I authorise any health service agency to provide information about my health to Immigration
New Zealand.
I authorise Immigration New Zealand to make any necessary enquiries about information on this form and/or
accompanying documentation. I authorise any agency whether in New Zealand or overseas, including but not limited
to border or immigration agencies, education providers, financial institutions, foreign embassies, government
authorities, health care providers, police or other law enforcement agencies, that holds information (including personal
information) related to information on this application form and/or accompanying documentation to disclose that
information to Immigration New Zealand so that they can: