# Migration (Specification of Required Medical Assessment) Instrument 2025

> F2025L01437 — as made — Status: InForce — Made/registered 2025-11-27 — https://www.legislation.gov.au/F2025L01437/latest/details

> _As-made (original) text, reproduced from the Federal Register of Legislation (legislation.gov.au) under CC BY 4.0. For amended instruments the current compilation may differ; confirm against the official source._

Migration (Specification of Required Medical Assessment) Instrument 2025
I, Dr Grant Pegg, delegate of the Minister, make the following instrument.
Dated 26 November 2025
Dr Grant Pegg
Chief Medical Officer
Department of Home Affairs
Contents
1  Name
2  Commencement
3  Authority
4  Definitions
5  Schedules
6  Specified classes of person required to undertake medical assessment
7  Specified medical assessments
8  Specified persons to conduct medical assessments
Schedule 1—Medical assessments required for specified class of persons
Schedule 2—Medical assessments required for persons not covered by Schedule 1
Schedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)
Schedule 4—List of provisional visas
Schedule 5—Low hepatitis B risk countries and jurisdictions
Schedule 6—Repeals
Migration Regulations 1994 –Specification of Required Medical Assessment – IMMI 15/144
1  Name
  This instrument is the Migration (Specification of Required Medical Assessment) Instrument 2025.
2  Commencement
  This instrument commences on 29 November 2025.
3  Authority
  This instrument is made under paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Migration Regulations 1994.
4  Definitions
  In this instrument:
high hepatitis B risk jurisdiction means a country or jurisdiction not mentioned in Schedule 5.
panel physician means a doctor or radiologist who:
 (a) is outside Australia; and
 (b) provides medical assessment services for visa applicants for purposes under the Migration Act 1958 and the Regulations; and
 (c) provides those services on the basis that the doctor or radiologist either:
 (i) has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network; or
 (ii) is employed or otherwise engaged to provide the services by a clinic, organisation or other entity (however described) that has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network.
provisional visa means a temporary visa of a subclass mentioned in Schedule 4.
Regulations means the Migration Regulations 1994.
5  Schedules
  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

6  Specified classes of person required to undertake medical assessment
  For paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations, the following classes of person are specified:
 (a) a person who:
 (i) is a citizen of a country or jurisdiction; or
 (ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;
  where the country or jurisdiction is listed in column 1 of the table in Schedule 1 to this instrument;
 (b) a person who:
 (i) is a citizen of a country or jurisdiction; or
 (ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;
  where the country or jurisdiction is not listed in column 1 of the table in Schedule 1 to this instrument;
 (c) a person who is covered by both paragraphs 6(a) and (b) of this instrument.
7  Specified medical assessments
  For subparagraphs 4005(1)(aa)(i) and 4007(1)(aa)(i) of Schedule 4 to the Regulations, the following medical assessments are specified:
 (a) for a person in a class of person specified in paragraph 6(a)—the medical assessments specified in columns 2, 3, 4 and 5 of the table in Schedule 1 to this instrument;
 (b) for a person in a class of person specified in paragraph 6(b)—the medical assessments specified in:
 (i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and
 (ii) Schedule 3 to this instrument;
 (c) for a person specified in paragraph 6(c)—the medical assessments specified in:
 (i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and
 (ii) Schedule 3 to this instrument.

8  Specified persons to conduct medical assessments
  For subparagraphs 4005(1)(aa)(ii) and 4007(1)(aa)(ii) of Schedule 4 to the Regulations:
 (a) for a medical assessment conducted in Australia—Bupa Australia Health Pty Ltd (trading as Bupa Medical Visa Services) is specified;
 (b) for a medical assessment conducted outside Australia for visa purposes—panel physicians are specified.
Note: Paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations both relevantly provide that if an applicant is in a class of persons specified by the Minister in a written instrument for the paragraph, they must be assessed by the person specified in the instrument unless a Medical Officer of the Commonwealth decides otherwise.

