Arranging a health examination

When you apply for a visa, there are specific requirements for arranging your health examination.

The information below outlines the steps for the immigration health process to help you complete your health examinations online at the panel clinic of your choice.

Health process steps for visa applicants

If you have already lodged a visa application, you should follow the steps below when completing your health examinations electronically.

You lodge your visa application:

  1. We determine whether health examinations are required
  2. We provide you a HAP ID and request that you undergo health examinations
  3. You use eMedical Client to consent to eMedical processing and complete your medical history if required
  4. You download your eMedical Referral letter
  5. You make an appointment with an approved panel clinic or the migration medical services provider and provide your HAP ID
  6. You attend your appointment and bring your eMedical Referral letter with you
  7. The clinic locates your case in eMedical using your HAP ID
  8. Clinic staff record your health examination results in eMedical
  9. Panel physician and/or radiologist grades and submits case to us
  10. Your health case may be cleared within minutes by the system or referred for manual processing
  11. If you meet the health requirement, your visa record is updated and processing can continue.

Note:

  • If a significant health condition is identified during immigration health examinations, additional steps will be required to be completed.
  • Please do not use My Health Declarations if you have already lodged a visa application.

Health process steps for clients who have not yet lodged a visa application

If you have not yet lodged a visa application, you should follow the steps below when completing your health examinations electronically.

Please make sure that you first read the information available the My Health Declarations support page to check that it is appropriate for you to complete health examinations prior to lodging your visa application.

  1. You lodge your My Health Declarations form online
  2. We determine whether health examinations are required
  3. You are directed to eMedical Client to consent to eMedical processing and complete your medical history if required
  4. You download an eMedical Referral letter
  5. You make an appointment with an approved panel clinic or migration medical services provider and provide your HAP ID
  6. You attend your appointment and take your eMedical Referral letter with you
  7. The clinic locates your case in eMedical using the HAP ID
  8. Clinic staff record your health examination results in eMedical
  9. Panel physician and/or radiologist grades and submits your case
  10. Your health case is cleared within in minutes by the system or referred for manual processing
  11. You lodge a visa application and provide your HAP ID in your visa application
  12. We confirm that you have completed the correct health examinations and continue processing your visa application.

Note:

  • Additional steps will be required if a significant health condition is identified during immigration health examinations.
  • You will not be advised of your results until after you have lodged a visa application. If a significant health condition is identified by a Medical Officer of the Commonwealth as part of the immigration health assessment process, a final opinion on your case will also not be provided until you have lodged a visa application.

Health examinations outside Australia

If you are applying for a visa while outside Australia you must arrange your health examinations with a panel physician. A panel physician is a doctor and/or a radiologist who has been appointed to perform Australian immigration health examinations outside Australia.

To locate your closest panel physician, check the list of panel physicians on our website.

Panel physicians are now able to process your health examinations online using our eMedical system in more than 100 countries – this means that your health results can be processed online, often in minutes. In some countries, you must use electronic health processing.

If you are booking an appointment with an eMedical enabled clinic, you must provide a health identifier (HAP ID). We also encourage you to use eMedical Client before your appointment, as explained below.
Note: Panel clinics will expect clients who have lodged an online visa application to have completed the eMedical Client process online before attending their appointment.

Health examinations in Australia

If you are applying for a visa while in Australia you must arrange your health examinations with the migration medical services provider and have your examinations processed online using our eMedical system.

The current migration medical services provider is Bupa Medical Visa Services.

To book an appointment with Bupa Medical Visa Services, please:

  • use their online booking tool available through their website at Bupa Medical Visa Services where possible, or
  • telephone 1300 794 919 if you do not have access to the internet or need to arrange a Carer visa assessment or a fitness to depart/travel assessment.

You can find information on the Bupa Medical Visa Services website about:

  • the fees and charges associated with visa medical appointments
  • Bupa locations in Australia
  • access to, and use of, interpreters during visa medical appointments.

But if you need to contact Bupa Medical Visa Services for further advice (for example, because you commenced your immigration health examinations with the previous provider, Medibank Health Solutions*), please contact Bupa Medical Visa Services by email at:
DIBP-Enquiries@bupamvs.com.au

*Note: health exams generally have a validity period of 12 months. Therefore, if you completed your original health exams more than 12 months ago, Bupa Visa Medical Services might request new health exams as per the department's health policy requirements.

