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Thread: Limited or General medical certificate?

  1. #1
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    Default Limited or General medical certificate?

    Hi, my 30 year old fiancee is currently in NZ on a USA working holiday visa which is due to expire soon eek! We are going to apply for the Partner of a NZ Resident Work Visa once she has her medical done. But we're not sure which medical certificate she needs?! All the wording confuses us but it looks like she needs the xray and limited medical certificate? someone please confirm! lol

    I am a NZ citizen. We were in a long distance relationship for 2+ years (started dating 26th August 2015) and have been living together since she arrived in NZ on the 31st of December 2017. Will they count this as us living together for 12 months at the time of application?! or not since it will be like 11.5 months? this is the reason why we're applying for this visa instead of the resident one so we have more time living together cause we didn't wanna be declined for it being 11.5 months lol.

    We're going to book her medical for next week and then apply for the visa, I'm currently gathering all the other info they need. She currently has a full time job and they are hassling her about her next visa and the "extension?" when her current WHV expires if they haven't approved the next work visa by then.. she will get the extension?/interim visa to continue to work right?! she's the main income earner at the moment while I sort out some of my medical issues so we rely on her wages!

    We're really anxious about this whole thing as we're running out of time and have no idea what her medical results will be like ahhh lol. She has asthma which is the only thing we know of that she has. She has had surgeries in the past (patella re-alignment, something done to her shoulder and some gland removed from her neck, all were 6+ years ago) but doesn't have problems with those things now. She's also in the "obese" BMI range (235lbs, 5'4") and currently losing weight but we've read that they need to do extra tests since shes "obese".. should she fast before we go to the medical anyway so we don't have to go back? we're traveling 2.5 hours for the medical so would like it all done that day lol.
    She doesn't take medications and hasn't needed to go to the doctor or anything in the 11 months she's been here which could be a good sign?!

    Sorry for all the questions. We're so stressed out about everything and we need help

  2. #2
    Join Date
    Nov 2017
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    I'm an applicant myself with no legal/immigration background so sharing my experience and others.

    Regarding BMI --, I believe the cut off is 35, so if she can get below that it will help considerably! I was below so not a problem but not by far! In my husband's case, was at 41BMI with no other issues. He has NOT been flagged as a medical concern though because he didn't have any other issues on his tests. If you are worried about medical lab results, it may be helpful to do a pre-test so you know where you stand, so if cholesterol is up or BP you can make the right adjustments before doing your "formal" medical.

    Regarding relationship --I know this is something they can be strict wanting evidence. I know people that have been MARRIED a couple of years and have a daughter and they were still asking for all kinds of evidence! He was from Italy originally and she is a Kiwi. They finally got approved but there were some delays as they kept asking for more info. So make sure you document pictures and your timeline you've been living together, the letters from family/friends you've been together, proof of joint accounts, all the stuff they ask for as part of your application. Create a folder and put it all in there and organise it well!

  3. #3
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    Feb 2008
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    Although it sounds as though a lifestyle change - healthy food and a sensible exercise regime as a routine - would be a good idea, do NOT fast, or do anything out of the ordinary (e.g. unusual extreme diet, drinking amounts, a lot of exercise), in the few days running up to the medical, as any such thing will cause peculiar measurements in the samples taken, which would show up as abnormal readings to go in the report, and cause more problems.

    This https://www.immigration.govt.nz/opsmanual/#46507.htm is the page about medicals and X-rays. She comes under A4.25 e i, so, as you thought, needs the Limited Medical and an X-ray.

    11.5 months at the time of application will NOT count as 12 months for INZ. You're right to go for the work visa in the first instance. (Notice - an application to INZ is a legal document, so, by submitting it, you warrant that everything in it is the truth. So you can't claim for something that WILL be the truth, you think, but hasn't happened yet. And making any false claim can be counted by INZ as attempted fraud, which would put a black mark against any future visa application for anywhere for the future. This is serious. Don't be tempted to cut any corners.)

    Here https://www.google.com/search?source...10.5H_V4g5RzVw are old threads with discussion about evidence of partnership, and examples of what people have used.

    You aren't going to like this next fact. Your partner's Interim visa will NOT give her the right to work in the period while the new application is being processed. https://www.immigration.govt.nz/new-...isa-conditions Her WHV is an open work visa, and she is applying for a DIFFERENT kind of open work visa, so the interim visa will have visitor visa conditions. (On the chart, this appears as "Work (open) Work (open - different kind of open visa) Visitor".) There is no way round that. She absolutely must not break the conditions of her visa, as that could result in not getting another. You will have to find another way round the temporary financial difficulty.

