REMINDERS:

1. Applicants are advised to take their meals prior to coming over for their medical examination since food is not allowed within the premises and all the initial blood and urine tests do not require a fasting state.
2. Females within the reproductive age group are advised not to schedule their medical examination during their menstrual period.
3. Applicants who have been scheduled for additional examinations must come on their designated examination date and time.
4. Please bring your prescription spectacles/eyeglasses or contact lenses if applicable.

REQUIRED MEDICAL EXAMINATIONS AND MEDICAL FEES:
Senior Citizens and PWD with valid ID may receive 20% discounted rate. Please bring your valid ID to be presented in our clinic.

Age	Required Examinations	MEDICAL FEE
0 - 4 years old	Physical Examination (501)	Php 3,220
5 - 10 years old	Physical Examination, urinalysis (501)	Php 4,140
11 - 14 years old	Physical Examination, urinalysis, Chest x-ray (501, 502)	Php 6,100
15 years old and above	Physical Examination, urinalysis, HIV, Syphilis, Serum Creatinine, Chest x-ray (501, 707,712, 704, 502)	Php 13,270

(Medical Fees quoted are for the basic examinations plus any subsequent necessary investigations and treatment for tuberculosis (TB). Please note that applicants will still have to pay additional fees for any other additional tests/referrals needed for non-TB related issues)

REQUIRED DOCUMENTS:

A. COMPLETELY FILLED UP DOWNLOADED FORMS. Please download and fill up forms to facilitate processing

CLICK BELOW TO DOWNLOAD FORMS

---

NHSI DAVAO – GENERAL INFORMATION SHEET (all applicants)

---

Canada Xray_Form_(11_years_old_and_above_only)
Fill up Family name, Given Name, Date of Birth, Country birth, Gender

---

B. 1 pc picture passport size (recent photo within 6 months old, white background)

C. letter from the embassy (IMM 1017), unless Upfront Medical

D. Original passport (IRCC strongly prefers that applicants present passports)

Other approved identification documents include the following:

• national ID card (an original PSA birth certificate is an acceptable national ID document for applicants under the age of consent only)
• driver‘s licence (Canadian licences only)
• refugee travel document
• Red Cross travel document
• UN laissez-passer
• Seaman‘s book
• Organization of American States travel document
• Refugee Protection Claimant Document

*** If no approved identification document available you may provide below alternative document:

a. Valid ID’s (Government issued ID’s):

• Bureau of Internal Revenue (BIR) ID (laminated version with photo)
• Voter’s ID (laminated version with photo)
• Driver’s license
• Social Security System (SSS) ID
• Integrated Bar of the Philippines (IBP) ID
• Professional Regulations Commission (PRC) ID
• Unified Multi-Purpose ID

b. For children / students
 School ID

IMPORTANT! Please be advised that other identity documents not included in the list of approved identification documents may generate an identity concern in eMedical.

E. 1 good quality photocopy (preferably in colour) of Passport/Valid ID’s clearly showing photo, name and date of birth

F. Please bring black ballpen

G. Non fasting

H. Bring all medical records if available:

- Old chest x-ray films not less than 3 months prior to the medical examination

- Detailed medical certificate regarding a previously-treated or currently managed clinically significant illness which should contain the following information:

• duration and date of treatment
• surgical procedure or medical intervention done
• complete final diagnosis
• outcome of treatment or treatment plans and prognosis, if available

- Vaccination Record (must contain the following details):

• personal copy (e.g. baby book)or copy of medical chart indicating received vaccines
• complete date of receipt of vaccination
• must include signature (license number, if applicable) of doctor or health worker who administered vaccine

REMINDERS:

1. Before coming for your medical examination, you must lodge your visa application, either with the Australian Embassy or via eVisa systems

2. Applicants are advised to take their meals prior to coming over for their medical examination since food is not allowed within the premises and all the initial blood and urine tests do not require fasting.

