Migrants seeking immigrant visas/work permit for the purposes of study, employment or permanent residence must undergo a medical examination by a Licensed Physician/ Examining Physician (EP) 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. non-communicable diseases
3. vaccination status of immigrants
4. physical or mental disorders that may pose a threat to the property, safety, or welfare of the individual or others
5. the condition of being a drug abuser or addict; and
6. any major medical illness that will affect productivity in the work environment or major financial liability for healthcare treatment.

Please note the Ministry of Health and Human Services and by extension the Turks and Caicos Islands Government reserves the right to deny applications if there is indication of the above parameters being compromised and or if there is suspicion of false documentation submitted.

Effective 1st September 2022, the application fee/cost for a medical certificate for one year will increase to $50 per person. This fee is non-refundable and must be paid on submission to the Migrant Health Unit.

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.

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 first-time medical evaluation forms and for renewals only if clinically indicated.
• Chest X-rays are required for ALL first-time applicants, 16 years and older.
• If chest x-ray detects any abnormalities further tests should be performed, such as sputum for Mycobacterium tuberculosis/ Computed Tomography (CT) 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.
• Pregnant women are exempt from the Chest X-Ray requirement and should take a tuberculin skin test in lieu of a chest x-ray. Proof of pregnancy is required.
• 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.

3. Urinalysis

• Urinalysis is required on all persons over the age of two (2) years old
• Dipstick urinalysis is acceptable
• When urine test is abnormal the evidence of treatment/further investigation must be submitted 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:
1. HIV
2. HEP B
3. RPR
• 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 accompanied by the appropriate confirmation test
• All clients with any positive results should have relevant viral loads, proof of treatment, and evidence of same provided with the medical.
• Positive Tests for Syphilis requires proof of treatment.

5. Other Tests

• Mantoux/ PPD test is to be performed for ALL first-time applicants 15 years and over. The mantoux result should indicate induration as a measurement in millimeters (MM). A Quantiferon Gold TB test is accepted in lieu of the Mantoux/PPD test.
• 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 must include the vaccinations records.

Compulsory vaccination is as follows*:

Children:

Diphtheria Pertussis Tetanus and Polio

Age                                          Doses required by age

0                                                          0

2 months                                             1

4 months                                             2

6 months                                             3

1 year                                                  3

18 months                                           4

2 years                                                 4

3 years                                                 5

12 years                                               6

Measles Mumps Rubella

Age                                          Doses required by age

1 year                                                  1

2 years                                                 2

Adults:

Vaccine                                   Doses required                       Dose schedule

Diphtheria Tetanus                             3                                  0, 4 weeks, 6 months

Measles Mumps Rubella                    2                                  0, 28 days

Polio                                                   1                                  2 drops oral or 1 dose IPV

If vaccinations are required, the EP can administer them or recommend a waiver stating valid reasons for such recommendation- this is for consideration and may not be accepted in all instances.

*An acceptable alternate to vaccination cards/proof of vaccination is a laboratory test for the above vaccines indicating immunity. This must be on an official report from an accredited laboratory.

The complete MHE report should consist of the following:

• Duly completed and signed (EP and Applicant) TCI-MHE-11 form with clear, legible copy of the bio-data page of passport
• Chest X-Ray report
• Laboratory report (children exempted)
• Mantoux/PPD Report
• ECG report (for all applicant after 40 years old)
• Immunization record/Proof of vaccination
• Proof of residency in the case of a renewal

• Applicants who are applying from or are citizens of countries deemed as high risk must have an approved medical before entering the TCI. High-risk countries are indicated below.
• Applicants from all other countries, not requiring a visa to enter the TCI may enter the country and have medical done on island. The requirements for the medical is the same if done within or external to the TCI.
• The Migrant Health Offices are located at:
  • Grand Turk: Naynelly’s Plaza, Lighthouse Road, Grand Turk Phone 649-338-3055
  • Providenciales: Town Center Mall, Parade Avenue, Downtown, Providenciales Phone 649-338-5063
• All applications dropped off by clinics or labs must be collected by that clinic or lab. The unit will no longer issue medicals to individuals whose applications were dropped off by a clinic or lab. They should return to the clinic or the lab to collect their medical certificate.
• All applications dropped off by a pre-approved companies must be collected by same. The client should return to the company for the medical certificate. The unit will no longer issue medicals to individuals whose applications were dropped off by an agency.
• The new drop off and pick up days for applications are as follows:
  • Clinics – Monday and Wednesday 9 am to 2 pm
  • Pre-approved companies – Tuesday and Thursday 9 am to 2 pm
  • Pick up or distribution days – Friday

Effective 1^st September 2022 all medicals received on or after this date will be emailed directly to the clinic or representing company.  Please ensure that the email address on the application forms is legible.