Schedule 1—Medical assessments required for specified class of persons
	Column 1
Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years
	Column 2
Temporary stay in Australia of up to six months
	Column 3
Temporary stay in Australia of six months or more
	Column 4
Permanent and provisional visa applicants
	Column 5
Additional medical assessments

	Aland Islands;
Albania;
American Samoa;
Andorra;
Anguilla;
Antarctica;
Antigua and Barbuda;
Argentina;
Armenia;
Aruba;
Australia;
Austria;
Bahamas, The;
Bahrain;
Barbados;
Belarus;
Belgium;
Belize;
Bermuda;
Bonaire;
Bosnia and Herzegovina;
Bouvet Island;
British Indian Ocean Territory;
British Virgin Islands;
Bulgaria;
Canada;
Cayman Islands;
Chile;
Christmas Island;
Cocos(Keeling) Islands;
Comoros;
Cook Islands;
Costa Rica;
Croatia;
Cuba;
Curacao;
Cyprus;
Czech Republic;
Denmark;
Dominica;
Egypt;
Estonia;
Falkland Islands;
Faroe Islands;
Finland;
France;
French Guiana;
French Polynesia;
Germany;
Gibraltar;
Greece;
Grenada;
Guadeloupe;
Guam;
Guatemala;
Guernsey;
Heard and McDonald Islands;
Holy See, The
Honduras;
Hungary;
Iceland;
Iran;
Iraq;
Ireland;
Isle of Man;
Israel;
Italy;
Jamaica;
Japan;
Jersey ;
Jordan;
Korea (Republic of);
Kuwait;
Latvia;
Lebanon;
Liechtenstein;
Lithuania;
Luxembourg;
Malta;
Martinique;
Mauritius;
Mayotte;
Mexico;
Monaco;
Montenegro;
Montserrat;
Netherlands;
New Caledonia;
New Zealand;
Norfolk Island;
Norway;
Occupied Palestinian Territories;
Oman;
Pitcairn Island;
Poland;
Portugal;
Puerto Rico;
Qatar;
Republic of North Macedonia 
Reunion;
Russian Federation;
Saint Barthélemy;
Saint Helena (Ascension and Tristan da Cunha);
Saint Kitts and Nevis;
Saint Lucia;
Saint Martin (French Part);
Saint Pierre and Miquelon;
Saint Vincent and the Grenadines;
Samoa;
San Marino;
Saudi Arabia;
Serbia;
Seychelles;
Sint Eustatius & Saba;
Sint Maarten (Dutch part);
Slovak Republic;
Slovenia;
South Georgia and the South Sandwich Islands;
Spain;
Suriname;
Svalbard & Jan Mayen;
Sweden;
Switzerland;
Syria;
Togo;
Tokelau;
Tonga;
Trinidad and Tobago;
Tunisia;
Türkiye;
Turks and Caicos Islands;
United Arab Emirates;
United Kingdom (British citizen);
United States of America;
Vatican City;
Virgin Islands (British);
Virgin Islands (US);
Wallis and Futuna
	Any applicable additional medical assessments specified in Column 5 of this Table
	Any applicable additional medical assessments specified in Column 5 of this Table
	Under 11 years of age:
Medical examination and any additional medical assessments specified in Column 5 of this Table
Aged 11 or older and under 15 years of age:
Medical examination, chest X-ray and any additional medical assessments specified in Column 5 of this Table
Aged 15 years of age or older:
Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Column 5 of this Table
	Likely to work or be a trainee at an Australian childcare centre (including preschool and crèche):
Medical examination, chest X-ray and serum creatinine/eGFR
Intending to work as, or study or train to be a doctor, dentist, nurse or paramedic:
Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B and hepatitis C tests
Pregnant and intending to give birth in Australia:
Hepatitis B test
Aged 75 years or older and applying for a Subclass 600 (Visitor) visa regardless of length of stay:
Medical examination and serum creatinine/eGFR

Schedule 2—Medical assessments required for persons not covered by Schedule 1
	Column 1
Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years
	Column 2
Temporary stay in Australia of up to six months
	Column 3
Temporary stay in Australia of six months or more
	Column 4
Permanent and provisional visa applicants

