This form is for applicants of an Australian visa who need to provide a health undertaking. It includes instructions on what to do before, during, and after the health examination, as well as consent for the release of health information between the Department, state/territory health authorities, and relevant health clinics.
The purpose of monitoring this health undertaking is for releasing the result of the health examination and any follow-up treatment required to relevant authorities.
Only health information related to the visa application will be released, guided by the Privacy Act 1988.
Parent or guardian of the child should sign this form
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