26 (Design date 08/19) - Page 1© COMMONWEALTH OF AUSTRALIA, 2019
for an Australian visa
Department of Home Affairs
This form is for applicants who are required to undergo a
medical examination as part of an application for an Australian
visa. For information on heath examinations see
The Department of Home Affairs (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 panel physician or clinic,
the Commonwealth of Australia becomes the owner of the
personal information on the form. The panel physician is
required to send the form to the Department.
You must truthfully disclose your medical history and details
of any known medical conditions.
If outside Australia you must attend the same panel
physician during the course of your health examinations.
Visa subclass and visa name
To assist the Department to link your health examinations
with your visa application you must write the visa subclass
number and the name of the visa you are applying for on
page 4 of this form.
• Subclass 405 – Investor Retirement
• Subclass 600 – Sponsored Family Visitor stream
• Subclass 890 – Business Owner
This information is required for the visa decision-maker to
process your visa application.
You can find the visa subclass number and the name of the
visa on the Department’s website
Completing health examinations before you lodge your
In some circumstances, the Department allows visa applicants
to complete health examinations before they lodge their visa
application. The Department’s website provides information
on where this is possible. For details see
You must undertake the required health examinations, as
requested by the panel physician.
Please be aware that if you do complete your health
examinations before lodging your visa application you may
need to undertake additional health examinations if:
• you later lodge a visa application for a different visa
• you decide to stay in Australia for a longer period;
• you do not complete all the required health examinations;
• your health examinations expire prior to a decision being
made on your visa application.
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.
The costs of health examinations are paid by you directly to
the panel physicians or clinics undertaking the examinations.
There may be additional costs if further tests or couriers are
If you are an applicant for a visa under Australia’s Offshore
Refugee and Special Humanitarian Programme the Australian
Government will cover the costs of your health examinations.
How to make an appointment for your medical
To undertake a medical examination outside Australia, please
contact your closest panel physician. For details see
To make an online booking to undertake a medical
examination in Australia you must contact the Migration
Medical Services Provider. For information on how to contact
the Migration Medical Services Provider see
Women should not attend this medical examination during
menstruation as blood will taint the urinalysis.
What to bring to the examination
• Any prescription spectacles or contact lenses that you
• Where you have a known medical condition, any existing
A valid original passport is the form of identity documentation
preferred by the Australian Government.
You must bring a valid original passport with you where
There are limited circumstances in which the Department will
accept alternative identity documentation. For details see
Panel physicians are required to confirm the identity of
individuals who present at their clinic for Australian
immigration health examinations.