Pre-Immigration Details

We look forward to meeting you for your immigration medical. To ensure the process runs as smoothly as possible for you, we require some information to load onto your e-medical prior to your examination. Please complete the following and bring back to us as soon as you can before your examination date. We will take the photograph of you at the same time:

Pre Immigration Details

Your Details

Identity Information

Visa Type


Which visa category you are applying? Please tick the correct boxes below. It is important we know this and if you are unsure, please check the immigration NZ website or contact immigration NZ. (Please select only one box)