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Direct answer. Yes, almost every expatriate aged 18 or over needs a medical fitness certificate to get or renew a UAE residence visa. The rules come from Cabinet Resolution No. 7 of 2008 on the medical examination of expatriates, as amended. Everyone in scope is screened for HIV, pulmonary tuberculosis (by chest X-ray) and leprosy. Domestic workers, nursery staff, salon and health-club workers and health-facility staff are also tested for hepatitis, and all of them except health personnel in health facilities are tested for syphilis. Female domestic workers take a pregnancy test. The test is done only at government-approved screening centres: Department of Health centres in Abu Dhabi, Dubai Health Authority medical fitness centres in Dubai, and Emirates Health Services elsewhere. The certificate is valid for three months. A positive result does not always end the application. Tuberculosis found at renewal leads to a certificate marked "subject to treatment" and a one-year residence. Hepatitis in a listed job gives you 30 days to change the job category, and syphilis is treated before the certificate issues. HIV and leprosy make the applicant unfit at first grant and at renewal (for HIV, unless the Minister or the head of the health authority grants an exemption). Tuberculosis found on a first application also makes the applicant unfit, except for listed groups such as a resident's spouse, children and parents.
Who has to take the visa medical test
The UAE government portal says a residence visa "requires applicants who are 18 and above to undergo a medical test to prove that they are medically fit". The same page lists a medical fitness certificate "for dependents above 18 years" among the documents for a family visa. Children under 18 are not tested.
The legal hooks are short:
- The residence regulations. Article 37 of the executive regulations of the entry and residence law (Cabinet Resolution No. 65 of 2022) makes good health "in accordance with the regulations in force" a condition of every residence permit, together with health insurance. Read it in the executive regulations.
- The medical examination resolution. Article 2 of Cabinet Resolution No. 7 of 2008 says expatriates coming for residency "shall undergo the medical examinations stipulated in this resolution", at first grant and, for most tests, at every renewal.
- The communicable diseases law. Article 26 of Federal Law No. 14 of 2014 makes the Ministry and the health authorities responsible for regulating the medical examination procedures for people coming to live, work or study.
So the test applies to work visas, family visas, investor and partner visas and renewals alike. One group is carved out: Article 4 of the 2008 resolution excludes the non-national husband, wife, children and parents of a UAE national from the fitness requirement for residence, so medical fitness is not a condition of their residence under the resolution. The article does not say whether they still attend the screening, so ask ICP what their file needs.
If you are sponsoring a parent, our guide to sponsoring parents in the UAE explains where the medical sits in that route.
What is checked: the tests by job category
Your job title on the visa decides your test list. Everyone gets the core screen; listed jobs get extra tests. The table follows the 2008 resolution as amended.
| Test | Who is tested | New visa or renewal | What a positive result means |
|---|---|---|---|
| HIV (blood test) | Every expatriate residency applicant | Both | Treated as unfit; residency not granted or renewed, unless the Minister or the head of the health authority grants an exemption |
| Pulmonary tuberculosis (chest X-ray, then sputum tests if suspected) | Every applicant | Both | New visa: old or active TB means unfit, with exceptions for some family members. Renewal: certificate marked "subject to treatment" and a one-year residence |
| Leprosy (physical skin examination) | Every applicant | Both | Residency not granted or renewed |
| Hepatitis B | Babysitters, domestic workers, nursery and kindergarten supervisors | Both | Residency refused unless the purpose of the application changes within 30 days |
| Hepatitis B and C | Barbershop, beauty salon and health club workers; health-facility workers | Both | As above |
| Syphilis | The same listed jobs, except health personnel in health facilities | Both | Treated first, then the certificate issues |
| Pregnancy test | Female domestic workers (house cleaners, nannies, drivers and the like) | Both (Abu Dhabi tests renewals for women under 55) | The employer acknowledges the result in writing and decides whether she may work |
The UAE government portal's list of jobs needing syphilis and hepatitis B tests also names food handlers and restaurant and café workers. The resolution text does not list them. If you work with food, ask your screening centre which panel applies to your job title before you book.
New applicants in the hepatitis-listed jobs who test negative receive a three-dose hepatitis B vaccine and a certificate, which they show at renewal instead of being vaccinated again.
What the screening looks like in Abu Dhabi and Dubai
Abu Dhabi's Department of Health publishes its standard. It groups workers as A (all jobs not listed elsewhere), Bi (housemaids, nannies, private drivers, nursery caretakers), Bii (barbers, beauticians, health club staff) and C (healthcare workers). Group A takes the three core tests. Bi adds hepatitis B, syphilis and a pregnancy test. Bii and C add hepatitis B and C and syphilis.
In Dubai, the Dubai Health Authority's standard for medical fitness centres says the screening "includes a blood test and a Chest X-ray". Its centres must apply the test list and actions in Cabinet Resolution No. 75 of 2022, which the standard names as the amendment to the 2008 resolution.
