Fees, forms & checklists
- Application forms
- Certificates
- Change of scope
- Continuing professional development
- Low income declaration
- Referee and supervision reports
- Fees
Application forms
Download REG3 Application for approval of position and supervisor
Download REG7 Approval of position and supervisor - Provisional vocational scope
Certificates
Download CGS Request a certificate of good standing
Download COR/PC Request for replacement APC
Request a practising certificate application form
Change of scope
Download COS1 Application to change APC conditions - Provsional general scope
Download COS2 Application to change APC conditions - Provisional vocational scope
Download COS3 Application to change scope - Provisional general to general (Interns & NZREX grads)
Download COS4 Application to change scope - Provsional general to general
Download COS5 Application to change scope - Provisional vocational to vocational
Download COS7 Application to amend practising certificate - Special purpose scope
Continuing professional development
Download CPD1 Collegial relationship agreement
Download CPD1c Application for general scope of practise to be limited to non clinical practice
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
Download CPD7 Training Registrar confirmation
Download CPD8 Recertification programme for doctors registered in a general scope
Download CPD9 Verification of recertification requirements for Medical Officers working at DHBs
Low income declaration
Download LID Low income declaration
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)
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 (from 1 July 2012 - 30 June 2013) |
||
| 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 | $7,666.67 | $6,666.67 | |
|
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 |