INZ 1096 — Chest X-ray Certificate (previously X-Ray Certificate for Temporary Entry)

Who should use this form? Applicants for entry to New Zealand are required to have an acceptable standard of health (Health Requirements (INZ 1121) has more details). This chest X-ray certificate records information about your health that Immigration New Zealand requires to assess whether you meet

Current version: December 2020
Format: PDF · 273 KB
Version checked: 1 July 2026

Download INZ 1096 from Immigration New Zealand

Version history

Changes we have observed to this form since tracking began.

First captured — version December 2020 · 3 June 2026

Always download the form from the official Immigration New Zealand link above; versions change. General information, not immigration advice.