IMMIGRATION MEDICAL EXAMINATIONS IN VANCOUVER
About
Location
Contact
More...

Registration form for Australian medical exam

Before we can give you an appointment for your medical exam we must receive your registration.

We wil use this information to validate your case and then prepare your eMedical file. Your file will be ready for you when you come in for your appointment.

A separate form is required for each family member.

Is this secure?
Yes. The information you submit is sent to our office by encrypted email. It is not stored on the server so it cannot be hacked.

 

Please take extreme care to avoid errors in filling the form!

Category
Please select a valid item.
Given names (First name) Name is required.Full given names required.
FAMILY NAME (Last name) Last name required.Full last name required.
Gender Please select a valid item.
Date of Birth Birth date is required.Format dd/mm/yyyy. Date format: dd/mm/yyyy
Country of birth A value is required.Minimum number of characters not met.Exceeded maximum number of characters.
Address - Street Address is required.Does not look valid.
Address - City City is missing.Does not look valid.
Address - Prov or State A value is required.Two characters required.Two letters only.
Address - Postal Code Postal code or zipcode required.Does not look valid.
Telephone Phone number required.Invalid format - use 0000000000.Must have 10 digits.Must have 10 digits.
Email Enter Email address.Enter Email address or "none".Invalid format.
ID document type
Please select a valid item.
ID document Number ID number required.Does not look valid.
ID issuing Country Issuing country is missing.Does not look valid.
ID document issue date Date required.Format dd/mm/yyyy.Date format: dd/mm/yyyy
ID document expiry date Date required.Format dd/mm/yyyy.Date format: dd/mm/yyyy
HAPID number if available
HRI number if available
TRN number if available Too few characters.Too many characters.
   
Have you had an examination
in our office before?
Make a selection

I agree to the Terms and Conditions
Check the box if you agree

STOP!
Please double-check your entries before submitting!
Errors will be difficult to correct after your file is created.

Health care worker:
Select this if you will be practising or studying medicine, dentistry or nursing in Australia (permanent or temporary stay).

Xray only:
Select this if you have been specifically instructed by DIBP to have only a chest Xray and not the full examination.

Transaction Reference Number

You received this number if you applied online. It looks like this: EGO3X756JC.

If you applied on paper and don't have this number, leave this box blank.

Important: You MUST have at least one of TRN, HRI or HAPID!

Health Request ID number

You may have received this number when you filed your application. It usually consists of 9 digits.

Leave this box blank if you don't have an HRI.

Important: You MUST have at least one of TRN, HRI or HAPID!

Health Assessment Portal ID

You may have received this number when you filed your application. It begins with the letter 'H' and has 5-7 digits.

Leave this box blank if you don't have a HAPID.

Important: You MUST have at least one of TRN, HRI or HAPID!

Personal email address is preferred. It may be used for confidential information.

Canadian or US number only. Local phone number preferred. This is needed to contact you if additional tests are required or other problems occur,

Format: 10 digits without spaces or hyphens.

Local address is preferred, even if it is not permanent.

Date format: dd/mm/yyyy
(numeric DAY, MONTH and full YEAR separated by slashes)

A valid passport is always preferred. A copy of the passport is acceptable but then you will also have to show us another picture ID. A passport that is expired for less than one year may also be acceptable.

If you have no passport, a national ID card or a Canadian driver's license may be acceptable.

Search this site: