INZ 1096 PDF

Chest x-ray certificates. If you need to have a chest x-ray, you’ll need to provide a chest x-ray certificate. Chest x-ray certificate (INZ ) PDF. INZ Who should use this form? Applicants for entry to New Zealand are required to have an acceptable standard of health (Health. Fill Inz , download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Try Now!.

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I declare that the details given by me to the radiologist or radiographer on this Inzz certificate and set out in section A of this certificate are true 10996 correct in every respect. Use this form to apply for a New Zealand permanent resident visa, second or subsequent resident visa, or variation of travel conditions. This form may need to be completed for Immigration New Zealand to collect additional information in order to make a decision on your application for a visa.

View our detailed guides for VisaView. For further information on immigration visit www. Where abnormalities are present or indicated, the X-ray film must accompany this certificate. Use this form if you are changing your immigration advisor after submitting an application, or if you are updating the contact details of your current advisor. Use this General Medical Certificate if you are unable to submit your health information electronically through your panel physician.


Find information on travelling to New Zealand for the purpose of receiving medical treatment. This certificate must be completed by a radiologist.

What happens after the examination?

Use this form if you need to transfer your visa to a new passport, or if you need confirmation of your New Zealand immigration 196. Use this form if you are a Refugee Family Support Category tier two sponsor who was granted residence as a refugee or protected person or Afghan interpreter.

I certify that the statements made by me in answer 10966 all the questions are true to the best of my knowledge and belief.

Evidence you’re in good health — medical certificates

A parent or guardian must sign on behalf of a child under 16 years of age. Smears alone will not be accepted. Complete this form if you are a tour organiser or 10966 for a group travelling to New Zealand, and lodge it with individual application forms for each group member.

I declare that the information that I have provided in terms of my medical history and during my immigration health examinations is true, ibz and correct. I certify that the statements made by me in answer to all the questions are true to the best of my knowledge and belief.

Use this Limited Medical Certificate if you are, among other applicants, a refugee, or a partner or child of a New Zealand resident. C1 Notes to radiologist from examining physician if applicable. Find information on your rights and obligations as an employee working in New Zealand Fisheries Waters.

X-ray Certificate for Temporary Entry (INZ )

This is not where your X-ray certificate should be sent. If referred, the INZ medical assessor may seek a specialist opinion.


INZ may refer this certificate to an INZ medical assessor or New Zealand health authorities, if appropriate, as part of assessing the associated application.

In most countries, the panel physician you go to for your medical examination will send us your medical 10096 electronically using our eMedical system. Any false statement made on this form or non-disclosure may result in: If a new certificate is required you are responsible for any fees.

Information about applying ina a visa to work for a recognised seasonal employer that has offered you temporary seasonal work in New Zealand.

Documents Flashcards Grammar checker. Complete this form INZ to apply for a variation of conditions on your temporary work, student or visitor visa.

All such consultation will be treated in confidence. If you require information on the panel physicians list, please visit the INZ website at www. Radiologist If a radiographer is not involved in this process, the radiologist must complete the steps outlined above, and: Any alterations to the certificate may result in the certificate being returned to you and you may be required to redo the examination.

Tuvalu Pacific Pre-registration information sheet. Residence Application form INZ