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
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 19 - Additional Qualification Dental Assistant
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Form 23 - Application for Registration Dental Therapy and Oral Hygiene
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Form 23 - Application for Registration (DA)
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| Form 23 - Application for registration Supervised practice Dental Therapy and Oral Hygiene | |
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Form 24 TT - Dental Therapist
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Form 24 DA - Dental Assistant
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| Form 24 OH - Extended Function | |
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Form 27 - Independent Practice
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Form 53 - Dental Assistant
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Form 53 - Student Dental Therapy
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Form 53 - Student Oral Hygiene
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Form 189 - TT Independent Practice |
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Form 189A - OH Independent Practice |
Dietetics and Nutrition
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 23 - Application for Registration
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| Form 24 - DBT | |
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Form 27 - Independent Practice
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Form 53 - DNB Student |
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Form 53 - Student Dietician
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Form 176 NT - Foreign Qualified Nutritionists Checklist for compliance - Nutrition |
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Form 176 DT - Foreign Qualified Dietitian Checklist for compliance - Dietetics |
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| Form 176 DoH FWMP - Application Form |
Emergency Care
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 23 - Application for Registration EMB
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| Form 23 - Application for Registration BAA | |
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Form 24 - EMB
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Form 53 - EMB Students
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Form 315 - Foreign Qualified
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Download form |
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Form 348
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Download form |
Environmental Health
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 23 - To perform Community Service
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Form 23 - Environmental Health Assistant
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Form 27 - Independent Practice
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Form 53 - Student
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Form 176 - EHP Foreign Qualified
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Medical & Dental
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Internship Logbook
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Handbook on internship training
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Form 8 - Visiting Student
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Form 9 - Application for registration as a Registrar / Sub-speciality Trainee
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Form 10 A MDB - Intern in Medicine
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Form 11 A - Medical Practitioner Community Service
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| Form 11 B - Independent Practice (General Practitioner) | Download form |
| Form 11 C - Independent Practice (Medical Practitioner) | Download form |
| Form 12: Application for Registration - Internship | Download form |
| Form 12: Application for Registration Medical practitioner- Public service | Download form |
| Form 12: Foreign Qualified - Specialist - Peer review | Download form |
| Form 12: Medical Volunteer Service Registration | Download form |
| Form 12: Specialist Post Supernumerary Registrar | Download form |
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Form 14 A - Dentist (DP) to perform Community Service
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Form 19 - Additional Qualification
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Form 21 MDB - Specialist/ Sub-specialist SA Qualified
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Form 23 - Community Service |
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Form 23 MSIN; PHIN and GCIN - Medical Biological Scientist, Medical Physicist and Genetic Counsellor only
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| Form 23 CA - Application for registration Clinical Associate | |
| Form 23 IN - Application for registration Intern in Medicine | |
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Form 24 GC - Application for registration as Genetic Counselor
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Form 24 MS - Application for registration as Medical Biological Scientist
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Form 24 PH - Application for registration as Medical Physicist
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Form 26 PHIN - Intern Medical Physicist
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Form 26 GCIN - Intern Genetic Counsellor
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Form 26 MSIN - Intern Medical Biological Scientist
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Form 27 - Independent Practice
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Form 39 - Student Intern
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Form 53 - Student
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Form 57 - Application for registration: Independent practice – (Medical Practitioner)
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Download form |
Medical Technology
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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| Form 23 - Forensic Pathology Officer | |
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Form 23 - Medical Technologist
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Form 23 MLS - Medical Laboratory Scientists
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Form 23 - Medical Technician
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Form 24 - Medical Technologist
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Form 24 - Medical Technician
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Form 24 LA - Application for registration as Lab Assistant
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Form 24 - Forensic Pathology Officer |
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Form 25 - Medical Technology
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Download form |
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Form 26 MTIN - Application for Registration as an Intern Medical Technologist
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Form 27 - Independent Practice
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Form 53 - Student
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Form 53 - Student GTS/LAS
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Form 133
