Australian Guidelines Every IMG Needs for the AMC MCQ
The Australian screening, immunisation, antibiotic, cardiovascular risk, alcohol, Medicare and mental health rules that decide AMC MCQ answers, with tables and worked questions.
Read the guideEvery AMC MCQ cost in one place, from the A$642 portfolio and A$2,920 authorisation to ECFMG verification, plus step-by-step Pearson VUE booking, change and refund rules, and exam-day ID checks.

AMC MCQ exam fees are the first hard number most international medical graduates plan around, and at the time of writing (October 2026) the CAT MCQ authorisation costs A$2,920. But that is only one line of the bill. Before you can book, you also pay to set up an AMC portfolio and to verify your medical degree, and after you book you are held to strict rules on dates, changes, refunds and identification.
This guide puts every cost in one place, walks you through AMC MCQ booking with Pearson VUE step by step, and explains where AMC exam dates are published and how to choose one. Fees and dates change, so treat every number here as correct at the time of writing and confirm it on amc.org.au before you pay.
The AMC lists all charges in Australian dollars, free of GST. These are the fees an MCQ candidate is most likely to meet, plus the next-stage fees to budget for now.
| Item | Fee (A$) | When you pay it |
|---|---|---|
| Establish an initial portfolio (includes 1 qualification) | 642 | Once, at the start of the Standard Pathway |
| Add an additional qualification | 107 each | Only if you need more than one qualification assessed |
| CAT MCQ examination authorisation | 2,920 | Every attempt |
| Reissue of MCQ results | 107 | Only if you need results reissued |
| Clinical examination, in person | 3,000 | After you pass the MCQ (if you choose this route) |
| Clinical examination, online | 3,400 (3,000 + 400 levy) | After you pass the MCQ (if you choose this route) |
| Workplace-based assessment (WBA) | 1,070 | After you pass the MCQ (alternative to the clinical exam) |
Since 9.00am AEST on 1 October 2026 the AMC no longer adds a card payment surcharge to any card payment. The fees themselves did not change, so if you priced your budget before October, take the surcharge line out.

The AMC MCQ exam fee is the largest single payment, but you pay three parties before you sit: the AMC, ECFMG (for verification), and whoever supplies your travel, documents and study resources.
For a typical candidate with one primary medical qualification and a first-time pass, the AMC side of the bill is the portfolio plus one authorisation:
Add A$107 for each additional qualification you need assessed. Most MCQ candidates need only their primary medical degree, but if your registration pathway or a later application needs more, budget for it.
The AMC does not verify your degree itself. ECFMG, a member of Intealth, performs primary source verification for the AMC through its MyIntealth platform and EPIC. ECFMG’s published EPIC fee page lists, at the time of writing:
For one credential (your final medical diploma) that is about US$255 before extras. Some universities also charge their own verification fees. ECFMG, not the AMC, sets these amounts, so check its fee page when you apply.
These vary too much for a single figure, but leaving them out is how budgets fail:
The table adds up AMC fees only (ECFMG fees, travel and preparation are on top) for four common scenarios.
| Scenario | AMC fees included | AMC total (A$) |
|---|---|---|
| Sit the MCQ once and pass | Portfolio 642 + MCQ 2,920 | 3,562 |
| Sit the MCQ twice | Portfolio 642 + MCQ 2,920 × 2 | 6,482 |
| Pass the MCQ, then the in-person clinical exam | 642 + 2,920 + 3,000 | 6,562 |
| Pass the MCQ, then a WBA program | 642 + 2,920 + 1,070 | 4,632 |
Look hardest at the second row: a failed attempt costs almost as much again as your first. Structured preparation is usually cheaper than a second authorisation.
It does not buy a guaranteed seat at a particular venue, a date change after the closing date, a refund if you do not attend, or a second attempt.
You cannot apply for an MCQ authorisation until your AMC portfolio exists and your primary medical qualification has been verified. This stage has no exam date attached, so it is the one candidates leave too late. ECFMG says verification time varies and depends heavily on how quickly your medical school responds, so start as soon as you decide to sit.
The AMC uses the World Directory of Medical Schools (WDoMS) as its primary source and aligns eligibility with the ECFMG sponsor notes listed there. You need to confirm three things:
Do this before you pay anything. If you establish a portfolio and it is later found not to be required, the portfolio refund drops from full to 50% once it has been assessed, and to nothing once ECFMG verification has been processed.
The AMC accepts three credential types for the medical degree: final medical diploma, final medical transcript, or alternate graduation document. If you verify a transcript or alternate document instead of the diploma, the Medical Board of Australia may still ask for the diploma at registration, which means more verification fees later. Verifying the diploma first is usually the cheaper path.
Create your AMC account, establish the initial portfolio (A$642) and confirm the EPIC Report has been sent. After ECFMG sends a report, allow three to five business days for the AMC to update its portal. If your degree was verified through ECFMG before, ECFMG typically reviews the existing record within 10 business days.
Exam tip: Check that the name on your passport, your MyIntealth record, your AMC account and your secondary ID are spelled identically, including middle names and the order of family and given names. The AMC requires the first and last name on your IDs to match its records exactly on exam day, and fixing a mismatch is far easier now than at the test centre reception desk.
Once verification shows in your AMC account, booking moves quickly. Pearson VUE provides venues and scheduling; the AMC controls the authorisation, rules and results.

