Application forms
Registration Forms
Professional Boards are co-ordinating bodies for healthcare practitioners registered with the HPCSA. The respective boards that are established for a specific profession, deal with matters relating to a specific profession.
Dental Assisting, Dental Therapy and Oral Hygiene
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 19 - Additional Qualification Dental Assistant
|
|
|
Form 23 - Application for Registration Dental Therapy and Oral Hygiene
|
|
|
Form 23 - Application for Registration (DA)
|
|
| Form 23 - Application for registration Supervised practice Dental Therapy and Oral Hygiene | |
|
Form 24 TT - Dental Therapist
|
|
|
Form 24 DA - Dental Assistant
|
|
| Form 24 OH - Extended Function | |
|
Form 27 - Independent Practice
|
|
|
Form 53 - Dental Assistant
|
|
|
Form 53 - Student Dental Therapy
|
|
|
Form 53 - Student Oral Hygiene
|
|
|
Form 189 - TT Independent Practice |
|
|
Form 189A - OH Independent Practice |
Dietetics and Nutrition
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Application for Registration
|
|
| Form 24 - DBT | |
|
Form 27 - Independent Practice
|
|
|
Form 53 - DNB Student |
|
|
Form 53 - Student Dietician
|
|
|
Form 176 NT - Foreign Qualified Nutritionists Checklist for compliance - Nutrition |
|
|
Form 176 DT - Foreign Qualified Dietitian Checklist for compliance - Dietetics |
|
| Form 176 DoH FWMP - Application Form |
Emergency Care
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Application for Registration EMB
|
|
| Form 23 - Application for Registration BAA | |
|
Form 24 - EMB
|
|
|
Form 53 - EMB Students
|
|
|
Form 315 - Foreign Qualified
|
Download form |
|
Form 348
|
Download form |
Environmental Health
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - To perform Community Service
|
|
|
Form 23 - Environmental Health Assistant
|
|
|
Form 27 - Independent Practice
|
|
|
Form 53 - Student
|
|
|
Form 176 - EHP Foreign Qualified
|
Medical & Dental
|
Internship Logbook
|
|
|
Handbook on internship training |
|
|
Form 8 - Visiting Student
|
|
|
Form 9 - Application for registration as a Registrar / Sub-speciality Trainee |
|
|
Form 10 A MDB - Intern in Medicine |
|
|
Form 11 A - Medical Practitioner Community Service
|
|
| Form 11 B - Independent Practice (General Practitioner) | Download form |
| Form 11 C - Independent Practice (Medical Practitioner) | Download form |
|
Form 14 A - Dentist (DP) to perform Community Service
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 21 MDB - Specialist/ Sub-specialist SA Qualified
|
|
|
Form 23 - Community Service |
|
|
Form 23 MSIN; PHIN and GCIN - Medical Biological Scientist, Medical Physicist and Genetic Counsellor only |
|
| Form 23 CA - Application for registration Clinical Associate | |
| Form 23 IN - Application for registration Intern in Medicine | |
|
Form 24 GC - Application for registration as Genetic Counselor
|
|
|
Form 24 MS - Application for registration as Medical Biological Scientist
|
|
|
Form 24 PH - Application for registration as Medical Physicist
|
|
|
Form 26 PHIN - Intern Medical Physicist
|
|
|
Form 26 GCIN - Intern Genetic Counsellor
|
|
|
Form 26 MSIN - Intern Medical Biological Scientist
|
|
|
Form 27 - Independent Practice
|
|
|
Form 39 - Student Intern
|
|
|
Form 53 - Student
|
|
|
Form 57 - Application for registration: Independent practice – (Medical Practitioner)
|
Download form |
Medical Technology
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
| Form 23 - Forensic Pathology Officer | |
|
Form 23 - Medical Technologist
|
|
|
Form 23 MLS - Medical Laboratory Scientists
|
|
|
Form 23 - Medical Technician
|
|
|
Form 24 - Medical Technologist
|
|
|
Form 24 - Medical Technician
|
|
|
Form 24 LA - Application for registration as Lab Assistant
|
|
|
Form 24 - Forensic Pathology Officer |
|
|
Form 25 - Medical Technology
|
Download form |
|
Form 26 MTIN - Application for Registration as an Intern Medical Technologist
|
|
|
Form 27 - Independent Practice
|
|
|
Form 53 - Student
|
|
|
