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Forms
All registration documents
 

Click here to download all the documents required for registration and an annual practising certificate.

Download Individual Registration Documents
 

Registration Information Form
Click here to download the document.

This information form will give you further information regarding the below.

Registration Checklist
Click here to download the document.

You will need to complete this checklist and send it into the Board along with your supporting documentation. You will also need to complete the following appendices where necessary.

Appendix 1 Template - Professional Reference, Click here to download the document.

Appendix 1 Template - Character Reference Click here to download the document.

Appendix 2 Template - Declaration - Supervised Psychotherapy & Therapeutic Hours, Click here to download the document. (Psychotherapists applying for the Psychotherapist Scope of Practice or the Psychotherapists Scope of Practice with Child and Adolescent Specialism will need to complete this form)

Appendix 2A Template - Declaration - Supervised Psychotherapy & Therapeutic Hours, For those applying for the Interim Psychotherapist Scope of Practice. Evidence of 150 hours and personal psychotherapy. Click here to download the document.

Appendix 3 Template - Declaration - Competence Click here to download the document. (All psychotherapists applying for an APC will need to complete this form)

Appendix 4 Template - Statutory Declaration - Application for registration, Click here to download the document.

(All psychotherapists applying for an APC will need to complete this form)

Appendix 5 Template - Statements, Click here to download the document.(psychotherapists only need to complete this form when a statement is required)

Reduced Annual Practising Certificate Fee and Quarterly Payment Policies
 

Information about the Board's Reduced Annual Practising Certificate Fee and Quarterly Payment Policies is available from the Board Policies section of the website

How do I move up from the Interim Psychotherapist Scope of Practice?
 

To move from an Interim Psychotherapist Scope of Practice to a Psychotherapist Scope of Practice or Psychotherapist Scope of Practice with Child and Adolescent Psychotherapist Specialism you will need to complete the following:

a) Appendix 6 Template - Declaration, Supervised Psychotherapy and Personal Therapy Hours Form. Click here to download the document. Request to move from the Interim Psychotherapist Scope of Practice to the Psychotherapist Scope of Practice

b) Appendix 7 Template - Declaration, Supervisor. Click here to download the document. Request to move from the Interim Psychotherapist Scope of Practice to the Psychotherapist Scope of Practice/Psychotherapist Scope of Practice with Child and Adolescent Specialism Supervisor Sign off

(c) Appendix 8 Template - Declaration - Assessment. Click here to download the document.
This declaration applies to those without a master's level qualification in psychotherapy or child psychotherapy. Applicants are required to complete a Board approved assessment of clinical and professional practice.

Board Approved Supervisor Application
 

Clinical supervision can be provided by either:
1. A registered psychotherapist with a current APC; or
2. A health practitioner registered under the HPCAA with a current APC, approved by the Board as having sufficient psychotherapy training, knowledge, skills and professional development.

This form is used to assist the Assessors determining health practitioners who fall into category 2 above. In completing this form you are seeking appointment as a 'primary' clinical psychotherapist supervisor. In addition to this completed form practitioners also need to forward to the Board a current CV.

Click here to download the Board Approved Supervisor application.

Sending in your documentation
 

Send your documentation to:

Psychotherapists Board of Aotearoa New Zealand,
PO Box 9644
Wellington 6141
New Zealand



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