A candidate registers on the state portal within the notified window, pays the registration and security amounts, uploads documents establishing domicile and category, fills and locks an ordered list of colleges and courses, and receives an allotment decided by NEET rank, category and preference. The process runs over successive rounds, followed by mop-up and stray-vacancy rounds, each with its own rules on upgradation, resignation and forfeiture of the deposit, and admission is confirmed only when the candidate reports at the allotted college with original documents within the stated time. Government, private and, where notified, minority institutions in the state participate, along with the seats set aside under state government schemes. The seat matrix, fee and bond conditions, category definitions and round-wise schedule are published in the official information brochure for the year.

A candidate must have qualified the NEET UG examination of that year by obtaining at least the qualifying percentile the National Testing Agency notifies, and must have passed the class 12 or equivalent examination with physics, chemistry, biology or biotechnology and English, meeting the subject and marks requirements laid down in the national admission regulations. The age condition is the one stated in those regulations and in the counselling brochure. Eligibility for state-quota seats further depends on the domicile and schooling conditions given in the Uttarakhand counselling notification, and the supporting certificates must be produced at verification.