The Health Operations Centre (HOC) assesses and processes offshore Immigration health examinations.
Permanent visa applicants:
All applicants for permanent visas, including the main applicant, partner and any dependants, must be assessed against the health requirement. Even if the applicant's partner and dependants are not included in the visa application, they must still be assessed against the health requirement.
Applicants for a permanent visa will be asked to undergo a medical examination, an x-ray if 11 years of age or older and an HIV/AIDS test if 15 years of age or older, as well as any additional tests requested by the Medical Officer of the Commonwealth (MOC).
From the Check the progress of an application website, typical Application Status are:
1) "Further medical results received"
HOC received your envelope.
[process takes 2 days after received]
2) "Health requirements outstaning"
HOC decides if the applicant has local clearance capability. Here should be checked if applicants belong to class A (no significant history or abnormal findings) or class B (Significant history or abnormal findings present) according to assessed by the Panel Doctor in the FORM 26 (point "24 Recommendation"). For example: If applicant is Class A and lives in gazetted countries, the process is faster than B.
This step involves checking of: envelope arrives sealed, applicant identity, doctor identity, all reports certified and translated to English (if required)
and correct tests done.
Today many "overseas medical test" for permanent VISA go to LCU (Local Clearance Unit) regardless of class A or B (I'm not sure why: Efficient, HOC collapsed?). Nevertheless, DIAC do not require a MOC assessment on all applications for permanent entry visas, and is therefore largely reliant on overseas panel doctrors and COs to ensure that health examinations and tests are conducted in line with DIAC requirements.
[delivery process takes from 2 days to 1 week after 1 - don't frustrate if status doesn't change, sometimes online status are not updated but the process continues]
3) "Further medical results referred"
If not tuberculosis(TB), medicals (X-ray, hepatitis, VIH/AIDS, TB/blood tests or relevant considerations) are received by LCU.
Key Functions from LCU are: Processing and local clearance of medical results sent from panel doctors, Process 'A' cases, referral of health assessment 'B' cases to HAS (compulsory for permanent VISA).
In addition, medicals will be referred from LCU to a MOC (HAS) if any criteria for 'A' not met, problems with identity, panel doctor not found,medical results not legible or high risk country.
[this process takes 3 weeks to 2 month after 2 depending on your health condition (or a family member) and whether new assessments are required].
(Category 2 is currently taking 3 weeks -approximately -)
From here you may go to 4 or 5, depending on a MOC opinion from HAS.
4) "Further medicals required"
If necessary, MOC may also ask any applicant to undergo extra medical reports: full medical history, medical reports from specialists, reports from school, others. You or your Agent will receive an e-mail from HOC (see below).
Contact to DIAC if you have not yet received notification about these requirements, after your status has changed.
New tests/medical reports should be sent to Global Health (same building of HOC in Sydney)
[same day you receive a letter asking you extra meds, the status will change to 4.]
4.1) "Further medical results referred"
If 4, extra medicals received by Global Health are sent to a HAS again for further review.
[2-4 days after meds are received the status will change to 4.1]
[process and final decision/advice takes 3 weeks to 2 months, depending on many factors]
(Category 2 is currently taking 3 weeks -approximately -)
5) "Health requirements finalised"
Finalised is a status that means each documents fulfills requirement to be analyzed by a MOC. MOC takes from 1 to 4 days for a decision.
Outcomes are entered in HATS (Health Assessment Tracking System), overseas post/case officer
is notified of this outcome. Nevertheless, MOC can ask you to undergo new tests again. You will go to 4.
If not extra test are required, Case Officer deciding visa applications is notified and must accept the opinion from MOCs. After that CO will update the document checklist. It seems in this exactly time you will see "met" or "not met" in the website.
[you will see this status 2-4 days after a MOC from HAS decides over your health criteria]
If all meds are "met" and the rest of the VISA requirements too, congratulations! DIAC will inform you VISA is granted.
Else, if "not met", you can think in a re-view by means of a lawyer, a "Health Waiver" possibility (very difficult but possible) or even to think in another country.
This is typical letter from HOC to Panel Doctors, if 4 ("Further medicals required"):
Dear Panel Doctor,
The bearer of this letter, Person X, DOB: /date/, F is required to provide further medical information (details given below).
Please include the following information:
A current further assessment from
"list of specialist here".
Please forward a further report addressing
"list of requirements here"
The report must be sealed by you, the Doctor, stamped and signed, then sent from your clinic to the Global Health (GH) at the following address:
Department of Immigration and Citizenship
Level 3, 26 Lee Street
SYDNEY NSW AUSTRALIA 2000
Please include a copy of this letter when sending any further documents to the Global Health.
Please do not hesitate to contact GH with the details provided below, should you require further clarification or information.
Global Health, Level 3, 26 Lee Street Sydney NSW Australia 2000
GPO Box 9984 SYDNEY NSW 2001 Facsimile 61 2 8666 5901 Email:
Health.Operations.Centre@immi.gov.au Website: www.immi.gov.au
This is only a guide for understanding the process. Hope this is useful for you.