Contact Us Sitemap Login
 Search
Find a Registered Doctor
  ..:: Registration » Currently registered doctors » Change your personal details ::..  
       Changing your personal details

 Address

Use the form on the right to notify the Council of changes to your:

  • work address
  • postal address, or
  • residential address.

Name

 

You are required to let us know in writing if you change your name so that we can update the medical register.
We require evidence such as:

  • marriage certificate
  • deed poll, or
  • a statutory declaration signed by a solicitor.
      

       Change of Address Form
Fields marked with a * must be completed.
Name: *Phone:
Registration Number: *Mobile:
Date of Birth: *Email:
Date address change effective: *Fax:

Section 140 of the Health Practitioners Competence Assurance Act 2003 requires you to provide Council with your current postal, residential and work addresses.

Work Place
Name of work place(s):
Work address 1
Work address 2
Work suburb:
Work City
Work postcode:Find postcode

Postal Address

Postal Address 1:
Postal address 2:
Postal suburb:
Postal city:
Postal postcodeFind postcode

Residential Address

Residential address 1:
Residential address 2:
Residential Suburb
Residential City
Residential postcodeFind postcode

Please select one of your addresses as your registered address.

Your registered address will appear on the medical register which is a publicly available document.

If you do not want your registered address to appear in the medical register, you must notify Council's Registrar in writing.
Use this as my registered address: *
* Please ensure that all mandatory fields (marked with *) are completed before submitting this form.
Submit
*Required
    

Medical Council of New Zealand - Phone: 0800 286 801 - Email: mcnz@mcnz.org.nz
This site is best viewed with a resolultion of 800x600 (or higher) and supports Microsoft Internet Explorer 6.0+, Netscape 7.0+ and Firefox 1.0+.  We also recommend that you enable pop-ups for this site in your browser's settings. 
Some of the content on www.mcnz.org.nz is presented in the Adobe Acrobat portable document format (PDF).  You will need the free Adobe Acrobat Reader version 4.0 or later to read these documents.  You can download and install the latest version of the reader here.
Copyright 2006 by Medical Council of New Zealand - All rights reserved
Website developed by Fujitsu. Powered by DotNetNuke.