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Occupational Therapy, Medical Orthotics, Prosthetics & Arts Therapy
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Form 8 - Visiting Student
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Form 18 A - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Application for restoration
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Form 18 C - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Undertaking by Supervisor
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Form 18 D - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Supervisory report
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Form 18 F - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Portfolio
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Form 18 G - OCP - Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Portfolio marking guide
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Form 19 - Additional Qualification
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Form 23 - Occupational Therapy Assistant
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| Form 23 - Community Service: Occupational Therapy
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Form 23 OCP - Community Service
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Form 24 - Art Therapist |
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Form 24 OTT - Occupational Therapy Technician
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Form 24 OS - Medical Orthotics and Prosthetics
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Form 26 OSIN - Medical Orthotist and Prosthetist
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Form 26 ATIN - Arts Therapy Intern in Drama
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Form 26 A AT - Placement of Arts Therapy Intern in Drama
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Form 27 OS - Intern duty certificate
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Form 27 AT - Intern Duty Certificate
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Form 27 OB/OSA - Intern duty certificate - Medical Orthotists & Prosthetics
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Form 53 - Student
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Form 53 - Student Occupational Therapist
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Form 176 - OT Foreign Qualified
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Form 176 - AT Foreign Qualified
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Form 176 - MOP Foreign Qualified
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Optometry & Dispensing Opticians
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Form 8 - Visiting Student
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Form 18 - Restoration
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Form 19 - Additional Qualification
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Form 23 - Dispensing Optician
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Form 23 - Optometrist
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Form 27 - Independent Practice
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| Form 53 - Student Optometrist |
Physiotherapy, Podiatry and Biokinetics
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 23 - Application for Registration Biokineticist
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Form 23 - Application for Registration Podiatrist
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Form 23 - Community Service Podiatrist
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Form 23 - Physiotherapist Community Service
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Form 24 BK - Application for Registration
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Form 26 BKIN
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Form 27 - Independent Practice
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Form 27 BK - Biokineticist for Intern Duty Certificates |
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| Form 49 PT - Physiotherapist Foreign Graduates | |
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Form 53 BKS - Biokinetics in Training
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Form 53 - Student Physiotherapist
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Psychology
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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| Form 23 - Clinical Community Service | |
| Form 23 PRC & PMT | |
| Form 23 PS - Application for registration Psychology Board | |
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Form 24 PS - Registration as Psychologist
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Form 24 PRC - Registration as Registered Counsellor
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Form 24 PMT - Application for Registration
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Form 26 PSIN - Intern Psychologist
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Form 27 - Independent Practice
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| Form 27 - PSY Intern Duty Certificate (Psychologists) | |
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Form 53 PSS - Psychology Student
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Form 53 SRC & PMTS
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Radiography & Clinical Technology Board
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Form 8 - Visiting Student
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Form 19 - Additional Qualification
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Form 23 - Community Service Radiographer
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| Form 23 - Application for registration Clinical Technologist | |
| Form 23 - Application for registration graduate Clinical Technologist | |
| Form 24 - Radiographer | |
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Form 24 KT - Clinical Technologist
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Form 24 KT - G- Clinical Technologist
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Form 27 - Independent Practise
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Form 53 - Student Clinical Technology
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Form 53 - Student Radiographer
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Form 177 DR - Application for registration as Radiographer (Foreign qualifications)
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| Form 177 BKT - Application for registration as a Clinical Technologist - Foreign qualifications | |
| Form 165 |
Speech, Language and Hearing
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Form 8 - Visiting Student Audiologist
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Form 8 - Visiting Student Speech Therapist
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Form 19 - Additional Qualification
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Form 23 - Community Service Audiology
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Form 23 - Community Service Speech Therapist
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Form 23: Application for registration community service Speech Therapist and Audiologist |
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Form 27 - Independent Practice
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Form 53 - Student Audiology
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Form 53 - Student Speech Therapy
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