Instructions to EP for conduct of Medical Examination

The following instructions apply to Examining Physicians (EP) residing overseas and locally.

Migrants seeking immigrant visas /work permit for the purposes of study, employment or permanent residence must undergo a medical examination by a Licensed Physician to determine whether he or she is admissible for the stated purpose of entry. The purpose of the medical examination is to identify:

  1. communicable diseases of public health significance;
  2. lack of required vaccinations;
  3. physical or mental disorders and behavior associated with the disorder that has posed, or may pose a threat to the property, safety, or welfare of the migrant or others;
  4. the condition of being a drug abuser or addict; and
  5. any major medical illness that will result in inability to function in the work environment or reduces productivity and presents and major financial liability.

Completing the TCI-MHE-11 Form

Personal identification information must be completed on all forms in the appropriate locations. EP must ensure that the person being examined is indeed the person to whom the application belongs. A copy of the bio data page of the applicant’s passport must be attached to the TCIMHE-11 form and submitted as part of the report.

Persons who are to be employed by the Turks and Caicos Islands Government will be issued an application number by the Office of Public Service Management (OPSM).

Part A

  1. All medical evaluation forms completed outside of Turks and Caicos must be submitted in English!
  2. All questions in this section must be completed by EP for all applicants.
  3. A “yes” answer to any question in Part A must be explained in the space provided or on a separate sheet.

Part B

  1. All questions in this section must be completed by EP for all applicants.
  2. A “yes” answer to any question in Part B must be explained in the space provided or on a separate sheet.

Part C

1. Chest X-Ray

  • Chest x-ray is the compulsory requirement for all medical evaluation forms completed outside of the Turks and Caicos and for the medicals completed in Turks and Caicos only if clinically indicated.
  • If chest x-ray detect any abnormalities further tests should be performed, such as sputum for Mycobacterium tuberculosis and the evidence of treatment should be submitted.
  • Chest X-Ray reports must not be older than 6 months at the time of examination for persons undergoing the Migrant Health Evaluation for the first time.
  • A pregnant woman may choose to take a tuberculin skin test in lieu of a chest x-ray .
  • Official report (not radiograph) by a radiologist is to be submitted with the MHE report.

2. Electrocardiogram

  • Required for all persons over the age of 40 years for both overseas and local medicals.
  • Required for all persons with significant cardiovascular history and risk
  • ECG printout should be submitted along with the MHE report
  • No cardiologist report on the ECG is required in the initial instance

3. Urinalysis

  • Urinalysis is required on all persons
  • Dipstick urinalysis is acceptable
  • When urine test is abnormal the evidence of treatment mist be submitted alone with the medical.

4. Blood Tests

  • All blood tests are to be performed by an approved / registered laboratory and official laboratory reports submitted along with the MHE report without any exceptions, including medical from abroad and within TCI and should include:
    i . HIV
    ii. HEP B
    iii. RPR
  • Turk and Caicos Islands EP must collect blood samples and code all samples for referral to the locally or Internationally approved laboratory of their choice.
  • Children under the age of 15 are not required to do serological test for HIV, Hep B and Syphilis unless they are clinically indicated.
  • Positive tests should be repeated with appropriate confirmation test
  • All clients with any positive results should be referral to TCIG Primary Health Care department for registration and treatment if required.
  • Positive Tests for Syphilis required proof of treatment.

5. Other Tests

  • Mantoux test is to be performed only in children under 15 years or in persons 15 years and over if clinically indicated.
  • Drug screen is required only for persons seeking employment with the Turks and Caicos Islands Government.
  • Drug test is not required for persons under 15 years of age.


All medicals completed abroad must include the vaccinations records.

Compulsory vaccination for:

  • mumps; (2) measles; (3) rubella; (4) polio; (5) tetanus and diphtheria toxoids and (6) pertussis.

If vaccinations are required, the EP can administer them or recommend a waiver stating valid reasons for such recommendation.

Completed MHE Report

The complete MHE report should consist of the following:

  • Duly completed and signed (EP and Applicant) TCI-MHE-11 form with bio-data page of passport
  • Chest X-Ray report (From outside of TCI)
  • Laboratory report (children exception)
  • ECG report (for all applicant after 40 years old)
  • Immunization record (From outside of TCI)

The complete MHE report MUST be placed in a sealed envelope and sent by courier or faxed to:

Migrant Health Evaluation
Ministry of Health
Iris Plaza
Turks and Caicos Islands
Fax: (649) 9414506

Note: The examination will be null and void if the seal is broken and documents tampered with.