Where to take the test, emirate by emirate
Article 6 of the 2008 resolution allows the examination only at Ministry preventive medicine centres, government health authorities and bodies the Minister designates. A certificate from an ordinary private clinic will not do.
| Emirate | Who runs it | How results reach the visa file |
|---|---|---|
| Abu Dhabi | Visa screening centres licensed by the Department of Health – Abu Dhabi, with the Abu Dhabi Public Health Centre | Results go through the Department of Health system; unfit cases are reported to the Ministry of Interior |
| Dubai | Medical fitness centres licensed by the Dubai Health Authority (DHA), using the SALEM system | SALEM sends you the result by SMS and email, and sends a "Fit or Unfit" certificate to GDRFA for visa processing |
| Other emirates | Emirates Health Services (EHS) centres; confirm with your centre which service covers your emirate | The certificate supports the residence application with ICP |
Abu Dhabi centres also screen people whose visa was issued in another emirate, provided they bring health insurance. Check the official health conditions for a residence visa page for the current links to the Abu Dhabi and EHS services.
On the day: documents and steps
The Abu Dhabi standard sets out the visit in four steps. Dubai and EHS centres follow the same broad sequence.
- Registration. Bring your original passport and your entry permit, residence visa or Emirates ID. Abu Dhabi also asks for health insurance if your visa was issued outside Abu Dhabi. You are photographed and sign a consent form.
- Physical examination. A doctor or nurse asks about your medical history and examines your skin. This is the leprosy check.
- Blood sample. The sample is tested for HIV and, depending on your job, for hepatitis and syphilis. Female domestic workers give a pregnancy test sample.
- Chest X-ray. You remove jewellery and expose the upper body. The X-ray is read for signs of pulmonary tuberculosis.
Two practical points come straight from the rules:
- Health insurance. Article 7 of the 2008 resolution says the certificate requires a valid health card or approved health insurance. The government portal also lists "medical insurance or health card" among the family visa documents.
- Pregnancy. Abu Dhabi does not X-ray pregnant women. The X-ray can be postponed until two months after the expected delivery date, and the sponsor must be informed and sign a consent form before the certificate is released.
How much it costs and how long the certificate lasts
For EHS centres, the fees are set in law by Cabinet Resolution No. 4 of 2025:
| EHS service | Fee |
|---|---|
| Medical examination for the fitness certificate (work or residency) | AED 250 per application |
| Pregnancy test (female domestic workers, or other workers who request it for work or residency) | AED 50 per application |
| First dose of the hepatitis B vaccine (listed jobs only) | AED 50 |
| Second and third doses of the hepatitis B vaccine | Free |
Dubai and Abu Dhabi set their own fees. Check the current figure with your screening centre before you pay.
The certificate is valid for three months from the date of issue (Article 8). After that it is not accepted for a residence permit unless it is renewed. So do not take the test too early if your entry permit or renewal paperwork is still weeks away.
Results: fit, unfit and the confirmation test
Most applicants simply receive a fit result, and the residence application moves on. In Dubai, SALEM sends you the result by SMS and email. In Abu Dhabi, the standard says all chest X-ray results must be processed within 24 hours of your visit. Dubai and EHS centres set their own turnaround, so ask when you book.
A first reactive blood result is not the final word. Article 5 of the 2008 resolution says refusal follows "approval of the confirmation medical examination result". In Abu Dhabi, a reactive screening test needs a second blood sample within 7 to 10 days. If you do not attend, the confirmation is run on the first sample. A suspected tuberculosis X-ray leads to sputum tests before any decision.
Abu Dhabi's system also checks your history. If an earlier screening left a positive or pending record, the application is paused and reviewed by the Department of Health and the Abu Dhabi Public Health Centre.
If a result is positive: what happens, condition by condition
The outcome depends on the disease, on your job category and on whether this is a first application or a renewal.
Tuberculosis
- New applicants. Old or active pulmonary TB makes you unfit, and residency is not granted.
- Exceptions for a first residency. The resolution treats some people with TB as fit, provided they follow treatment under supervision (the DOTS programme). They are members of the diplomatic and consular corps (on the Foreign Ministry's recommendation) and the husband or wife of a resident expatriate. They also include children who hold residence or study in the UAE, parents on residence, major investors approved by the health authority, and any category a Ministry committee adds.
- Renewals. TB found at renewal does not end your residence. You are treated as fit, followed up under DOTS, and given a certificate marked "subject to treatment" with a residence of one year only. If you stop treatment or miss three consecutive visits, you become unfit and the residence is not renewed. Drug-resistant TB is treated in the UAE until cured, and the residence is then renewed. In Abu Dhabi, a renewal with old TB also needs you and your sponsor to sign consent forms.
Hepatitis B or C in a listed job
Residency in the listed job is refused unless the purpose of the application changes within 30 days of being told the result. Abu Dhabi's standard spells out the practical route: switch to an occupation category that does not require hepatitis clearance within 30 days, then get retested so your fitness can be assessed for the new category. In Abu Dhabi, health-facility workers renewing with hepatitis C are referred to a medical board; if it finds them unfit, they have 30 days from its decision to change occupation.
