend your appointment at the health clinic.
Where do I go?
The Migration Medical Services Provider will advise you which
health clinic you should attend to undergo your chest x-ray
in Australia. Once you contact the Migration Medical Services
Provider your health information will be referred to that
nominated health clinic.
Please keep this information page for your reference
The cost of the chest x-ray is paid by you directly to the
Migration Medical Services Provider.
Why should I attend a health clinic?
It is in your best interests to comply with the requirements of
your pregnancy health undertaking. The health examination
is necessary to minimise the risk of spread of tuberculosis to
close family, friends and the community. If the doctor thinks it
is necessary, treatment for tuberculosis will be arranged.
Your co-operation with the pregnancy health undertaking is
vital to assist the Australian Government to protect you, your
family and the Australian community.
Important information about privacy
Your personal information is protected by law, including the
Privacy Act 1988. Important information about the collection,
use and disclosure (to other agencies and third parties,
including overseas entities) of your personal information,
including sensitive information, is contained in form 1442i
Privacy notice. Form 1442i is available from the Department’s
website www.homeaffairs.gov.au/allforms/ You should
ensure that you read and understand form 1442i before
completing this form.