3. FOR PREGNANT Applicants please bring OB_Gyne consent prior to xray.

4. Females within the reproductive age group are advised not to schedule their medical examination during their menstrual period. Otherwise, they will be required to come back one week after the last day of their menstruation.

REQUIRED DOCUMENTS:

A. Referral Letter from Australian Embassy which contains your HAP ID/ TRN number.

B. Completely filled out downloaded forms ( Please download and fill out forms to facilitate processing).

CLICK BELOW TO DOWNLOAD FORMS

---

NHSI DAVAO – GENERAL INFORMATION SHEET (all applicants)

---

Australia Xray_Form_(11_years_old_and_above_only)
Fill up Page 3: numbers 2,3,4,5 and Page 4: Applicant signature

---

C. Valid Original Passport

*** If original passport is not available:

a Health Examinations List (HAP letter) (or equivalent documentation from the Department that shows which health examinations are required) and a copy of your passport photo page that has been certified by the department or an AVAC.

a Health Examinations List (HAP letter) with a photograph attached together with stamp/seal from the Department.

***For Non-migrating dependent PERMANENT applicants who does not have a passport or already submitted to Australian Embassy, You may present two (2) Government issued IDs:

• 2 Government issued ID’ s
• Bureau of Internal Revenue (BIR) ID (laminated with photo)
• Voter’s ID (laminated with photo)
• Driver’s license
• Social Security System (SSS) ID
• Postal ID
• Professional Regulations Commission (PRC) ID
• Unified Multi-Purpose ID

***For children (Non migrating dependent PERMANENT applicants)
– PSA Birth Certificate and at least one form of identification with photo
- (Birth certificates issued by the Local Civil Registrar (LCR) in lieu of PSA Birth Certificates, are not acceptable. For an applicant born in a country other than the Philippines, please bring the birth certificate issued by the government in the country of birth.)

D. Bring black ball pen and the following medical records if available/applicable:

Immunization record / Vaccination record / Baby book

For children 15 years old and below, kindly bring their immunization records, if available.

For applicants with history of Pulmonary TB treatment, bring old chest x-ray films not less than 6 months prior to the medical examination.

Medical certifIcate regarding a previously treated or currently managed clinically significant illness which should contain the following information:

duration and date of treatment
surgical procedure or medical intervention done
complete final diagnosis
outcome of treatment or treatment plans and prognosis, if available
Your prescription spectacles/eyeglasses or contact lenses.

REQUIRED MEDICAL EXAMINATIONS AND MEDICAL FEES:
Senior Citizens and PWD with valid ID may receive 20% discounted rate. Please bring your valid ID to be presented in our clinic.

A. PERMANENT VISA APPLICANTS
Age	Required Examinations	Medical Fee
0 - 1 years old	Physical Examination	Php 3,540
2 - 4 years old	Physical Examination, TB Screening Test	Php 4,090
5 - 10 years old	Physical Examination, TB Screening Test	Php 4,910
11 - 14 years old	Physical Examination, Chest x-ray (CXR)	Php 5,670
15 years old and above	Physical Examination, EGFR, HIV, Chest x-ray	Php 8,450

• Permanent Visa Applicants 2 to 10 years old are required to undertake either a Tuberculin Skin Test (TST) OR a TB Blood Test (Interferon Gamma Release Assay or IGRA).
• Tuberculin Skin Test (TST) requires 2 clinic visits. Second visit is between 48 and 72 hours from TST placement.
• To avoid TST from becoming invalidated, please be at the clinic at least 1 hour before the schedule written on your TST return slip.
• TB Blood Test (Interferon Gamma Release Assay or IGRA) will only require 1 visit if results are negative.
• Chest X-ray will be required for children 10 years old and below if they have a positive TST/IGRA result or have exposure to TB cases or a history of TB disease.

