Medical Board of Australia - Forms
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Forms

Online applications

Online applications for registration are available to:

Already registered as a provisional medical practitioner?

If you are currently registered as a provisional medical practitioner and wish to apply for general registration, you can apply for registration online via your existing online services portal.

Applications via online services are available to provisional registrants that are an:

  • Australian or New Zealand medical graduate completing an accredited internship 
  • Australian or New Zealand medical graduate completing 12 months supervised practice 
  • IMGs registered via the competent authority pathway completing an approved period of supervised practice 
  • IMGs registered via the standard pathway and completing an approved period of supervised practice (hospital providing supervised practice) 
  • IMGs registered via the standard pathway and completing an approved period of supervised practice (standard pathway - general practice).There is a revised registration standard for granting general registration to medical practitioners who hold an AMC certificate. Please see the additional information about the requirements for general registration for IMGs in the standard pathway

For all other registration types please use the following downloadable forms relate to the medical profession.

To apply to change the type of registration that you hold (excluding provisional to general outlined above), 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

Additional information for AMC certificate holders

There is a revised registration standard for granting general registration to medical practitioners who hold an AMC certificate. Please see the additional information about the requirements for general registration for IMGs in the standard pathway

PDF (1.41 MB)


15 May 2023
Application for general and/or specialist registration as a medical practitioner for current non-practising registrants - AGNP-30 PDF (838 KB) 15 May 2023
Agreement to restrict practice (teaching and/or assessing) for current general medical practitioners - AEGR-30 PDF (451 KB) 1 December 2022
Application to restrict practice (teaching and/or assessing) for non-practising or lapsed medical practitioners - ANPR-30 PDF (1.12 MB) 15 May 2023
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 (429 KB) 5 June 2023

Provisional registration

Document name PDF Document date
Application for provisional registration as a medical practitioner - Australian and New Zealand medical school graduates - APRA-30

PDF (1.62MB)

15 May 2023
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) 15 May 2023
COVID-19 Notice of change in circumstances - CCOV-30
For hospital-based international medical graduates with limited or provisional registration
PDF (274KB)
 
6 April 2020
Request for change in circumstances for international medical graduates with limited or provisional registration - ACCL-30 PDF (728KB) 17 August 2021
Please note: The following forms are required to be opened using Adobe Acrobat Reader and may not display correctly in all browsers. For more information, please view the system requirements of this website.
Supervised practice plan and principal supervisor's agreement for IMGs with limited or provisional registration - SPPA-30 PDF  (315KB) 6 April 2022
Orientation report for IMGs with limited or provisional registration - ORIG-30 PDF  (276KB) 14 October 2022
Work performance report for IMGs with limited or provisional registration - WRIG-30 PDF  (332KB) 17 August 2021

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) 15 May 2023
Application for specialist registration for a medical practitioner (currently holding general and/or specialist registration) - ASPC-30 PDF (308 KB) 15 May 2023

Limited registration

Document name PDF Document date
Application for limited registration for an area of need for specialist practice - AANS-30 PDF (1.41MB) 15 May 2023
Application for limited registration for an area of need - AANG-30 PDF (1.45MB) 15 May 2023
Application for limited registration postgraduate training or supervised practice as a medical practitioner - ALPS-30 PDF (1.42MB) 15 May 2023
Application for limited registration for teaching or research as a medical practitioner - ALTR-30                PDF (1.68 MB)   15 May 2023
COVID-19 Notice of change in circumstances - CCOV-30
For hospital-based international medical graduates with limited or provisional registration
PDF (274KB)
 
6 April 2020
Request for change in circumstances for international medical graduates with limited or provisional registration - ACCL-30 PDF (728KB) 17 August 2021
Application for limited registration in public interest as a medical practitioner - ALPI-30 PDF (1.34MB) 15 May 2023
Application for assessment by a medical college - AAMC-30 PDF (438KB) 15 August 2017
Please note: The following forms are required to be opened using Adobe Acrobat Reader and may not display correctly in all browsers. For more information, please view the system requirements of this website.
Supervised practice plan and principal supervisor's agreement for IMGs with limited or provisional registration - SPPA-30 PDF  (315KB) 6 April 2022
Orientation report for IMGs with limited or provisional registration - ORIG-30 PDF  (276KB) 14 October 2022
Work performance report for IMGs with limited or provisional registration - WRIG-30 PDF  (332KB) 17 August 2021

Non-practising registration

If you currently hold general and/or specialist registration, you can apply for non-practising registration using online services. Log in to apply.

If you previously held general and/or specialist registration, you can apply for non-practising registration by using the ANPC-30 form:

Document name PDF Document date
Application for non-practising registration as a medical practitioner for previous registrants ANPC-30 PDF (725KB)  1 December 2022

Acupuncture

Document name PDF Document date
Application for endorsement for acupuncture for medical practitioners - AEAV-30 PDF (511 KB) 28 February 2023

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 5/06/2023