DHBNZ - Request for Reference: Resident Medical Officer Position

Doctors are often asked to sign certificates for a wide range of purposes, such as confirming sickness, impairment or death. This statement outlines factors to consider, and the standards that doctors must follow, when issuing a medical certificate.

This guide provides important information relating to health disclosures on practising certificates.

In order to practise in New Zealand you must be both registered and hold a current practising certificate. This policy outlines Council's rules around practising certificates.

Approval of position and supervision form

Application for a physician associate general scope of practice

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

Provisional general scope - application to vary practising certificate

Provisional vocational scope - application to vary practising certificate

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.

This guide will help you complete your application to renew your practising certificate. All applications to renew are now made online using myMCNZ - our online portal.

Request for certificate of registration

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.

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APPLICATION FORM SUPERSEDED - Please use the new REG12 form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.

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.

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.

ES1 application form for authorisation to provide secondary maternity services

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.

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

Special purpose scope - application to amend practising certificate

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

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.

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.

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

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

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

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

NZREX Clinical - Application for new candidates

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

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

NZREX Clinical - Application for recount of result

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

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.

Checklist for registration in New Zealand - locum tenens registration