Request for certificate of registration

DHBNZ - Request for Reference: Resident Medical Officer Position

Where a doctor wishes to resume practice in New Zealand, but has not held a New Zealand practising certificate within the last 3 years, the doctor does not have an automatic entitlement to a practising certificate. Council must consider such applications on a case by case basis.

Special purpose scope - application to amend practising certificate

The purpose of this agreement is to set out the terms of reference for the collegial relationship and clarify the objectives and responsibilities of each colleague.

if you are in a collegial relationship you should use this form to keep a record of the meetings you have with your colleague.

If you are in a collegial relationship, you should use this form to record any optional activities you complete - that is, activities that are not specifically required.

Application for registration in New Zealand

Doctors on provisional general and special purpose scope: Employer application for approval of position and supervisor

Provisional vocational (VOC4) scope - application for approval of position and supervisor

Referee report for use when applying for registration.

Application for Special Purpose: Visiting Expert Registration for teaching as a Visiting Expert

Application for vocational registration if you don't hold an approved postgraduate medical qualification from New Zealand or Australia.

Application form for provisional vocational registration if you hold an approved postgraduate medical qualification.

CV template when applying for VOC4

Approval of position and supervision form

This form outlines the additional information that we will require as part of an application for provisional vocational registration in psychiatry.

Checklist for registration in New Zealand - locum tenens registration

Checklist 2: United Kingdom and Irish medical graduates - Part A: Checklist for registration in New Zealand

Special Purpose: Teleradiology - Checklist for new applicants

Special Purpose: Teleradiology - Checklist for reapplying applicants

Checklist 5: Practice profile form for use by doctors applying down the comparable health system pathway.

CHKL8: United Kingdom general registrants pathway

The Clinical Supervisors Guide outlines the role of the clinical supervisor in the prevocational medical training programme

NZREX Clinical - Checklist of documentation that must be provided with application

Request for confirmation of internship, NZREX pass, or general registration.

This form further outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.

The purpose of the CPD Associate agreement is to assist you in maintaining safe and competent practice, and to clarify your responsibilities, as well as those of the CPD associate.

Application for registration: Australian graduates (Interns/PGY1)

Guide to providing a complete application for registration within a vocational scope of practice.

NZREX Clinical - Application for repeat candidates.

The New Zealand Curriculum Framework for Prevocational Medical Training (NZCF) outlines the learning outcomes to be substantively completed in PGY1 and by the end of PGY2

This guide is for supervisors who are creating robust training objectives for doctors applying for registration in New Zealand under the Special Purpose Post Graduate Training pathway.

Each year CPMEC recognises clinical educators across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. PGY1 and PGY2 doctors are eligible to nominate a clinical educator for this award.

NZREX Clinical - Application for new candidates

Each year CPMEC recognises junior doctors across Australia and New Zealand who have made valuable contributions to prevocational medical education and training. Prevocational Education Supervisors, Clinical Directors of Training and CMOs are eligible to nominate a junior doctor for this award.

Application for restoration to the medical register

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in dermatology.

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in paediatrics.

This form outlines the additional information required for VOC4 applications in obstetrics & gynaecology

Application to vary practising certificate on a physician associate provisional scope of practice

Practice intentions - To be completed by doctors applying for a PC to return to work after an absence of three or more years

Provisional general scope - application to vary practising certificate

Provisional vocational scope - application to vary practising certificate

Application for general scope of practice for doctors on a provisional general scope of practice (excluding Interns).

Application for change of scope from provisional vocational to vocational (ex-provisional)

If you are in a collegial relationship, you should use this form to record the details of any audits of your medical practice.

If you are in a collegial relationship, you should use this form to keep a record of the CME activities you complete.

If you are in a collegial relationship, you should use this form to keep a record of any peer review you do.

Complete this form to confirm you are enrolled and actively participating in an approved recertification programme.

Form to confirm that the doctor is enrolled and actively participating in Inpractice, the recertification programme for doctors registered in the General scope of practice.

NZREX Clinical - Application to withdraw from an examination

NZREX Clinical - Application to change to a later examination

Declaration: Special purpose scope of practice – postgraduate training

Application for a practising certificate for doctors registered in a provisional or special purpose locum tenens scope who are returning to medical practice in New Zealand. This form supersedes the REG9 and REG11 forms.

Employer application for approval of position and supervisor (UK & Irish graduates, comparable health system, and locum tenens pathways)

Provisional vocational scope - application for approval of position and supervisor

APPLICATION FORM SUPERSEDED - Please use the new REG12 form
Application for a practising certificate for an IMG registered in a provisional general scope returning to medical practice in New Zealand.

