Skip to main content

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 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

Back to top

Certificates

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

 

Back to top

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

 

Back to top

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 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

 

Back to top

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

 

Back to top

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] 

 

Back to top

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)

 

Back to top

Refund of practising certificate fee

Download Declaration form for fee refund application

 

Back to top

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); Application for vocational registration - prescribed New Zealand or Australasian qualification with general registration.

$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

 

VEAB advice as supervisor/employment

$86.25

$75.00

B.

PRACTISING CERTIFICATE (PC) OR INTERIM PRACTISING CERTIFICATE
(from 1 September 2013 - 30 June 2014)

 

 

 

APC Annual

$665.68

$578.85

 

APC Quarterly

$166.42

$144.71

C.

DISCIPLINARY LEVY

 

 

 

Disciplinary levy

$122.21

$106.27

D.

NEW ZEALAND REGISTRATION EXAMINATION

 

 

 

NZREX Clinical examination application fee

$3,833.33

$3,333.33

 

Withdrawal prior to, or on, the cutoff date for the specified exam

$150.00

$130.43

 

Withdrawal after the cutoff 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

Email page
  1. Separate multiple addresses with a comma