Using eMedical Client before I attend my health examination

What is eMedical Client?

eMedical Client is a service you can use to consent to using the eMedical system and record your medical history information where required online before visiting a panel clinic.
Note: Medical history information is only requested where you are required to undertake a medical examination as part of your immigration health examinations. This information must be provided before your immigration health examinations start, as the panel physician will take this information into account when conducting your medical examination.

When should I use eMedical Client?

You should do this before you ring a panel clinic to book an appointment for your health examination.

If you are in Australia ,you must complete this process before booking an appointment with the migration medical services provider.

How do I access eMedical Client?

If you lodge an electronic visa application or use the My Health Declarations service, you can access eMedical Client via ImmiAccount after lodging your online application or form. You just need to click on the Organise your Health Examinations link which will display under ‘next steps’ for you online application or form.

If you don't have an ImmiAccount and need advice about how to create one, see About ImmiAccount.

If you lodge a paper visa application, you need to access the login screen at eMedical Client Login.

Enter your family name, HAP ID and date of birth. Enter the CAPTCHA characters that you see or hear and click 'logon'.
eMedical Client Login screen

What if I don't have access to the internet?

If you are in Australia, are not represented by a migration agent and do not have access to the internet, please advise the migration medical services provider of this when you book an appointment and they will assist you to make alternative arrangements.

Do I need to record my medical history?

On the first page of eMedical Client, if you are required to complete a medical examination, you will see medical history questions that you need to answer. You can select 'Answer No to all' at the top right of the screen to default the answer for all questions to 'no'. You can then select 'yes' to any answer where appropriate. If you select 'yes' you must provide more details.

eMedical Client –'Record medical history' screen

At the bottom of the page, you will need to declare that you have read and understood the eMedical Client Declaration and consent to your medical information being submitted electronically to the department. Please make sure you view the client declaration using the link provided before ticking the box to indicate your consent. You should then click the 'submit' button.
Note: This declaration will appear for all clients even if medical history questions are not required to be answered.

eMedical Client 'Client Declaration' screen

How do I print my eMedical referral letter?

The Generate Referral Letter screen will appear. Click on the Print Referral Letter button at the bottom left of the screen to retrieve your eMedical referral letter. You can then print the letter.

eMedical Client 'Generate Referral Letter' screen

Please take this letter with you to your medical appointment. It includes the details of the medical history information that you have entered (if required). We recommend you keep a copy of this letter for future reference.

eMedical Client 'Referral letter' screen

Note: Please ensure that you logout after you have finished using eMedical Client.

eMedical Client logout screen

When to arrange your health examinations

I have already lodged my Australian visa application

You will be advised by email or by your case officer what health examinations you need to do (if any). You will then be requested to complete these examinations within a certain time period. Please wait until your visa case officer contacts you, do not use the My Health Declarations service if you have already lodged a visa application. It will delay processing of your visa application.
Note: To minimise processing delays, you should complete your required health examinations as soon as possible after your case officer has advised you to do so.

I have not yet lodged my Australian visa application

If you are in Australia, or one of the countries where 100 per cent electronic health processing arrangements apply, you can only complete your health examinations before lodging your visa application in these locations if you:

  • hold a current valid passport, and
  • first use our My Health Declarations service to obtain a health identifier (HAP ID).

See:
Electronic Health Processing
Organising my health examinations up front (470KB PDF)

More information about completing health examinations before lodging a visa application is provided on the My Health Declarations support page. Please read the information about this service carefully, as completing health examinations up front is not recommended for all clients.

Note: If you are in a country where eMedical is not available or 100 per cent arrangements do not apply, you can still complete your health examinations using paper health forms before lodging your visa application if you are able to advise the clinic which subclass you are applying for. You are still, however, encouraged to use the My Health Declarations service to determine which health examinations you need to do, although it is not mandatory to do so.

What is My Health Declarations?

My Health Declarations is an online service that allows you to determine what health examinations (if any) you are required to complete and proceed to complete any required examinations before lodging your visa application.

If you have a valid passport and have not yet lodged a visa application, you can use My Health Declarations to determine whether you and any family members included in your application are required to complete health examinations prior to lodging a visa application, and then obtain a health identifier if required. You can use a migration agent to help you submit your My Health Declarations form.

