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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 Records are not rechecked for each release and may have changed or been withdrawn.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

Records the outcome of a health examination undertaken by a panel physician or approved clinic so that a visa decision-maker can assess whether an applicant meets Australia's health requirement.

Who lodges it

The visa applicant undergoes the examination, but the completed form is prepared by the examining panel physician or clinic and sent by them to the Department rather than lodged by the applicant.

When it is used

Used when an applicant is required to complete a health examination as part of, or ahead of, an Australian visa application, whether onshore through a Migration Medical Services Provider or offshore through a panel physician.

Official form

Open the Department's own PDF or instructions page.

Open official form 26