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Form INZ1260 New Zealand

  1. Language English
  2. Country New Zealand
  3. Activity Health
Form INZ1260 New Zealand

Settlement Health Assessment (Humanitarian UNHCR)

Use this form for the settlement health assessment of UN Refugee Agency-mandated refugees who have been approved under New Zealand's Refugee Quota Programme or the Refugee Quota Family Reunification Category.

This is a Settlement Health Assessment form for Immigration New Zealand. It includes sections for client information, medical history, mental health screening questionnaire, laboratory tests, chaperone and interpreter declaration, examining physician declaration, and confirmation of identity and declaration. The form must be completed in English language and signed by the client, examining physician, chaperone (if applicable), interpreter (if applicable), and person taking blood.

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