Please proceed to make an appointment to undergo the required immigration health examinations listed in this letter with
an approved panel physician if you are outside Australia or the Department of Immigration and Border Protection (DIBP)
migration medical service provider if you are in Australia. You may also subsequently be referred to a specialist for additi
health examinations. Specific requirements for arranging your health examination are explained on DIBP’s website at http
www.immi.gov.au/allforms/health-requirements/arranging-health-exam.htm.
When making your appointment, please provide the clinic with your health identifying number (HAP ID) indicated at the to
this letter. Please also make sure that you bring with you to your appointment:
• this referral letter
• your prescription spectacles or contact lenses, if applicable
• existing specialist and/or other relevant medical reports for known medical conditions
• any previous chest x-rays
• a valid passport OR an agreed form of alternative documentation to confirm your identity.
Note: a copy of any health information that you have already provided to DIBP online is included below for your informati
This information will also assist staff at the panel clinic that you select to visit.
Client personal details
Title: -
Family name: SAPOON
Given names: KUSARIN
Gender: FEMALE
Date of birth: 30 JUN 1979
Country of birth: THAILAND
Client identity details
Identity document presented : Original Passport
Identity document number : AA4061285
Issuing country : THAILAND
Date of issue : 15 Dec 2014
Date of expiry : 14 Dec 2019
Source : Australia
Client visa details
Visa: TU 573 Higher Education Sector (Temporary)
Examinations required for this visa application Exam Status Clinic
501 Medical Examination Required
502 Chest X-ray Examination Required
Consent provided
On 04 FEB 2015 you consented online to using eMedical to process your health examinations where available.