	All countries or jurisdictions that are not listed in column 1 of the table in Schedule 1
	Any applicable additional medical assessments specified in Schedule 3
	Under 11 years of age:
Medical examination and any additional medical assessments specified in Schedule 3
Aged 11 or older and under 15 years of age:
Medical examination,
chest X-ray and any additional medical assessments specified in Schedule 3
Aged 15 years or older:
Medical examination, chest X-ray, serum creatinine/eGFR and any additional medical assessments specified in Schedule 3
	Under 2 years of age:
Medical examination and any additional medical assessments specified in Schedule 3
Aged 2 or older and under 11 years of age:
Medical examination, TB screening and any additional medical assessments specified in Schedule 3
Aged 11 or older and under 15 years of age:
Medical examination, chest X-ray and any additional medical assessments specified in Schedule 3
Aged 15 years or older:
Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Schedule 3

Schedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)
	Item
	Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)

	1
	For a person who intends to work as, or study or train to be, a doctor, dentist, nurse or paramedic:
(a) if the person is not an applicant mentioned in paragraph (b):
 (i) medical examination; and
 (ii) chest X-ray; and
 (iii) serum creatinine/eGFR; and
 (iv) HIV test; and
 (v) hepatitis B test; and
 (vi) hepatitis C test; and
 (vii) latent tuberculosis screening; or
(b) if the person mentioned in paragraph (a), is an applicant, who has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:
 (i) medical examination; and
 (ii) chest X-ray; and
 (iii) serum creatinine/eGFR; and
 (iv) HIV test; and
 (v) hepatitis B test; and
 (vi) hepatitis C test.

	2
	For a person who intends to work as, or study or train to be, a health care worker, or to work within a health care or hospital environment, aged care or disability care facility, in a health care profession not mentioned in item 1:
(a) if the person is not an applicant mentioned in paragraph (b):
 (i) medical examination; and
 (ii) chest X-ray; and
 (iii) serum creatinine/eGFR; and
 (iv) latent tuberculosis screening;
(b) if the person mentioned in paragraph (a), is an applicant, and has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:
 (i) medical examination; and
 (ii) chest X-ray; and
 (iii) serum creatinine/eGFR.

	3
	For a person who is likely to work or be a trainee at an Australian childcare centre (including preschool and crèche):
 (a) medical examination; and
 (b) chest X-ray; and
 (c) serum creatinine/eGFR.

	4
	For a person who is likely to enter a health care or hospital environment:
 (a) medical examination; and
 (b) chest X-ray; and
 (c) serum creatinine/eGFR.

	5
	For a person who is pregnant and intending to give birth in Australia:
 (a) hepatitis B test.

	6
	For a person who is at least 75 years old, and applying for a Subclass 600 (Visitor) visa:
 (a) medical examination; and
 (b) serum creatinine/eGFR.

