Medical Board of Australia
Medical Board of Australia
 

Forms

The following downloadable forms relate to the medical profession. Where indicated, some forms also have online submission options.

To apply to change the type of registration that you hold, download an application form from the list below. For example, if you currently hold limited registration for postgraduate training or supervised practice and want to apply to change to general registration, then you need to download and complete the application for general registration.

Registration Forms

Renewal of Registration

  • Application for renewal of registration - online renewal of registration is available through the Online Services page.

General Registration

Document name PDF Document date
Application for general registration as a medical practitioner -
AGEN-30
PDF (1.59 MB) 12 October 2015
Application for general registration as a medical practitioner for current non-practising registrants - AGNP-30 PDF (838 KB) 22 July 2015
Agreement to restrict practice (teaching and/or assessing) for current general medical practitioners - AEGR-30 PDF (451 KB) 22 July 2015
Application to restrict practice (teaching and/or assessing) for non-practising or lapsed medical practitioners - ANPR-30 PDF (1.12 MB) 22 July 2015
Application for general registration for medical practitioners currently holding provisional registration - APGR-30

Certificate of completion of an accredited internship


This form is to be used by persons authorised to certify that an intern has satisfactorily completed an accredited internship in Australia.  The completed form is required by the Board for the purposes of deciding whether to grant general registration to an intern (provisional registrant).
PDF (1.46 MB)


PDF (429 KB)
22 July 2015


1 December 2015

Provisional Registration

Document name PDF Document date
Application for provisional registration as a medical practitioner - Australian Medical Council certificate holders or applicants via the competent authority pathway - APRI-30 PDF (1.74MB) 4 January 2016
Application for provisional registration as a medical practitioner - Australian and New Zealand medical school graduates - APRA-30 PDF (994KB) 12 October 2015
Application for provisional registration as a medical practitioner for students completing studies in Australia - ASPR-30 PDF (1.05MB) 12 October 2015
Request for change in circumstances for international medical graduates with limited or provisional registration - ACCL-30 PDF (549 KB) 4 January 2016
Supervised practice plan and principal supervisor's agreement for IMGs with limited or provisional registration - SPPA-30 PDF (315KB 24 June 2016
Orientation report for IMGs with limited or provisional registration - ORIG-30 PDF (276KB) 8 April 2016
Work performance report for IMGs with limited or provisional registration - WRIG-30 PDF (332KB) 8 April 2016

Specialist Registration

Document name PDF Document date
Application for registration as a medical specialist (applicants who do not hold general registration) - AGSP-30 PDF (1.02 MB) 12 October 2015
Application for specialist registration for a medical practitioner (currently holding general and/or specialist registration) - ASPC-30 PDF (308 KB) 21 September 2015

Limited Registration

Forms for use before 30 June 2016

Use these forms for applications submitted before or on 30 June 2016. If you will be applying from 1 July 2016, use the new versions of these forms. NOTE: The forms related to supervised practice have not changed.

Document name PDF Document date
Application for limited registration for an area of need for specialist practice - AANS-30 PDF (1.41MB) 3 February 2016
Application for limited registration for an area of need - AANG-30 PDF (2.85MB) 4 January 2016
Application for limited registration postgraduate training or supervised practice as a medical practitioner - ALPS-30 PDF (1.42MB) 4 January 2016
Application for limited registration for teaching or research as a medical practitioner - ALTR-30 PDF (2.01MB) 4 January 2016
Request for change in circumstances for international medical graduates with limited or provisional registration - ACCL-30 PDF (1.25MB)  4 January 2016
Application for limited registration in public interest as a medical practitioner - ALPI-30  PDF (1.96MB) 4 January 2016
Application for assessment by a medical college - AAMC-30 PDF (369KB) 12 June 2014
Supervised practice plan and principal supervisor's agreement for IMGs with limited or provisional registration - SPPA-30 PDF (315KB 24 June 2016
Orientation report for IMGs with limited or provisional registration - ORIG-30 PDF (276KB)  8 April 2016
Work performance report for IMGs with limited or provisional registration - WRIG-30 PDF (332KB)  8 April 2016

Forms for use from 1 July 2016

Use the forms below if you will be submitting your application from 1 July 2016. The forms related to supervised practice have not changed and can be found above.

Document name PDF Document date
Application for limited registration for an area of need for specialist practice - AANS-30 - For applications from 1 July 2016 PDF (1.41MB) 1 July 2016
Application for limited registration for an area of need - AANG-30 - For applications from 1 July 2016 PDF (1.45MB) 1 July 2016 
Application for limited registration postgraduate training or supervised practice as a medical practitioner - ALPS-30 - For applications from 1 July 2016 PDF (1.42MB) 1 July 2016
Application for limited registration for teaching or research as a medical practitioner - ALTR-30 - For applications from 1 July 2016 PDF (1.39MB) 1 July 2016
Request for change in circumstances for international medical graduates with limited or provisional registration - ACCL-30 - For applications from 1 July 2016 PDF (728KB) 1 July 2016
Application for limited registration in public interest as a medical practitioner - ALPI-30 - For applications from 1 July 2016 PDF (1.34MB) 1 July 2016
Application for assessment by a medical college - AAMC-30 - For applications from 1 July 2016 PDF (438KB) 1 July 2016

Non-practising Registration

Document name PDF Document date
Application for non-practising registration as a medical practitioner - ANPC-30 PDF (861 KB) 22 July 2015

Acupuncture

Document name PDF Document date
Application for endorsement for acupuncture for medical practitioners - AEAV-30 PDF (511 KB) 10 December 2015

Supplementary Information

Information about supporting documents required for registration is provided below.

Common Application Forms

See Common Application Forms for a complete list of forms that are not specific to the actual registration process. 

Notification

To notify AHPRA about your concerns regarding a health practitioner, go to Make a Notification.

 
 
 
Page reviewed 24/06/2016