Form 1392 · Health
Pregnancy Health Undertaking
What this official form is for and who lodges it. The form itself is only ever the Department's own document; nothing is completed or submitted here.
Dated factual snapshot · captured 2026-07-15
Departmental form summaries: a searchable copy of published facts from an earlier capture. Records are not rechecked for each release and may have changed or been withdrawn. Confirm the current record at the official source before relying on it.
Source: Australian Government Department of Home Affairs. Official source · Creative Commons Attribution 3.0 Australia.
About this copy
Original factual summaries describing what each official form is for and who lodges it. No form fields, layout or text are reproduced; the official PDF remains the only form.
Platform-authored navigation; no lawyer or registered migration agent reviewed this catalogue. It does not assess eligibility, points or suitability for any person.
Purpose
This form records a formal undertaking by a pregnant visa applicant to complete a required chest x-ray tuberculosis screening after the birth of their child, when the x-ray was deferred because of the pregnancy. It is an agreement to attend a Migration Medical Services Provider and follow any directed treatment.
Who lodges it
The pregnant visa applicant who has not undergone the required chest x-ray as part of their health examinations.
When it is used
Used when a visa applicant is pregnant and the required chest x-ray has been postponed, committing the applicant to attend for screening within a set period after the visa is granted and the child is born.
Official form
Open the Department's own PDF or instructions page.
Open official form 1392 ↗