Medical evidence for Grenada NTF citizenship: who needs it and how the dates fit together
Every applicant, including a child, needs an individual health certification. The test date, medical examination and citizenship submission serve different purposes.
Form 4, item A26. The 3-month reference is the examination, not a universal filing-validity period.
A family applying for Grenadian citizenship through the National Transformation Fund needs medical evidence for each person included. Form 4, currently linked from the Investment Migration Agency’s application page, expressly includes children. The main applicant’s examination does not cover the rest of the family.[1][2]
Give the practitioner the complete form
Form 4 requires completion by a registered medical practitioner and signature by a licensed physician or a physician’s assistant legally authorised to examine patients without supervision. The examiner must also establish the applicant’s identity, through an existing personal or professional relationship or satisfactory identity documents.[1]
Send the complete form to the medical practice before booking. A request for a general certificate of good health may not communicate what is needed: the form covers passport details, medical history, examination findings and a final evaluation, followed by the examiner’s particulars, signature, stamp and examination date.[1]
An existing check-up report may help the examiner, but should not simply be substituted for the completed form. For a child, establish with the agent and practitioner how the certification and applicable examinations will be completed; age alone is not a reason to omit the certificate.
The 3-month rule relates to the examination
Item A26 requires the examiner to review an HIV test result identifying the applicant correctly, with the test performed within 3 months of the examination.[1] The reference date is the medical examination, rather than the date the citizenship application reaches IMA.
That provision does not establish a blanket rule that all medical documents must be produced within 3 months before submission. Nor does it give the signed health certificate a universal 3-month validity period. Whether evidence needs updating for submission must be checked against the current filing requirements and any instructions for the case.
Keep the test date, examination date and expected filing date separate. If the rest of the application is delayed, give the actual dates to the agent and medical practice before booking another examination. This helps identify which evidence, if any, needs replacing.
Explain the history without predicting the decision
The form asks about non-routine doctor visits in the preceding 3 years and admission to a hospital or other medical care facility for diagnosis or treatment in the preceding 5 years. Relevant affirmative answers require details, including diagnoses and dates.[1] A recent routine check-up cannot answer both questions.
Medical records can help the examiner complete an accurate account. The form does not itself provide a condition-by-condition schedule of citizenship decisions, so an affirmative answer should not be treated as a prediction of refusal.
IMA’s application procedure includes verification and due diligence, with the final citizenship decision resting with the responsible Minister.[2] The personal-information form also requires prompt written notification of changes affecting information already supplied, between application and the grant of citizenship.[3] If such a change occurs after the examination, it should be reported through the agent rather than leaving an earlier form to describe circumstances that have changed.
As of 1 November 2026, IMA’s website links the November 2017 edition of Form 4. The agent should confirm the applicable filing version and any case-specific requirements.[1][2]
Official sources
General policy information; individual circumstances and the competent authority’s requirements govern each application.