B. TEMPORARY
Age	Required Examinations	Medical Fee
0 - 1 years old	Physical Examination (501)	Php 3,540
2 - 4 years old	Physical Examination (501)	Php 4,090
5 - 10 years old	Physical Examination	Php 4,910
11 - 14 years old	Physical Examination, Chest x-ray (501, 502)	Php 5,670
15 years old and above	Physical Examination, EGFR, Chest x-ray (501, 502)	Php 7,680

Medical Fees quoted are for the basic examinations plus any subsequent necessary investigations and treatment for tuberculosis (TB). Please note that applicants will still have to pay additional fees for any other additional tests/referrals needed for non-TB related issues. Medical fees are subject to change without prior notice.

NOTICE:

Starting January 31, 2022, New Zealand TOURIST visa applicants are required to submit their visa application online first prior to their Immigration Medical Examination (IME). Please visit INZ website https://www.immigration.govt.nz/ for more information.

REMINDERS:

1. Applicants are advised to take their meals prior to coming over for their medical examination since food is not allowed within the premises and all the initial blood and urine tests do not require a fasting state.
2. Females within the reproductive age group are advised not to schedule their medical examination during their menstrual period. Otherwise, they will be required to come back one week after the last day of their menstruation.
3. FOR PREGNANT APPLICANTS please bring OB-Gyne consent prior to Xray. For inquiries and follow up and request for a copy of results please email nationwidenz@yahoo.com

REQUIRED DOCUMENTS:

A. COMPLETELY FILLED UP DOWNLOADED FORMS – Please download and fill up forms to facilitate processing:

CLICK BELOW TO DOWNLOAD FORMS:

---

NHSI DAVAO – GENERAL INFORMATION SHEET (all applicants)

---

New Zealand Xray_Form_(11_years_old_and_above_only)
Fill up Page 3: A2,A3,A4,A5,A6 and Page 5: Signature

---

B. 1pc picture passport size (recent photo within 6 months old, white background)
C. Letter/Medical instruction from the embassy (if available)
D. Original passport (primary and preferred form of identity documentation)
E. 1 good quality photocopy (preferably in colour) of Passport/Valid ID’s clearly showing photo, name and date of birth
F. Please bring black ballpen
G. Non Fasting
H. Bring all medical records if available:

• For applicants with history of Pulmonary TB treatment, bring old chest x-ray films not less than 6 months prior to the medical examination
• Detailed medical certificate regarding a previously-treated or currently managed clinically significant illness which should contain the following information:
  • duration and date of treatment
  • surgical procedure or medical intervention done
  • complete final diagnosis
  • outcome of treatment or treatment plans and prognosis, if available

Please make sure to know your VISA CATEGORY AND VISA TYPE before coming for your visa medical examination

REQUIRED MEDICAL EXAMINATIONS AND MEDICAL FEES:
Senior Citizens and PWD with valid ID may receive 20% discounted rate. Please bring your valid ID to be presented in our clinic.

FULL MEDICAL EXAMINATION
AGE	REQUIRED EXAMS	MEDICAL FEE
0-4 years old	Physical Examination	Php 2,640
5-10 years old	Physical Examination, Urinalysis	Php 2,890
11-14 years old	Physical Examination, Urinalysis, Chest Xray	Php 4,760
15 years old and above	Physical Examination, Urinalysis, Chest Xray, HIV, Syphilis, CBC Hepatitis B and C Test, Glycosylated Hemoglobin, Creatinine	Php 14,550

LIMITED MEDICAL EXAMINATION
AGE	REQUIRED EXAMS	MEDICAL FEE
0-10 years old	Physical Examination	Php 2,640
11-14 years old	Physical Examination, Chest Xray	Php 4,510
15 years old and above	Physical Examination, Chest Xray, Creatinine, CBC	Php 7,740

CHEST XRAY ONLY-Php 2,760.00

Medical Fees quoted are for the basic examinations plus any subsequent necessary investigations and treatment for tuberculosis (TB). Please note that applicants will still have to pay additional fees for any other additional tests/referrals needed for non-TB related issues. Medical fees are subject to change without prior notice.