Apply for Registration    
Search    
Home
How to renew your Annual Practising Certificate
Log In Area
Public Register
About the Board
About the HPCAA Legislation
News and Events - Publications
For the Public
For Psychotherapists
For Overseas Qualified Psychotherapists
Links
Interim Psychothearpists Scope of Practice
Statements
Board Policies
Gazetted Documents - Scopes of Practice and Fees
Forms
  Registration Process
FAQs
Contact Us
Site Map
Board Calendar
HRANZ/DHB Guidelines

Forms
Download ALL documents required for registration and Annual Practising Certificate
 

You are required to complete the following forms as part of the Boards registration process

Click to download the file. Click here to download the document. to download ALL documents required for registration and Annual Practising Certificate. If you would prefer you can download the documents separately below.

Download Individual Registration Documents
 

  • Registration Information Form
    This information form will give you further information regarding the below. Click here to download the file.

  • Registration Checklist, Click here to download the file. (All psychotherapists need to complete this checklist and sent it into the Board along with your supporting documentation). You will also need to complete the following appendices where necessary.

  • Template - Character Reference/Professional Reference, (APPENDIX ONE) Click here to download the document.

  • Template - Declaration - Supervised Psychotherapy & Therapeutic Hours, (APPENDIX TWO)Click here to download the file. (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)

  • Template - Declaration - Competence (APPENDIX THREE) Click here to download the file. (All psychotherapists apply for an APC will need to complete this form)

  • Template - Statutory Declaration - Application for registration, (APPENDIX FOUR) Click here to download the file. (All psychotherapists apply for an APC will need to complete this form)

  • Template - Statements, (APPENDIX FIVE) Click here to download the file. (psychotherapists only need to complete this form when a statement is required)

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

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

    a) (APPENDIX SIX)Template - Declaration, Supervised Psychotherapy and Personal Therapy Hours Form Click here to download the file. Request to move from the Interim Psychotherapist Scope of Practice to the Psychotherapist Scope of Practice

    b) (APPENDIX SEVEN) Template - Declaration, Supervisor Click here to download the file. 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 EIGHT) Template - Declaration - Assessment, Click here to download the file.
    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.

    Sending in your documentation
     

    Send your documentation to:

    Psychotherapists Board of Aotearoa New Zealand,
    PO Box 10-787,
    The Terrace,
    Wellington 6143
    New Zealand