Form 53 - Student GTS/LAS
|
|
|
Form 133
|
Occupational Therapy, Medical Orthotics, Prosthetics & Arts Therapy
|
Form 8 - Visiting Student
|
|
|
Form 18 A - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Application for restoration
|
|
|
Form 18 C - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Undertaking by Supervisor
|
|
|
Form 18 D - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Supervisory report
|
|
|
Form 18 F - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Portfolio
|
|
|
Form 18 G - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Portfolio marking guide
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Occupational Therapy Assistant
|
|
| Form 23 - Community Service: Occupational Therapy
|
|
|
Form 23 OCP - Community Service
|
|
|
Form 24 - Art Therapist |
|
|
Form 24 OTT - Occupational Therapy Technician
|
|
|
Form 24 OS - Medical Orthotics and Prosthetics
|
|
|
Form 26 OSIN - Medical Orthotist and Prosthetist
|
|
|
Form 26 ATIN - Arts Therapy Intern in Drama
|
|
|
Form 26 A AT - Placement of Arts Therapy Intern in Drama
|
|
|
Form 27 OS - Intern duty certificate
|
|
|
Form 27 AT - Intern Duty Certificate
|
|
|
Form 27 OB/OSA - Intern duty certificate - Medical Orthotists & Prosthetics
|
|
|
Form 53 - Student
|
|
|
Form 53 - Student Occupational Therapist
|
|
|
Form 176 - OT Foreign Qualified
|
|
|
Form 176 - AT Foreign Qualified
|
|
|
Form 176 - MOP Foreign Qualified
|
Optometry & Dispensing Opticians
|
Form 8 - Visiting Student
|
|
|
Form 18 - Restoration
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Dispensing Optician
|
|
|
Form 23 - Optometrist
|
|
|
Form 27 - Independent Practice
|
|
| Form 53 - Student Optometrist |
Physiotherapy, Podiatry and Biokinetics
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Application for Registration Biokineticist
|
|
|
Form 23 - Application for Registration Podiatrist
|
|
|
Form 23 - Community Service Podiatrist
|
|
|
Form 23 - Physiotherapist Community Service
|
|
|
Form 24 BK - Application for Registration
|
|
|
Form 26 BKIN
|
|
|
Form 27 - Independent Practice
|
|
|
Form 27 BK - Biokineticist for Intern Duty Certificates |
|
| Form 49 PT - Physiotherapist Foreign Graduates | |
|
Form 53 BKS - Biokinetics in Training
|
|
|
Form 53 - Student Physiotherapist
|
Psychology
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
| Form 23 - Clinical Community Service | |
| Form 23 PRC & PMT | |
| Form 23 PS - Application for registration Psychology Board | |
|
Form 24 PS - Registration as Psychologist
|
|
|
Form 24 PRC - Registration as Registered Counsellor
|
|
|
Form 24 PMT - Application for Registration
|
|
|
Form 26 PSIN - Intern Psychologist
|
|
|
Form 27 - Independent Practice
|
|
| Form 27 - PSY Intern Duty Certificate (Psychologists) | |
|
Form 53 PSS - Psychology Student
|
|
|
Form 53 SRC & PMTS
|
Radiography & Clinical Technology Board
|
Form 8 - Visiting Student
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Community Service Radiographer
|
|
| Form 23 - Application for registration Clinical Technologist | |
| Form 23 - Application for registration graduate Clinical Technologist | |
| Form 24 - Radiographer | |
|
Form 24 KT - Clinical Technologist
|
|
|
Form 24 KT - G- Clinical Technologist
|
|
|
Form 27 - Independent Practise
|
|
|
Form 53 - Student Clinical Technology
|
|
|
Form 53 - Student Radiographer
|
|
|
Form 177 DR - Application for registration as Radiographer (Foreign qualifications)
|
|
| Form 177 BKT - Application for registration as a Clinical Technologist - Foreign qualifications | |
| Form 165 |
Speech, Language and Hearing
|
Form 8 - Visiting Student Audiologist
|
|
|
Form 8 - Visiting Student Speech Therapist
|
|
|
Form 19 - Additional Qualification
|
|
|
Form 23 - Community Service Audiology
|
|
|
Form 23 - Community Service Speech Therapist
|
|
|
Form 23: Application for registration community service Speech Therapist and Audiologist |
|
|
Form 27 - Independent Practice
|
|
|
Form 53 - Student Audiology
|
|
|
Form 53 - Student Speech Therapy
|