Supervision report for IMGs on a provisional vocational or special purpose scope doing telemedicine, pathology, diagnostic and interventional radiology, public health medicine and medical administration.

Special purpose - postgraduate trainee report: progress towards learning objectives and comments about supervised practice.

Supervision report form for doctors on General scope or vocational scope.

Use this form to verify your documentation by Statutory Declaration

Special Purpose: Visiting Expert - Application for approval of invitation and supervision

CV template when applying for VOC3

Request for re-evaluation of application for registration within a vocational scope of practice

Application for a physician associate general scope of practice

ES1 application form for authorisation to provide secondary maternity services

New Zealand and Australian graduates: This checklist will help you to confirm your eligibility for registration, tell you what documents you need to provide, and will tell you what documents you need to have verified at source by EPIC.

Postgraduate training - Checklist for registration in New Zealand

Research - Part A: Checklist for registration in New Zealand

CHKL3: Passed approved examinations

Checklist 4: Comparable health system - checklist for registration in New Zealand.

Australian general scope pathway - Part A: Checklist for registration in New Zealand

Form that needs to be completed in order to apply for a partial refund of your practising certificate fee if your income for the year was below the threshold.

NZREX Clinical - Checklist of documentation that must be provided with application.

NZREX Clinical - Application for recount of result

FORM SUPERSEDED - Please use the new REG12 form
Application for a practising certificate for international medical graduates registered on a provisional vocational scope returning to medical practice in New Zealand

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in sexual health medicine.

This form further outlines the additional information that will be required by the RANZCO so it can provide us with advice on your application for vocational registration in ophthalmology.

This form outlines additional information required by ANZCA for applications in anaesthesia.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for Cardiology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for gastroenterology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neurology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for rheumatology.

Checklist 2: United Kingdom and Irish medical graduates - only for use with online applications made via myMCNZ

Application for registration as a physician associate in New Zealand.

This form outlines the additional information that will be required by the NZCPHM so it can provide us with advice on your application for vocational registration in public health medicine.

This form outlines the additional information that will be required by the RANZCOG so it can provide us with advice on your application for vocational registration in obstetrics and gynaecology.

This form outlines additional information required by RANZCR for applications in radiation oncology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for clinical haematology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for geriatric medicine.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for infectious diseases.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for medical oncology.

Checklist 13: Special purpose - locum tenens - only for use with online applications made via myMCNZ

Checklist 5: Practice profile form for use by physician associates when applying for registration

This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.

This form outlines the additional information that will be required by the ACEM so it can provide us with advice on your application for vocational registration in emergency medicine.

Checklist 3: Canada qualifications-based – checklist for registration in New Zealand

Checklist 4: New Zealand experiential - checklist for registration in New Zealand.

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in palliative medicine.

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in rehabilitation medicine.

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in occupational medicine.

This form outlines the additional information that will be required by the CICM so they can provide us with advice on your application for vocational registration in intensive care medicine.

Checklist 1: United Kingdom qualifications-based - checklist for registration in New Zealand.

Checklist 2: United States of America qualifications-based – checklist for registration in New Zealand

PGY2-OS - Application for pre-approval to complete PGY2 overseas

PGY2-OSER - Application for removal of PGY2 endorsement after completing PGY2 year overseas or when when referred to Council by Advisory Panel

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in public health medicine.

This form outlines the additional information that will be required by the RANZCP so they can provide us with advice on your application for vocational registration in psychiatry.

This form lists the additional information the RACS requires if you're applying for vocational registration in cardiothoracic surgery, general surgery, neurosurgery, orthopaedic surgery, otolaryngology head & neck surgery, paediatric surgery, plastic & reconstructive surgery, urology, and vascular surgery.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for general medicine.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for respiratory medicine.

This form outlines the additional information that will be required by the RANZCR so they can provide us with advice on your application for vocational registration in diagnostic & interventional radiology.

In addition to completing the RACP Additional Information Form, complete these supplementary specialty-specific questions for neonatal and perinatal medicine.

This form outlines the additional information that will be required by the RNZCGP so it can provide us with advice on your application for vocational registration in general practice.

Internet, email, and other forms of electronic communication are ways in which doctors communicate with patients and other health professionals, find information, and participate in informed discussion. This statement guides doctors on the use of email and other forms of social media.

This form outlines the additional information that will be required by the RACP so they can provide us with advice on your application for vocational registration in internal medicine.