New Zealand


Basic information

Documentation is processed electronically using “e-Medical“ on-line system. Please use our contact form to make an appointment. On the day of your examination please bring with you all items listed here on our websites; all forms should be in actual versions.

The medical examination is focused on the evaluation of physical and mental status. This represents the complex examination including vision examination, blood pressure measurement (15 years and older) and urinalysis. Urine sample is provided by the applicant during the examination. Urine sample is requested from the age of 5 years, in women out of menstruation period. Chest X-ray is requested from the age of 11 years. The examination duration varies roughly from 1 to 2 hours per person depending on certain request, health status of the applicant and additional examinations (X-ray, blood sampling, etc.).


Medical examination(you were referred by the embassy following your visa application and NZHR number was allocated to you)

Please take with you:

Following 2 Forms (printed and filled out according to the instructions)

  • General (INZ 1007) or Limited (INZ 1201) Medical certificate (please print it out from the embassy websites)
  • Chest X-ray certificate (INZ 1096), please print it out from the embassy websites

Original passport + copy of the passport (page with photo)

2 passport format photos

Prescription (eye) glasses or contact lenses, if applicable

In case of any chronic diseases or congenital problems please provide existing specialist´s report

Pediatrician´s report in children under 18 years of age


Medical examination ”up-front“ (you were not referred by the embassy, you do not have e-Medical NZHR number resp., you are planning to submit the exam confirmation together with your visa application)

Please take with you:

Following 2 Forms (printed and filled out according to the instructions)

  • General (INZ 1007) or Limited (INZ 1201) Medical certificate (please print it out from the embassy websites)
  • Chest X-ray certificate (INZ 1096), please print it out from the embassy websites

Original passport + copy of the passport (page with photo)

Contact details of the applicant (residential address, e-mail, cell phone number); to be written on a passport copy

2 passport format photos

Prescription (eye) glasses or contact lenses, if applicable

In case of any chronic diseases or congenital problems please provide existing specialist´s report

Pediatrician´s report in children under 18 years of age

Advanced payment is requested


Chest X-ray only  (as part of the visa application process)

Please take with you:

Following form (printed and filled out according to the instructions, 2 printouts each patient)

  • Chest X-ray certificate (INZ 1096), please print it out from the embassy websites

Original passport + copy of the passport (page with photo)

2 passport format photos

Contact for examination for NZ:

Jitka Patočková MD

Vítězné nám. 9, 160 00 Praha 6

Tel. +420 605 76 36 12