Registration Information Form
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Registration Checklist
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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
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Appendix 1 Template - Character Reference
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Appendix 2 Template - Declaration - Supervised Psychotherapy & Therapeutic Hours
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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 3 Template - Declaration - Competence
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All psychotherapists applying for an APC will need to complete this form

Appendix 4 Template - Statutory Declaration - Application for registration
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All psychotherapists applying for an APC will need to complete this form

Appendix 5 Template - Statements
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Psychotherapists only need to complete this form when a statement is required

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

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:

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

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

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.

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.

Send your documentation to:

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