Realities of the Medical Check for a Chinese Z-Visa (Home Country)

This is a part of my Chinese Z-Visa Guide series on moving from the UK to China. I have also done the Medical Exam in China.

In order to legally work in China with a valid Work Visa (Z-Visa) you need to submit a number of documents to the organisation that hires you. Of these documents is a required medical check. Your employer will email you the necessary form. You can also find it here.

The first thing you’ll notice is that the form is very detailed and asks for a lot of information. The second thing you’ll notice is all the mixed information online about how to go about filling it in. This post exists to both dispel and confirm your concerns.

There is a range of guidance out there; some saying that the form can be completed by a GP whilst the rest stating the need to pay a great deal of money to have it done privately. The truth is that there is no one straightforward experience. Getting the form completed depends a great deal on your location and personal circumstances. Below are two very real case study examples of two of my friends.

Case Study 1: A friend got her medical check done via the GP.

She had had the same GP for many years and went often enough. When she took her GP the form the GP admitted never having seen it before and stated that because this is not NHS work she would charge my friend £20. My friend accepted and the GP took a closer look at the form. She filled it out based on what she knew from records within 5 minutes. She took my friends blood pressure, height and weight there and did a general check of things. It was so quick that the GP didn’t even charge her and printed out the test results that my friend already had. Signed and stamped no problem.

I think she was lucky.

She later went to her optician (She had had an eye test done very recently) and they printed out some results and added some detail on the form too.

She sent off what she had and despite no X-Ray scan and so on (the GP wrote ‘normal’ for everything that was clearly normal) her employer didn’t question it and began processing her documents to get the invitation letter.

Case Study 2: A friend paid to have his medical check done privately.

My friend had moved house and needed to register with a GP. He had never really visited his old GP as he was a picture of health. The registration took time but once it was done he did what our mutual friend had done and went off with the form. After many delays he was told in no uncertain terms that the GP knew nothing about it and refused to complete it. All the GPs at that surgery said the same thing. Having waited so long to be registered and with time running out (these things are time sensitive as you’re usually rushing for the start of a semester) he felt he had no choice but to get it done privately.

He lived in an area where nearby private clinics either didn’t know about the Chinese Medical Check or charged over £500 for one. So off to London he went and had it all done. The scans, the tests and so on. He came away 2 hours later with photocopies, stamped forms and was £400 poorer.

He wasn’t happy.

It’s possible that the GP records that existed for my first friend and the relationship with the GP made things easier. It’s possible that that relationship didn’t matter and it depended on what the GP was willing to do.

It could also depend on what your definition of legit is. I’ve heard the argument that my first friend should have paid for a ‘real’ medical check.

The Chinese rules state that the form must be completed at  a hospital by a doctor. The thing to bear in mind is that China has no concept of a family doctor or GP. In China, if you feel ill, you go to the hospital. Even for minor things. So a GP is a sufficient equivalent.

As for possible dishonesty regarding the medical check itself. The form is a tick box to get the Invitation Letter. It expires within six months of its original issue (the date the GP/doctor signed it) and you have to repeat the medical examination in a Chinese hospital within a certain number of days of your arrival in China anyway. The difference is that your employer pays for this medical check.

The process of getting all your documents for China as well as your visa is expensive enough and not all employers cover the various costs. Many schools might pay for the visa itself but universities tend not to.

Ultimately, this is about getting things sorted. The NHS is very unlikely to send you off for an EKG if you’re a perfectly healthy 24 year old. A GP may sort the document out for you and your employer will accept it. Or you’ll have to fork out lots of cash to get it done privately, only to go through it again once your there. Just because your GP felt unsure.

It’s not really a matter of choice, it’s a matter of luck.

Have you had a Chinese Medical Form filled? How did you go about it? Share your advice in the comments below.


8 thoughts on “Realities of the Medical Check for a Chinese Z-Visa (Home Country)

  1. Hi Sophia,

    I got mine done by my local GP for the cost of £96 and I am just putting this on here so others reading can see my experience. I emailed my doctors surgery asking if I could have it done there and they quoted me a price and helped me book myself in.

    I have a quick question for yourself too about the form. I have it completed, but I didn’t put the photo on until afterwards so I don’t have this stamped. Will this be an issue and did you do this? If the worst comes to the worst I can always take it back to the doctors with the picture on and get a quick stamp.



    1. Hi Tom,

      Thanks for sharing your experience. I think it’s useful for people to see how much the experience varies.

      I put the photo on before so it was stamped. However the ink smudged quite a bit. That didn’t seem to be an issue though.

      I recommend the same for you, mainly because now that I’m in China I notice just how much bureaucracy and paper work there is here. The medical check is just a box tick to them but administration can be quite picky. If there is a chance to get the stamp, get it. Also if there are any attached files, such as blood tests, make sure to bring them!

      I tend to err on the side of caution.

      Good luck!


  2. I managed to get my medical check completed by a GP too. The surgery where I’ve been registered most of my life didn’t know what to do with the form and didn’t think they could help. I had to re-register with a larger surgery which took about a week. I then had to make an appointment which took another two weeks. The medical check itself took about 10 minutes and the GP charged me £60 for his services.

    Liked by 1 person

  3. Hello everyone,

    Thank you very much for the informative post. I plan on moving from California to China this coming summer. I am very concerned about being approved for the work visa as I have been diagnosed with epilepsy. Does anyone know if my visa will be barred due to my diagnosis? It have yet to find anyone with epilepsy ask the same question online.

    thank you,

    Andrew W


    1. Hi Andrew,

      I’m not really very sure about this. However, the biggest concerns for the medical tend to be the X-Ray, which is to detect TB, and the blood test to check for HIV. So the focus seems to be on infectious illnesses.

      So I don’t think Epilepsy should prevent you gaining employment or a Visa. One thing you can do is ask your place of employment. If you’ve built a bit of a rapport with them they should be able to tell you. They will apply for the Invitation Letter using your medical check so they should see it. I imagine they’d bring it up if it were an issue.

      Sorry I can’t be more helpful.

      Let us know how it goes though and good luck!


  4. diagosed with hepa b with a very low count.i was accepted to teach in i still going to hire or once i get there i will be sending home..than you in advance


    1. Hello,
      I asked at my work place about this and they think it will be a problem. I’m sorry.
      I think you should tell the school about your illness. Explain it to them clearly. They will be honest because they need to spend money for you to go to China. And they will not do that if you cannot work for them.
      So you will not be sent home, actually you might not get the visa to go!
      Unfortunately, I cannot give you a final answer.
      But good luck and please tell us if you go to China!
      Best wishes,


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s