The AMC runs MCQ events throughout the year at centres in Australia and overseas. A nearby centre with a later date often beats a distant one with an earlier date once you add flights and accommodation, and it removes the risk of a delayed flight making you late, which means exclusion.
Because of US sanctions rules, Pearson VUE may decline to schedule candidates whose primary residency is in a sanctioned country. The AMC also states that, from 8 September 2026, candidates resident in Iran can be scheduled only if they can prove primary residency outside Iran, and otherwise may request a full refund. If this could apply to you, contact the AMC before you pay.
The AMC does not print a public calendar on its main pages. MCQ dates and times are shown when you log in to the AMC candidate portal, and booking confirmations come from Pearson VUE. Events, closing dates and seats change, so third-party lists of AMC exam dates may be out of date. Always book from the portal.
Choose your date by working backwards from the level of preparation you need, not forwards from when you can afford the fee. A practical sequence:
| Milestone | Fixed by the AMC | What it means for your plan |
|---|---|---|
| Authorisation period | 12 months, no extensions | Buy it when your exam window is realistic, not as a motivator. |
| Free AMC app access | 12 months from activation | Activate when revision starts; use it as a progress check. |
| Changes and withdrawals | Only before the event closing date | Treat the closing date as your real decision date. |
| Results release | 4.00pm, Friday three weeks after the exam | No new exam application until this result arrives. |
| Attempts at once | One exam application at a time | A resit date is always at least three weeks plus a new booking away. |
The rules are simple but unforgiving; most money lost on the AMC MCQ is lost here.
You can change your event or venue, or withdraw, without penalty before the closing date of the event you booked, provided a seat is available at the venue you want. Reschedule through Pearson VUE within your existing authorisation period; the new event must still fall inside the 12 months.
No changes are accepted after the closing date. If you have not rescheduled or withdrawn by then and you do not sit, your authorisation and payment are forfeited. Non-attendance and breaches of the authorisation rules or exam conditions mean the authorisation is consumed and no refund is given.
The AMC allows cancellation of an MCQ authorisation only in exceptional circumstances, with evidence: for example, a medical certificate for illness or injury, or a statutory declaration or affidavit for domestic circumstances. You request the cancellation form through the AMC contact form, and you must apply before your authorisation expires.
| Situation | Refund | On a A$2,920 fee |
|---|---|---|
| Cancellation with evidence, within 1 month of payment | 75% | A$2,190 |
| Cancellation with evidence, from 1 month after payment to the authorisation end date | 50% | A$1,460 |
| Non-attendance, or breach of authorisation rules or exam conditions | None | A$0 |
The table rewards deciding early: if your exam becomes unlikely, act within the first month or reschedule before the closing date.
Test centre staff apply the AMC’s rules strictly. Read your placement letter and the Pearson VUE professional examination rules linked from the AMC MCQ page beforehand.
Our guide to how to pass the AMC MCQ on your first attempt covers pacing, guessing and the exam-day routine in detail.
Results are released in your AMC account at 4.00pm on the Friday three weeks after your exam event. Go to AMC assessments, then MCQ Results, and select the exam under Details. Results are never given over the phone and come from the AMC, not Pearson VUE.
Scores are reported on a 0–500 scale with a pass mark of 250. That is not the same as 50% correct, because the exam is adaptive and scaled; our explainer on the AMC MCQ pass mark and scoring shows how to read your transcript. The AMC has advised candidates of an update to the pass standard for 2026 sittings; the reported pass mark is still 250, so check the current specifications.
The AMC no longer offers verification of MCQ results. If you need a document reissued, the reissue fee is A$107.
If you do not pass, there is no stated maximum number of attempts, but each needs a new authorisation at the full fee, and you can only apply once your previous result is out. Keep doing timed questions while you wait so you are not starting from cold.
Passing the MCQ is the first assessment on the Standard Pathway. You then complete either the AMC Clinical Examination or an accredited workplace-based assessment program before you can be awarded the AMC Certificate.
Registration with the Medical Board of Australia, English language requirements and supervised practice are separate steps with their own rules. Our overview of the AMC Standard Pathway after the MCQ sets out the sequence, and the complete AMC MCQ exam guide covers format, blueprint and preparation in one place.
If you are pricing preparation, our one-time question packs start at A$50 for 500 questions, with no subscription; compare them on the pricing page.
At the time of writing (October 2026), the CAT MCQ examination authorisation costs A$2,920. You also need an AMC portfolio, which costs A$642 including one qualification. AMC fees are GST-free and no longer attract a card surcharge. Confirm current fees on amc.org.au before paying.
For one qualification and one sitting, AMC fees total A$3,562 (A$642 portfolio plus A$2,920 authorisation). ECFMG verification adds roughly US$255 for one credential at its published rates, and travel, documents and preparation are extra.
Verify your degree through ECFMG and establish your AMC portfolio, then apply and pay for an MCQ authorisation in your AMC account. When Pearson VUE emails you, schedule one event and venue online or through a Pearson VUE contact centre, then download your AMC placement letter.
Exam dates and times are shown when you log in to the AMC candidate portal, and you book the event through Pearson VUE. Third-party date lists can be out of date, so always check the portal.
Yes, without penalty, before the closing date of the event you booked, if a seat is available and the new event is inside your 12-month authorisation. No changes are accepted after the closing date.
Only by cancelling your authorisation for exceptional reasons with evidence, such as a medical certificate. You receive 75% within one month of payment or 50% after that, up to the authorisation end date. Non-attendance gets no refund.
Two original, valid IDs: a government-issued primary ID with your name, photo and signature, such as a passport, and a secondary ID with your name and signature, such as a bank card. Names must match your AMC record exactly, and both must be in English or translated.
Yes. Each attempt needs a new authorisation at the full fee, currently A$2,920. You can apply for the next exam only after you receive the result of the one you sat.
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