For further information please email the Migrant Health Unit at email: migranthealth@gov.tc or at either number indicated above.

Pre-approved companies

• Turks and Caicos Islands Government
• TCI Hospitals
• Fortis TCI
• Digicel
• Flow
• Provo Water Company
• InterCaribbean
• Caicos Express
• HR personnel from hotels
• Hospital Bernard Mevs (Port-au-Prince, Haiti)
• Comefesa (Cap Haitien, Haiti)
• Bridge Solutions secretarial and administrative services (Phone number 649-947-0561 Email bridgesolutionstci@gmail.com)
• Asikk recruitment and employment services (Phone number 649 232-6546 Email mastubbs52@gmail.com)
• KP secretarial and administrative services (Phone number 649 232-6546 Email pphandfield@gmail.com)
• Deluxe Business Center (Phone number 649-332-1969)
• First Source Employment and Recruitment agency (Phone Number 649-245-3351. Email employmentagency@gmail.com)
• Reliable Resources Recruitment agency
• T&R Professional secretarial and administrative services
• Misick and Stanbrook
• Stanbrook Law
• TCI statutory bodies and organizations
  • TCI Sports Commission
  • TCI Football Association
  • TCI Football Association
  • National Health Insurance Board
  • Integrity Commission
  • Human Right Commission
  • Financial Services Commission
  • Telecommunication Commission
  • National Trust
  • Invest TCI
  • TCI Ports Authority
  • TCI Airport Authority
  • TCI Community College
  • TCI Tourist Board
  • Electricity Commission

List of countries deemed as High Risk (applications must be approved before entry to TCI)

A

Afghanistan

Algeria

Angola

Armenia

Azerbaijan

B

Bangladesh

Belarus

Benin (get tested in Nigeria)

Bhutan

Bolivia

Botswana

Brazil

Brunei

Burma (Myanmar)

Burkina Faso (get tested in Ghana)

Burundi

C

Cambodia

Cape Verde (get tested in Gambia or Senegal)

Central African Republic (get tested in Cameroon)

Chad (get tested in Cameroon)

Cameroon

China

Congo (get tested in Democratic Republic of the Congo)

Côte d’Ivoire

D

Democratic Republic of the Congo

Djibouti (get tested in Ethiopia)

Dominican Republic

E

East Timor (get tested in Indonesia)

Ecuador

Equatorial Guinea (get tested in Ghana)

Eritrea (get tested in Kenya)

Ethiopia

G

Gabon (get tested in Cameroon)

Gambia

Georgia

Ghana

Guatemala

Guinea (get tested in Sierra Leone)

Guinea Bissau (get tested in Gambia or Senegal)

Guyana

H

Haiti

Hong Kong

I

India

Indonesia

Iraq

K

Kazakhstan

Kenya

Kiribati (get tested in Fiji)

Kyrgyzstan (get tested in Kazakhstan)

L

Laos

Lesotho (get tested in South Africa)

Liberia (get tested in Ghana)

M

Macau (get tested in Hong Kong)

Madagascar

Malawi

Malaysia

Mali (get tested in Gambia or Senegal)

Marshall Islands (get tested in Fiji)

Mauritania (get tested in Morocco)

Micronesia (get tested in Fiji)

Moldova

Mongolia

Morocco

Mozambique

N

Namibia

Nepal

Niger (get tested in Ghana)

Nigeria

North Korea

P

Pakistan

Palau (get tested in Philippines)

Papua New Guinea

Panama

Paraguay

Peru

Philippines

R

Russia

Rwanda

S

São Tomé and Principe (get tested in Angola)

Senegal

Sierra Leone

Solomon Islands (get tested in Papua New Guinea)

Somalia (get tested in Kenya)

South Africa

South Korea

South Sudan (get tested in Kenya)

Sri Lanka

Sudan

Suriname (get tested in Guyana)

Swaziland (get tested in South Africa)

T

Tajikistan

Tanzania

Togo (get tested in Ghana)

Thailand

Turkmenistan

Tuvalu (get tested in Fiji)

U

Uganda

Ukraine

Uzbekistan

V

Vanuatu (get tested in Fiji)

Vietnam

Z

Zambia

Zimbabwe