New Zealand Immigration Medical Exam Booking Form

First Name(s) - as per passport (please note this must match your first names as listed on your passport)

Last Name(s) - as per passport (please note this must match your last names as listed on your passport)

Your New Zealand address

Date of Birth

Gender

New Zealand Phone Number

Email

What Country were you born in

Are you enrolled at any Medical General Practice in New Zealand

Passport Number

Passport Issuing Country

Passport Date Of Issue

Passport Expiry Date

Exam Required (if unsure please contact New Zealand Immigration)

Chest Xray Required

Pacific Radiology

Chest x-rays are available at Pacific Radiology, Wanaka Lakes Health Centre (next door to the medical centre) Phone 03 4430700 - Please note additional charges apply and are payable to Pacific Radiology.

What date does your current Visa expire

Visa Category

Proposed Occupation in New Zealand

Please attach the information requested by Immigration NZ

Or please provide details of the information requested

Monday - Friday

Weekends and Public Holidays

After Hours

Email

Aspiring Medical Centre

Book an appointment

Repeat prescriptions

Request a GP call-back