You must not use My Health Declarations if you have already lodged a visa application as this will delay the processing of your visa application.

What to bring to my medical appointment

You must take the following to your health examination:

  • your HAP ID
  • a valid passport.

You should also bring:

  • an eMedical referral letter, a Health Examinations list or other equivalent documentation provided to you by the department
  • your prescription spectacles or contact lenses (if applicable)
  • existing specialist and/or other relevant medical reports for known medical conditions
  • any previous chest x-rays.

If you are an applicant who has spent 28 days or longer in Afghanistan, Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, Nigeria, Pakistan, Somalia or Syria, or in any combination of these countries since 5 May 2014, you should bring your polio vaccination certificate to your medical appointment if you are applying from outside of Australia. Otherwise, we may request your certificate separately and this could delay your application.

For more information see Polio.

What if I don't have a valid passport?

You are in Australia

If you do not have a valid passport and have already lodged a visa application, ask your case officer for advice if you are completing your health examinations inside Australia.
Note: if you have not yet lodged a visa application and do not have a valid passport you will need to wait until after you have lodged a visa application to complete your immigration health examinations.

You are outside Australia

If you do not have a valid passport, one of the following combinations of alternative documents are acceptable if you are completing your health examinations outside Australia:

  • a National Identity Card and a photocopy of your passport photo page that has been certified by the department or an Australian Visa Application Centre (AVAC)
  • a Health Examinations List (HAP letter) from us (or equivalent documentation from us that shows which health examinations are required) and a copy of your passport photo page that has been certified by the department or an AVAC
  • a Health Examinations List (HAP letter) with a photograph attached together with stamp/seal from us
  • a National Identity Card and a Health Examinations List (HAP letter) from us (or equivalent documentation from us that shows which health examinations are required).
    Note: Only National Identity Cards from the following countries are currently acceptable.
  • Albania
  • Belgium
  • Brazil
  • Bulgaria
  • Canada
  • China
    (where verified by ID5)
  • Croatia
  • Czech Republic
  • Egypt
  • France
  • Germany
  • Hong Kong
  • Hungary
  • Indonesia
  • Italy
  • Malaysia
  • Netherlands
  • Pakistan
  • Poland
  • Portugal
  • Russia
    Note: Internal passports are considered equivalent to a National Identity Card.
  • Singapore
  • South Korea
  • Spain
  • Sweden
  • Taiwan
  • Thailand
  • Turkey

Note: If you are in a country where 100 per cent electronic health processing arrangements apply, you have not yet lodged a visa application and do not have a valid passport you will need to wait until after you have lodged a visa application to complete your immigration health examinations.

What if I don't have a valid passport or the alternative documentation listed above?

If you have applied for a permanent visa and have a family member who is not migrating to Australia, please ask them to take at least two forms of identification with them to their immigration health examination, including one with a photograph (for example,  a birth certificate, school registration documents, a student card).

In other cases, we may still accept other forms of identity documentation where a passport or other approved alternative documentation is unavailable, however, you will need to contact your visa processing officer for advice before making an appointment to undergo your health examinations.

What forms will I need?

For information on completing your health examinations online through an eMedical enabled clinic, see Electronic Health Processing.

If you are completing your health examinations at a clinic which does not have eMedical available, you can download and print the required forms below.

Cost of your health examinations

The cost of health examinations completed outside Australia will vary for each country. However, you can expect the fees to be similar to those charged locally for a comprehensive examination or report by a qualified medical practitioner. We recommend that you contact the clinic before your appointment to ask about the fees.

For information about the fees for health examinations completed in Australia, visit the website of the migration medical services provider.

You are responsible for paying any fees and costs associated with the health examinations, including the cost of the examining physician or radiologists, any special tests, investigations and treatment that might be required, any specialists you might need to see, and any courier fees.

Exceptions: Your do not have to pay for your health examination if you are an accepted Refugee or Special Humanitarian Program applicant (subclass 200, 201, 202, 203 or 204). However, if your application has been lodged under the Community Proposal Pilot, the Approved Proposing Organisation is responsible for the payment of any fees and costs associated with the health examination.

You might not have to pay for your health examination if you are a protection visa applicant. Some health examinations are paid for by the Asylum Seeker Assistance Scheme (ASAS). If you are a protection visa applicant, you should contact your nearest Australian Red Cross office for advice.

Last reviewed Friday 24 October 2014