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Fees, forms and checklists

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 REG150 Request for registration advice

Download NZREX1 for new candidates 

Download NZREX3 checklist

Download NZREX4 for repeat candidates

Download NZREX5 withdraw from an examination

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

Download APC2 Practice Intentions

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Download CGS Request a certificate of good standing

Download Request  for certificate of registration

Download Confirmation Request for confirmation of internship or confirmation of NZREX pass and general registration period


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Change of scope

Download COS1 Application to change PC conditions - Provisional general scope

Download COS2 Application to change PC conditions - Provisional vocational scope

Download COS3 Application to change scope - Provisional general to general (Interns & NZREX grads)

Download COS4 Application to change scope - Provisional general to general

Download COS5 Application to change scope - Provisional vocational to vocational

Download COS7 Application to amend practising certificate - Special purpose scope


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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 Practice profile - general practice

Download CHCKL6 Practice profile - hospital practice

Download CHCKL11 Post-graduate training or experience

Download CHCKL12 Research

Download CHCKL13 Locum tenens in a specialist post

Download CHCKL20 Teleradiology

Download NZREX3 NZREX checklist


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Collegial Relationship

Download CPD1 Collegial relationship agreement

Download CPD2 Collegial relationship record of meetings

Download CPD3 Clinical audit record

Download CPD4 Educational activities record

Download CPD5 Peer review record

Download CPD6 Optional activities record

Download CPD7 Collegial Relationship - Training Registrar CPD arrangements exemption agreement


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Continuing professional development

Download CPD1 Collegial relationship agreement

Download CPD1b CPD Associate agreement: Doctors who are exempt from working in a collegial relationship

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[g1] 


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Referee and supervision reports

Download RP1 Beginning of clinical attachment objective and mid-clinical attachment assessment

Download RP2 Interns report: clinical attachment 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)


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Refund of practising certificate fee

Download Declaration form for fee refund application


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Download MCNZ Fees from 1 September 2015 (Sep 2015, PDF, 230 KB)

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