IHP :: NZ Psychological Society

Name Required

Email Required

Preferred Contact Number Required

Membership Category Sought: Required

Full Member (Practitioner)

Full Member (Academic)

Student Affiliate

Registration Details

Registered with the NZ Psychologists Board (required for practitioner members only) Required

Yes

Holder of a current Annual Practicing Certificate (required for practitioner members only) Required

Yes

Please state which Scope of Practice you are registered under:

Please provide your NZ Psychologists Board Registration Number:

Qualifications

Please list your qualifications, institution and country obtained from

e.g. Qualification: Postgraduate Diploma in Health Psychology > Year: 2014 > Institution: University of Auckland > Country: New Zealand

Qualification, Year, Institution, Country

Employment and Professional Details

Please list your current and past employment related to health psychology.

e.g. Job Title: Health Psychologist > Employer: Auckland District Health Board > FTE: 0.4 > Start Date: Jan 14 > End Date: Current

Job Title, Employer, FTE, Start Date, End Date

Professional Affiliations: Organisation & Date Joined

Please indicate any areas of expertise or professional interest in health psychology:

Evidence of Competent and Safe Practice

I currently undertake professional supervision with a registered psychologist (required for practitioner members only) Required

Yes

Name of Current Supervisor:

Complaints

I have not had complaints laid against my clinical practice that have resulted in formal investigation by either a professional or statutory body, and I am not aware of any complaints being in process. Required

True

False

If false, please send details of the complaint(s) in a sealed envelope to National Office.

Declarations

By clicking on "Submit", I hereby declare that all of the following declarations are true. Required

The information provided in this application is accurate and honest to the best of my knowledge.

I give permission for any records pertaining to any action taken by or complaint made to the Health and Disability Commissioner, the New Zealand Psychologists Board, or any other equivalent overseas body in relation to my professional conduct in the past

I agree to notify the IHP (and the Executive of the New Zealand Psychological Society) of any new complaints against me as soon as I am aware that a complaint has been lodged against me.

I agree to abide by the Rules of the IHP and the New Zealand Psychological Society Inc. and the Code of Ethics 2002

IHP

Institute of Health Psychology

Categories

Full Member (Practitioner) status is open to anyone who: