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Welcome to Psychotherapists Board of Aotearoa New Zealand's online registration process.
At the completion of your online registration you will be given a link. This link will take you to a registration information form, registration checklist and templates. You are required to send your completed registration checklist and templates to the Board as part of your registration application.
The information contained in this link can also be found on the Psychotherapists Board of Aotearoa New Zealand website www.pbanz.org.nz/index.php?Forms

 

Your full name.
Preferred title: Mr Mrs Ms Miss Dr
First name:
Middle name(s):
Last name:
Gender: Male Female
Date of birth:    
When we contact you, we will use the name you prefer to be called (eg "Jacq" instead of "Jacquelyn").
Name you wish to be called by:
You will be able to log into the PBANZ website using your email address and a password of your own choosing. Email is the primary means of communication by the Board to you. It is important that your email address is correct and kept up to date (and is not an email you share with another Psychotherapist).
Email:
Password:
Confirm password:
To prevent spam and this page being used by automated programmes, please enter the letters and numbers that appear below into the field below it.
 
 
Note: If your uncompleted application is older than 6 months it will automatically be deleted. If this happens, you will be required to complete a new application.