Fees, forms & checklists
- Application forms
- Certificate Requests
- Change of scope
- Checklists
- Collegial Relationship
- Continuing professional development
- Referee and supervision reports
- Refund of practising certificate fee
- Fees
Application forms
New Zealand graduates applying for their first postgraduate year (intern) registration will need to apply online.
Download REG1 Application for registration
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 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
Download Application for pre-approval of all or part of the PGY2 year to be completed overseas for NZ, Australian or NZREX graduates who, following successful completion of PGY1 in New Zealand, is applying for pre-approval to undertake all or part of PGY2 overseas where the DHB Advisory Panel is unable to approve the proposed work
Download Application for consideration of endorsement removal on practising certificate for a NZ, Australian or NZREX graduate who has completed all or part of their second postgraduate year (PGY2) overseas.
Certificate Requests
Download Request for certificate of professional status (COPS)
Download Request for certificate of registration
Download Request for confirmation of internship or confirmation of NZREX pass and general registration period
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
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
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
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 Low income declaration
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 National RMO Reference form (To be used only by doctors applying for a resident medical officer (RMO) position within a DHB)
Download RP10 Supervision report - Telemedicine/Pathology/Radiology/Public Health/Medical Administration (provisional vocational & locum tenens)
Refund of practising certificate fee
Download Declaration form for fee refund application
Fees
Download MCNZ Fees from 1 September 2017