    I know you are anxious. Everybody gets anxious about having an application in to INZ, so that is just the normal state. Also, it sounds as though your partner may have her medical referred to an MA. If this happens, the MA sends a message requiring whatever more information they need to understand the person's state of health, which may be more tests and/or a doctor's or specialist's letter saying what is going on and what can be expected - this doesn't necessarily involve going BACK to whatever doctor did the medical examination, as it's more likely to be the person's own GP or any specialist the person is referred on to (IF there is some specific illness). The only thing to do if a medical is referred is just buckle down and DO what they tell you.

  4. #4
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    Don't worry, we know how much evidence they need and have been collecting/keeping things for the last 3 years to show them and have letters from friends/family, joint bank account, and everything else they need. We know to be honest about everything too. We'll be applying online so we don't have to print out a million things lol. I'm a very organised person so no issues there!

    I was asking about the fasting because if they require her to do more tests for diabetes etc cause she's overweight, she has to fast before they can do it so I thought she could fast from the night before her medical just in case? she has been eating healthy (I cook the meals so she has to lol) and she's on her feet working 8+ hours a day and we walk lots but she's still got like 35lbs to lose before her BMI is under 35.

    Thanks for telling me about the interim visa eek! we're worried she'll lose her job now she really loves it and they were going to pay for her apprenticeship next year (she's a baker).

    We have requested an appointment for her medical next week ahhhhh

    We'd be so heart broken if they make her go back to the states I can't move over there because I have a son and can't take him away from his dad and family so we're sooooo stressed out right now! lol

  5. #5
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    Once your partner has applied for her next visa (within the life of this one), she WILL be eligible to be issued with an Interim visa to cover her to stay in NZ while INZ process it. There would be no reason from INZ's point of view why she would have to leave the country.

    It's a shame about the job. If she is open about everything to the employer, maybe they will be sympathetic and hold the place for her. It sounds as though they must rate her, if they've been talking about giving her an apprenticeship.

    I see what you mean now about the fasting, and overnight before the medical shouldn't skew the other levels (but she should tell them at the doctor's office what she's done). (I was remembering somebody a few years ago who had gone on some insane "diet" of just water and dry crackers for weeks running up to the medical - not surprisingly, the results showed up as an alarm call that the person was ill. Ditto a guy who had been on an alcoholic binge at a wedding the week before.)

  6. #6
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    Oh I know she'll get the interim visa but I was meaning if they deny her cause of her medical then they'd send her back to the states we need to stop thinking the worst though lol

    Yeah her boss loves her and even wrote a letter for her to show immigration that she has a permanent position when she gets her resident visa and that she's a highly valued team member etc. I'm hoping her boss will be understanding but they're giving her grief about waiting till the last minute to apply for this visa!

    Her medical appointment is at 10:30 next Tuesday so think we will fast overnight and tell them why this is super important to us so we need to do everything the right and honest way!

  7. #7
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    Oh I have another question... If she gets this visa, we plan on applying for the partner of a nzer resident visa in about 7 months or so. Will she have to do the medical stuff again for that or can they use the results from this one?
    Or if some issues do pop up in her medical/xray next week, will she have to get it again anyway to check on those things?

  8. #8
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    See here https://www.immigration.govt.nz/opsmanual/#46161.htm at A4.20 d, about re-using this medical for the future partner-sponsored residence application. (Basically, you will be able to if it's been accepted.)

    About your second question, if your partner isn't assessed as ASH (Acceptable Standard of Health) this time (talking about it doesn't make it happen), she may be told that she must apply for a medical waiver for her partner-sponsored work visa. https://www.immigration.govt.nz/opsmanual/#44863.htm A4.65 a iv. As your partner, she would have a good chance of a medical waiver, NOT being sent out of the country. If she had to apply for a waiver, then when it comes to residence, she wouldn't be able to re-use the same medical. If the same thing happened with a second medical, A4.60 d https://www.immigration.govt.nz/opsmanual/#45636.htm would apply for the residence application, as long as the other criteria are met.

  9. #9
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    Oh that makes me feel a bit better about this lol. Thank you for your help!

  10. #10
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    My fiancee did the tests and xray 2 days ago and we got the results last night which said everything was normal and healthy (A grade) woohoo!! they weren't worried about her weight or anything so she didn't have to do extra tests.. but I'm assuming it will be immigration that might request the extra tests when they see her weight/BMI?? but I'm just happy all her tests were normal, that was one thing that was stressing us out a lot lol

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