Schedule 4—List of provisional visas
	Column 1
	Column 2

	Item
	Type of visa

	1
	Subclass 160 (Business Owner (Provisional))

	2
	Subclass 161 (Senior Executive (Provisional))

	3
	Subclass 162 (Investor (Provisional))

	4
	Subclass 163 (State/Territory Sponsored Business Owner (Provisional))

	5
	Subclass 164 (State/Territory Sponsored Senior Executive (Provisional))

	6
	Subclass 165 (State/Territory Sponsored Investor (Provisional))

	7
	Subclass 173 (Contributory Parent (Temporary))

	8
	Subclass 188 (Business Innovation and Investment (Provisional))

	9
	Subclass 300 (Prospective Marriage)

	10
	Subclass 309 (Partner (Provisional))

	11
	Subclass 445 (Dependent Child)

	12
	Subclass 489 (Skilled – Regional (Provisional))

	13
	Subclass 491 (Skilled Work Regional (Provisional))

	14
	Subclass 494 (Skilled Employer Sponsored Regional (Provisional))

	15
	Subclass 820 (Partner)

	16
	Subclass 884 (Contributory Aged Parent (Temporary))

Schedule 5—Low hepatitis B risk countries and jurisdictions
	Column 1
	Column 2

	Item
	Name

	1          
	Afghanistan

	2          
	Algeria

	3          
	Andorra

	4          
	Anguilla

	5          
	Antigua and Barbuda

	6          
	Argentina

	7          
	Armenia

	8          
	Aruba

	9          
	Australia

	10      
	Austria

	11      
	Bahamas, The

	12      
	Bahrain

	13      
	Barbados

	14      
	Belgium

	15      
	Belize

	16      
	Bermuda

	17      
	Bhutan

	18      
	Bolivia

	19      
	Bouvet Island

	20      
	Brazil

	21      
	British Virgin Islands

	22      
	Canada

	23      
	Cayman Islands

	24      
	Chile

	25      
	Colombia

	26      
	Costa Rica

	27      
	Croatia

	28      
	Cuba

	29      
	Curacao

	30      
	Cyprus

	31      
	Czech Republic

	32      
	Denmark

	33      
	Dominica

	34      
	Dominican Republic

	35      
	Ecuador

	36      
	Egypt

	37      
	El Salvador

	38      
	Equatorial Guinea

	39      
	Estonia

	40      
	Falkland Islands

	41      
	Federal Democratic Republic of Nepal

	42      
	Faroe Islands

	43      
	Fiji

	44      
	Finland

	45      
	France

	46      
	French Guiana

	47      
	French Polynesia

	48      
	Germany

	49      
	Gibraltar

	50      
	Greece

	51      
	Greenland

	52      
	Grenada

	53      
	Guadeloupe

	54      
	Guatemala

	55      
	Haiti

	56      
	Holy See, The

	57      
	Honduras

	58      
	Hungary

	59      
	Iceland

	60      
	Iran

	61      
	Ireland

	62      
	Isle of Man

	63      
	Israel

	64      
	Italy

	65      
	Japan

	66      
	Jersey

	67      
	Jordan

	68      
	Kosovo

	69      
	Kuwait

	70      
	Latvia

	71      
	Lebanon

	72      
	Libya

	73      
	Liechtenstein

	74      
	Luxembourg

	75      
	Malta

	76      
	Mexico

	77      
	Monaco

	78      
	Montenegro

	79      
	Montserrat

	80      
	Morocco

	81      
	Netherlands

	82      
	New Caledonia

	83      
	New Zealand

	84      
	Nicaragua

	85      
	Norway

	86      
	Occupied Palestinian Territories 

	87      
	Pakistan

	88      
	Panama

	89      
	Paraguay

	90      
	Peru

	91      
	Pitcairn Island

	92      
	Poland

	93      
	Portugal

	94      
	Puerto Rico

	95      
	Qatar

	96      
	Republic of North Macedonia

	97      
	Réunion

	98      
	Russia

	99      
	Saint Barthélemy

	100   
	Saint Helena, Ascension and Tristan da Cunha

	101   
	Saint Kitts and Nevis

	102   
	Saint Lucia

	103   
	Saint Martin (French Part)

	104   
	Saint Pierre and Miquelon

	105   
	Saint Vincent and the Grenadines

	106   
	San Marino

	107   
	Saudi Arabia

	108   
	Serbia

	109   
	Sint Maarten (Dutch part)

	110   
	Slovak Republic

	111   
	Slovenia

	112   
	South Georgia and the South Sandwich Islands

	113   
	Spain

	114   
	Suriname

	115   
	Sweden

	116   
	Switzerland

	117   
	Taiwan

	118   
	Trinidad and Tobago

	119   
	Turks and Caicos Islands

	120   
	Ukraine

	121   
	United Arab Emirates

	122   
	United Kingdom

	123   
	United States of America

	124   
	United States Minor Outlying Islands

	125   
	Uruguay

	126   
	Venezuela

	127   
	Wallis and Futuna

	128   
	Western Sahara

	129   
	Zambia

Schedule 6—Repeals
Migration Regulations 1994 –Specification of Required Medical Assessment – IMMI 15/144
1  The whole of the instrument
Repeal the instrument.