Psychology Board of Australia
Psychology Board of Australia
 

Forms

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

Not sure which form to use? You can:

Registration forms

Renewal of registration

Online application for renewal of registration opens six to eight weeks before your registration expires. AHPRA will send you a reminder when your renewal of registration is due. Look for this as confirmation that online renewal is open.

If you do not renew your general or non-practising registration by 30 November each year, or within the following one month late period, your registration will lapse in accordance with the National Law and your name will be removed from the national register of practitioners.

Provisional registration is required to be renewed annually by the anniversary of the date you were first granted provisional registration. AHPRA will send you a reminder when your renewal of provisional registration is due.

General registration

Document name PDF Document date
Application for general registration as a psychologist - AGEN-76 PDF (2.28MB) 2 May 2016
Application for general registration as a psychologist for current non-practising registrants - AGNP-76 PDF (1.55MB) 24 May 2016
Application for Trans-Tasman mutual recognition as a psychologist - ATMR-76 PDF (67.1KB) 14 July 2016
Statement of assessment for provisional psychologists - PDEC-76 PDF (224KB) 2 May 2016

Non-practising registration

Document name PDF Document date
Application for non-practising registration as a psychologist - ANPC-76 PDF (871KB) 9 September 2015

Provisional registration

Online application for provisional registration is available for first time applicants who have completed, or will be completing soon, an accredited fourth year qualification. See Graduate Applications for more information.

Document name PDF Document date
Application for provisional registration - APRO-76 PDF (916KB) 7 June 2016
Application for provisional registration after three years of provisional registration - ARPP-76 PDF (1.55MB) 2 May 2016
Application for provisional registration for overseas qualified applicants - APOS-76 PDF (1.00MB) 1 June 2016

Supervisors and supervision programs

Application to be a Board-approved supervisor

Document name PDF Document date
Application to act as a Board-approved supervisor of provisional psychologists and registrars - ABAS-76
For psychologists applying to become a supervisor.
PDF (248KB) 15 September 2015
Application to maintain Board-approved supervisor status - MBAS-76
For currently approved supervisors applying to maintain approval for a further five years.
PDF (290KB)  1 September 2015

4+2 internship program

Successful completion of a 4+2 internship program enables a provisional psychologist to apply general registration. Visit the 4+2 internship section of the website for more information.

Document name PDF Accessible format Document date
Supervised practice plan for provisional registration as a psychologist (4+2 internship program) - SPPR-76   Word version 
(1.61MB,DOC)
2 May 2016
Weekly record of professional practice for provisional psychologists - PPLB-76 log book   Excel version 
(394KB,XLSX)
20 March 2014
Weekly record of professional practice for provisional psychologists Section A example - PPLB-76 log book PDF 
(31.3KB)
  24 March 2014
Target problems template Word version 
(16.3KB,DOCX)
27 September 2013
Written communications template Word version 
(17.3KB,DOCX)
27 September 2013
Summary of ethical dilemmas Word version 
(16.6KB,DOCX)
27 September 2013
Summary of professional limitations Word version 
(17.4KB,DOCX)
27 September 2013
Progress - transitional report psychology PPPR-76 PDF 
(780MB)
23 June 2014
Case study submission form - CSSF-76 PDF 
(801KB)
  16 December 2013
Final assessment of competence psychology - PPAC-76 PDF 
(923KB)
2 May 2016

5+1 internship program

Successful completion of a 5+1 internship program enables a provisional psychologist to apply general registration. Visit the 5+1 internship section of the website for more information.

Document name PDF Accessible format Document date
Internship program plan - INPP-76 PDF (789KB)   2 May 2016
Change of principal supervisor - CHPS-76 PDF (769KB)   2 May 2016
Log book - LBPP-76 PDF (63.2KB) Excel version (390KB,XLSX) 2 May 2016
Progress report form - PRFI-76 PDF (772KB)   2 May 2016
CSSF-76 - Case study submission form PDF (801KB)   16 December 2013
PACF-76 - Final assessment of competence PDF (770KB)   2 May 2016

Work in addition to placements for higher degree candidates

These forms are for provisional psychologists undertaking an approved higher degree program who wish to work as a provisional psychologist in roles that are additional to their higher degree placements. For more information refer to the Policy on working in addition to placements.

Document name PDF Document date
Application for working in addition to university placements for provisional psychologists - AWOP-76 PDF (990KB) 1 September 2015
Progress report form for supervisors of provisional psychologists working in addition to university placements - PPSR-76 PDF (389KB) 1 September 2015

Transitional program for overseas qualified psychologists

The transitional program enables overseas-qualified psychologists to demonstrate competencies specific to the Australian context, in order to be eligible for general registration. Visit the Overseas applicants section of the website for more information.

Document name PDF Document date
Application for approval of a transitional program for psychologists with overseas qualifications - AATP-76 PDF (755KB) 2 May 2016
Assessment of capabilities - transitional program for provisional psychologists - ACTP-76 PDF (770KB) 2 May 2016

Registrar programs for area of practice endorsement

Successful completion of a registrar program enables a psychologist to apply for endorsement of general registration in an approved area of practice. Visit the Endorsement section of the website for more information.

Document name PDF Document date 
Application for approval of registrar program in an approved area of practice - AEAP-76 PDF (300KB) 9 September 2015
Application to change a supervisor - ACSP-76 PDF (406KB) 17 February 2015
Application to change a practice site - ACAP-76 PDF (354KB) 4 June 2014
Progress report for registrar program for endorsement in an approved area of practice - PREA-76 PDF (320KB) 4 June 2014

Endorsement of registration

Application for area of practice endorsement forms

Document name PDF Document date
Application for an area of practice endorsement on completion of approved registrar program - AECR-76 PDF (315KB) 15 June 2016
Application for an area of practice endorsement - non-standard route - AEAT-76 PDF (721KB) 9 September 2015

National Psychology Exam forms

Document name PDF Document date
Statement and plan for professional development - SPPD-76 PDF  (762 KB) February 2016

Other forms

Document name PDF Accessible format Document date
Application for review of conditions or undertakings by a psychologist - ARCD-76 PDF (206KB)   4 June 2014
Continuing professional development learning plan template Word version 
(19.0 KB,DOCX)
1 December 2015
Request to add or correct a qualification on the National Register - RAAQ-76 PDF (620KB)   4 June 2014

Supplementary information

Information about supporting documents required for registration is provided below.

Document name PDF Accessible format  Document date
Certifying documents Web page N/A
Standard format for curriculum vitae Web page N/A
Proof of identity requirements PDF (65.6KB) Word version (623KB,DOCX) 1 July 2014

Common application forms

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

Notification form

To notify AHPRA of concerns or make a complaint about a health practitioner, go to Make a notification.

 
 
 
Page reviewed 25/07/2016