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815 - Health undertaking

This document provides instructions on how to complete the Health Undertaking Form 815 for an Australian visa application. The form includes personal details, health examination requirements, and consent for release of health information. Applicants outside Australia are required to contact the Health Undertaking Service within 4 weeks of arrival and report to a specified health clinic for supervision and treatment if necessary.

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FAQ
  • Who needs to sign the health undertaking consent form?

    The client (applicant) and a parent or guardian (if under 16 years of age), as well as the Department, state and territory health authorities, and the relevant health clinic, all need to sign different parts of the health undertaking consent form.

  • What consent is given in the client undertaking Consent for release of health information section?

    The client consents to the Department disclosing their personal information to state and territory health authorities and the relevant health clinic for the purpose of monitoring this health undertaking. They also consent to authorising the state and territory health authorities and the relevant health clinic to disclose to the Department the result of the health examination they will attend and any follow-up treatment required.

  • What is a health undertaking form 815 and what is its purpose?

    A health undertaking form 815 is a document required by the Australian Department of Home Affairs for certain visa applicants. It outlines the conditions and requirements for undergoing a health examination, as well as ongoing monitoring and reporting throughout the duration of their visa. The purpose of this form is to ensure that the applicant's health information is shared between the Department and state/territory health authorities and the relevant health clinic for monitoring and managing their health during their stay in Australia.

  • What information needs to be provided in the client details section?

    The family name, given names, date of birth, passport details (number, country, issue date, and expiry date), HAP IDICSE Client ID, office use only number, telephone numbers (mobile and office), after hours contact details, fax number, email address, intended duration of stay in Australia, and postcode need to be provided in the client details section.

  • What are the undertakings that a client needs to agree to?

    A client needs to agree to contact the Health Undertaking Service within 4 weeks of their arrival in Australia, report to the health clinic to which they are referred, place themselves under the health clinic’s professional supervision and undergo any required course of treatment, chest x-ray examination or investigation, inform that health clinic each time they change their address in Australia throughout the period during which their health is being monitored, inform that health clinic whenever they are about to leave Australia and report upon their return, and (for applicants outside Australia) inform the Australian Visa Office where they lodged their application if they change their contact details.

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ABOUT

Medicare Application Forms

Form 815 is one of Medicare forms that are documents used in various processes related to the Medicare program, which is a federally administered health insurance program in the United States. Medicare provides coverage for eligible individuals who are aged 65 and older, as well as certain individuals with disabilities or specific medical conditions.

Some common Medicare forms include:

Medicare Enrollment Application: This form is used to apply for Medicare benefits. It includes information about the applicant's personal details, such as name, address, Social Security number, and details about current health insurance coverage.

Medicare Claim Forms: These forms are used to request reimbursement for medical services or supplies covered by Medicare. Different claim forms are used for different types of services, such as hospital stays (UB-04 form), physician services (CMS-1500 form), or durable medical equipment (DMERC form).

Medicare Prescription Drug Plan Forms: These forms are used to enroll in Medicare Part D, which provides prescription drug coverage. They typically require information about the medications currently being taken and may include a list of covered drugs for the specific plan.

Medicare Appeals Forms: If a Medicare claim is denied or if there is a disagreement with a coverage decision, individuals can file an appeal. The forms used for the appeals process vary depending on the specific situation and the type of Medicare coverage involved.

Medicare Authorization Forms: These forms are used to authorize the release of protected health information to individuals or organizations that need access to the medical records for purposes such as claims processing or coordination of care.

Medicare Change Forms: These forms are used to make changes to existing Medicare coverage, such as updating personal information, changing the primary care physician, or switching to a different Medicare Advantage or Part D prescription drug plan.

It is important to note that Medicare forms and processes can be complex, and individuals are encouraged to seek assistance from the Medicare program or a trusted healthcare professional to ensure they complete the appropriate forms accurately and in a timely manner.

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