Immigration Medical Booking Request
Please complete this form to request an Immigration Medical at Devonport Health Centre. Once submitted, our team will contact you to confirm your details and discuss the next steps.
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Contact Details
Full Name *

Please enter your first name followed by your last name.

Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Please double check your email before submitting. We will use this to contact you about your appointment.
Mobile Number
Home Address *

Please enter your full residential address.

Which Immigration Medical would you like to book?
 *
Select one or more as needed.
Required
You will be referred to the nearest lab and radiology clinic for any required tests. Are you okay with this arrangement? *
Appointment Preference

What day(s) and time(s) do you prefer for your appointment?
 *
Please list preferred dates and times. We will do our best to accommodate your request.
Pricing

Please check our website for current Immigration Medical pricing or email reception@devonporthealth.co.nz for further information.

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