RP6 form - Medical Council of New Zealand - mcnz org 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section One, where you will enter the applicant’s details including family name, given names, date of birth, and the scope of practice applied for. Ensure all fields are accurately filled.
  3. Proceed to Section Two to provide the referee’s details. Fill in their family name, given names, contact information, medical qualifications, position/title, place of work, and relationship to the applicant.
  4. In Section Three, complete the declaration by confirming your identity as the referee and signing with the date.
  5. Sections Four through Six require detailed assessments on various competencies such as medical knowledge and communication skills. Provide thoughtful comments based on your observations.
  6. If applicable, complete Section Seven regarding training and competence for vocational or special purpose locum tenens scope applications.

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