Fees, forms and checklists
- Application forms
- Certificates
- Checklists
- Continuing professional development
- Fees
- Forms to record CPD activities if you are still in a collegial relationship
- Referee and supervision reports
- Request a practising certificate
Application forms
Download REG1 Application for registration
Download REG2 Application for intern registration - New Zealand graduates
Download REG2-B Application for intern registration - Australian graduates
Download REG3 Application for approval of position and supervisor
Download REG6 Restoration to the medical register
Download REG7 Approval of position and supervisor - Provisional vocational scope
Download REG9 Application for registration for IMGs previously registered
Download REG10 Declaration: Special purpose scope of practice - postgraduate training
Download REG150 Request for registration advice
Download NZREX1 New candidate
Download NZREX4 Repeat candidates
Download NZREX5 Withdraw from an examination
Download NZREX6 Examination date change
Download NZREX7 Review of result
Download VOC1 Application for vocational registration - prescribed New Zealand or Australasian qualification with general registration
Download VOC2 Application for vocational registration - prescribed Australasian qualification without general registration
Download VOC3 Application for vocational registration - without prescribed New Zealand or Australasian qualification
Download VOC3-B Guide to providing a complete application for vocational registration without prescribed New Zealand or Australian qualification
Download VOC3-REV Request for re-evaluation of application for vocational registration without prescribed New Zealand or Australian qualification
Download Statutory Declaration Use this form to verify your documentation by Statutory Declaration
Download VEX1 Application for special purpose: visiting expert registration
Download VEX2 Visiting Expert invitation and supervision form
Certificates
Download CGS Request a certificate of good standing
Download Confirmation Request for confirmation of internship or confirmation of NZREX pass and general registration period
Checklists
Download CHCKL1 New Zealand/Australian graduate (completed internship)
Download CHCKL2 United Kingdom/Irish graduate
Download CHCKL3 Passed NZREX clinical
Download CHCKL4 Comparable health system
Download CHCKL5 Practics profile - general practice
Download CHCKL6 Practice profile - hospital practice
Download CHCKL11 Post-graduate training or experience
Download CHCKL12 Reseach
Download CHCKL13 Locum tenens in a specialist post
Download CHCKL20 Teleradiology
Download NZREX3 NZREX checklist
Continuing professional development
Download CPD7 Training Registrar confirmation
Download CPD8 Recertification programme for doctors registered in a general scope
Download CPD9 Verification of recertification requirements for doctors working at District Health Boards as Medical Officers
Fees
Download NZREX2 Fees
| GST Incl NZ$ | GST Excl NZ$ | ||
| A. | REGISTRATION FEES | ||
| Request for registration advice | $153.33 | $133.33 | |
|
Application for registration |
$434.45 | $377.78 | |
| Application to change existing scope of practice or conditions (only payable if changing employer) | $127.78 | $111.11 | |
| For registration in a vocational scope of practice | |||
| Application for registration | $434.45 | $377.78 | |
| Assessment of documents by branch advisory body | $750.95 | $653.00 | |
| Interview with branch advisory body | $2719.75 | $2365.00 | |
| Re-evaluation | $584.20 | $508.00 | |
| BAB advice as supervisor/employment | $86.25 | $75.00 | |
| B. |
PRACTISING CERTIFICATE (PC) OR INTERIM PRACTISING CERTIFICATE |
||
| APC Annual | $729.20 | $634.09 | |
| APC Quarterly | $182.30 | $158.52 | |
| C. | DISCIPLINARY LEVY | ||
| Disciplinary levy | $195.11 | $169.66 | |
| D. | NEW ZEALAND REGISTRATION EXAMINATION | ||
|
NZREX Clinical examination application fee |
$3,833.33 | $3,333.33 | |
|
Withdrawal prior to, or on, the cut off date for the specified exam |
$150.00 | $130.43 | |
| Withdrawal after the cut off date for the specified exam (20% off exam fee) | $766.67 | $666.67 | |
|
Review of decisions |
$127.78 | $111.11 | |
| E. | VOCATIONAL SCOPE OF PRACTICE/RECERTIFICATION | ||
| Branch advisory body application for recognition of new vocational scope of practice | $7,666.66 | $6,666.66 | |
|
Application for assessment of an individual recertification programme for a vocational scope of practice |
$1,635.55 | $1,422.22 | |
| Vocational practice assessment | $4,600.00 | $4,000.00 | |
| F. | CONTRIBUTION TO MENTORING COSTS | ||
| Contribution to mentoring costs (usual 18-month programme) | $2,760.00 | $2,400.00 | |
| G. | URINE SCREENING PROGRAMME | ||
|
Usual five-year programme - including administration and the cost of tests |
$6,133.33 | $5,333.33 | |
|
Administration only – usual five-year programme |
$1,533.33 | $1,333.33 | |
| H. | CONTRIBUTION TO EDUCATIONAL SUPERVISION COSTS | ||
| Contribution to educational supervision costs (usual 12-month programme) | $4,140.00 | $3,600.00 | |
| I. | REVIEW OF DECISIONS | ||
| Review of decisions | $127.78 | $111.11 | |
| J. | CERTIFICATE SIGNED BY THE REGISTRAR | ||
| Certificate of registered information | $40.89 | $35.56 | |
|
Certificate of good standing (or copy) |
$40.89 | $35.56 | |
| Any other document certifying registration status or standing | $40.89 | $35.56 |
Forms to record CPD activities if you are still in a collegial relationship
Download CPD1 Collegial relationship agreement
Download CPD2 Record of collegial relationship meetings
Download CPD3 Record of clinical audit
Download CPD4 Record of educational activities
Download CPD5 Record of peer review
Download CPD6 Record of optional activities
Referee and supervision reports
Download RP1 Beginning of run objective and mid-run assessment
Download RP2 Interns report: run evaluation
Download RP3/5 Supervision report
Download RP3-PG Postgraduate trainee report
Download RP6/9 Referee for applications for registration
Download RP10 Supervision report - Telemedicine/Pathology/Radiology/Public Health/Medical Administration (provisional vocational & locum tenens)
Request a practising certificate
You must be registered to practise medicine in New Zealand before you can apply for a practising certificate, To request a practising certificate application form click here