Syphilis
Syphilis is treated before the fitness certificate is issued. In Abu Dhabi, the sponsor is informed for treatment and follow-up, with review visits at three and six months.
Leprosy
A positive leprosy result means residency is not granted or renewed, for every category.
Pregnancy
Pregnancy is not a disease finding. For a female domestic worker, the employer decides whether to let her work, after acknowledging the result in writing. Our guide to domestic worker rights in the UAE covers the contract and its protections.
HIV
A confirmed positive HIV result makes the applicant unfit, at first grant and at renewal, unless the Minister or the head of the health authority grants an exemption. What follows in practice is decided case by case. Our guide to HIV, medical fitness and UAE residency covers the exemption, confidentiality and the deportation question in full.
What happens to your visa after an unfit result
Where a result makes you unfit, the residence is not issued or not renewed. What happens next, including timing and whether anything is recorded against your file, is decided by the health authority together with ICP or, for Dubai visas, GDRFA. Confirm your position with them or with a licensed UAE lawyer.
Keep three points in mind:
- Your permit's clock keeps running. If your residence is not renewed, check whether a grace period after visa cancellation applies before overstay fines start. Our visa extension guide explains the renewal timeline.
- Deportation is a power, not an automatic step. Article 15 of Federal Decree-Law No. 29 of 2021 lets the Federal Public Prosecutor or the ICP Chairman order a foreigner's deportation where public health requires it. The law says "may". Our guide to deportation and how to appeal explains the routes.
- Confidentiality. Article 29 of Federal Law No. 14 of 2014 says people with a communicable disease are entitled to keep that information confidential, except where the law says otherwise. The screening system does share results with the health and residence authorities, so ask the centre what your sponsor will see.
There is also a short answer on what to do when a residence renewal fails the medical test.
Mistakes that cost people time
- Using a non-approved clinic. Only government-approved screening centres can issue the certificate the residence file accepts.
- Testing too early. The certificate lapses after three months. Time it to your entry permit or renewal.
- Booking under the wrong job title. The test list follows the occupation on the visa. A nanny or salon worker booked as general staff may need a second visit.
- Arriving without insurance. The certificate needs a valid health card or approved health insurance.
- Panicking at a first reactive result. A confirmation test comes first, and several conditions have a route to fitness.
- Following "visa stamping" advice. Older guides talk about stamping the visa after the medical. Follow the current steps from ICP or GDRFA rather than an old checklist.
When to get legal help
Most medicals are routine: book, attend, receive a fit result. A lawyer helps when a result threatens your residence or a family member's. It also helps when an employer or sponsor acts on a result, or when you need to ask for an exemption or challenge a deportation decision. You can find an immigration lawyer on LEXAI and contact them directly, or ask the LEXAI AI assistant a general question first. For the term itself, see our medical fitness test definition.
This is general legal information, not legal advice. Confirm current procedure with the relevant authority or a licensed UAE lawyer.
Last updated 24 October 2026
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Mohammad Salah Shoaib is the Founder and CEO of Al Fahad Legal Consulting, a UAE-based legal consultancy providing comprehensive legal support to individuals, entrepreneurs, and companies across a wide range of complex legal matters. With more than 18 years of legal experience in the UAE and Egypt, Mohammad has developed extensive practical expertise in civil and commercial litigation, criminal matters, employment disputes, real estate and tenancy cases, family and personal status matters, debt recovery, arbitration, corporate advisory, and immigration-related issues, including travel bans, administrative deportation, and police and prosecution procedures. He has practised in the UAE legal sector since 2011 and is a licensed member of the Egyptian Bar Association. He obtained his Bachelor of Laws degree from the Faculty of Law at Tanta University in 2008. His professional experience includes advising and representing individuals, investors, business owners, and local and international companies in sensitive and high-value disputes. As Senior Legal Advisor and litigation specialist, Mohammad is recognised for providing clear, commercially focused, and practical legal guidance. He works closely with clients from the initial assessment of their legal position through negotiation, dispute resolution, litigation support, and enforcement, coordinating where necessary with licensed advocates and relevant authorities across the UAE. Al Fahad Legal Consulting handles matters before the UAE courts, Dubai Rental Disputes Center, labour authorities, police departments, public prosecution, immigration authorities, arbitration centres, and other judicial and administrative bodies. The firm’s approach combines detailed legal analysis, strategic case management, responsive communication, and a strong commitment to protecting its clients’ rights and commercial interests. Mohammad and Al Fahad Legal Consulting are also active members of leading UAE legal platforms and professional networks, including LegalAdviceME - now operating as Attory - and Emirates Legal Network. Through these platforms, Mohammad has provided preliminary legal guidance to a diverse international client base and has established a strong reputation for professional, reliable, and solution-oriented legal support. In addition to the firm’s UAE operations, Mohammad maintains a legal practice in Alexandria, Egypt, under the name Mr. Lawyer, enabling the firm to assist clients whose legal or commercial interests extend between the UAE and Egypt
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