Hpcsa Application forms

Application 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. NB: Practitioners are advised to check for correct fees before making any payment

Restoration
Form 18 – Application for restoration of name to the registerDownload form
Dental Assisting, Dental Therapy and Oral Hygiene
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Application for RegistrationDownload form
Form 23 – Application for Registration (DA)Download form
Form 24 TT – Dental TherapistDownload form
Form 24 OH – Extended functionsDownload form
Form 53 – DOH StudentDownload form
Form 189 – Dental Therapist (TT)Download form
Dietetics and Nutrition
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Application for RegistrationDownload form
Form 27 – Independent PracticeDownload form
Form 53 – DNB StudentsDownload form
Form 176 DT – Foreign Qualified DietitianDownload form
Form 176 NT – Foreign Qualified NutritionistsForm 176 NT ADownload formDownload form
Environmental Health
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – To perform Community ServiceDownload form
Form 23 – Environmental Health AssistantDownload form
Form 27 – Independent PracticeDownload form
Form 53 – StudentDownload form
Form 176 – EHP Foreign QualifiedDownload form
Emergency Care
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Application for RegistrationDownload form
Form 53 – EMB StudentsDownload form
Form 315 – Foreign QualifiedDownload form
Form 348Download form
Medical & Dental 
Internship Logbook Handbook on Internship TrainingDownload form Download form
Form 8 – Visiting StudentDownload form
Form 9 – Application for registration as a Registrar / Sub-speciality TraineeDownload form
Form 10 A MDB – Intern in MedicineDownload form
Form 11 A – Medical Practitioner Community ServiceDownload form
Form 11 C – Independent PracticeDownload form
Form 14 A – Dentist (DP) to perform Community ServiceDownload form
Form 19 – Additional QualificationDownload form
Form 21 MDB – Specialist/ Subspecialist SA QualifiedDownload form
Form 23 – Community ServiceDownload form
Form 23 MDB – Intern in Medicine SA QualifiedDownload form
Form 23 MSIN; PHIN and GCIN – Medical Biological Scientist, Medical Physicist and Genetic Counsellor only Download form
Form 24 GC – Application for registration as Genetic CounselorDownload form
Form 24 MS – Application for registration as Medical Biological ScientistDownload form
Form 24 PH – Application for registration as Medical PhysicistDownload form
Form 26 PHIN – Intern Medical PhysicistDownload form
Form 26 GCIN – Intern Genetic CounselorDownload form
Form 26 MSIN – Intern Medical Biological ScientistDownload form
Form 27 – Independent PracticeDownload form
Form 36 GC – Certificate of Intern training (Genetic Counsellor)Download form
Form 36 MS – Certificate of Intern training (Medical Biological Scientist)Download form
Form 36 PH – Certificate of Intern training (Medical Physicist)Download form
Form 39 – Student InternDownload form
Form 53 – StudentDownload form
Medical Technology
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Application for RegistrationDownload form
Form 23 MLS – Medical Laboratory Scientists Download form
Form 24 GT – Application for RegistrationDownload form
Form 24 MT – Application for RegistrationDownload form
Form 24 LA – Application for registration as Lab AssistantDownload form
Form 25 – Medical TechnologyDownload form
Form 25 MTB – Intern duty certificate for Medical TechnologyDownload form
Form 26 MTIN – Application for Registration as an Intern Medical TechnologistDownload form
Form 27 – Independent PracticeDownload form
Form 53 – StudentDownload form 
Form 53 – Student GTS/LASDownload form
Form 133 – Medical Technology (MT) Application to conduct private practiceDownload form
Form 176 MT – Medical Technologists/ Bsc GraduatesDownload form
Occupational Therapy, Medical Orthotics, Prosthetics & Arts Therapy
Visiting StudentDownload form
Form 18 A – OCP – Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Application for restorationDownload form
Form 18 C – OCP – Occupational Therapy, Medical Orthotics & Prosthetics & Arts TherapyUndertaking by SupervisorDownload form
Form 18 D – OCP – Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Supervisory reportDownload form
Form 18 F – OCP – Occupational Therapy, Medical Orthotics & Prosthetics & Arts TherapyPortfolioDownload form
Form 18 G – OCP – Occupational Therapy, Medical Orthotics & Prosthetics & Arts Therapy Portfolio marking guideDownload form
Form 19 – Additional QualificationDownload form
Form 23 OCP – Application for RegistrationDownload form
Form 23 OT – Occupational Therapy, Medical Orthotics & Prosthetics & Arts TherapyDownload form
Form 24 OTT – Occupational Therapy TechnicianDownload form
Form 24 OS – Medical Orthotics and ProstheticsDownload form
Form 26 OSIN – Medical Orthotist and ProsthetistDownload form
Form 26 A – OS Placement of InternDownload form
Form 26 ATIN – Arts Therapy Intern in DramaDownload form
Form 26 A AT – Placement of Arts Therapy Intern in DramaDownload form
Form 27 – Independent PracticeDownload form
Form 27 OS – Intern Duty certificate – Medical Orthotics & ProstheticsDownload form
Form 27 OB/OSA – Intern duty certificate – Medical Orthotists & ProstheticsDownload form
Form 53 – StudentDownload form 
Form 176Download form
Optometry & Dispensing Opticians
Form 8 – Visiting StudentDownload form
Form 18 – Application for restoration of name to the registerDownload form
Form 19 – Additional QualificationDownload form
Form 19 – ODO DiagnosticsDownload form
Form 19 – ODO Ocular TherapeuticsDownload form
Form 23 – Dispensing OpticianDownload form
Form 23 – OptometristDownload form
Form 24 – Application for RegistrationDownload form
Form 53 – StudentDownload form 
Form 176 – Foreign QualifiedDownload form
Physiotherapy, Podiatry and Biokinetics
Form 8 – Visiting StudentDownload form
Form 18 PPB – RestorationDownload form
Form 19 – Additional QualificationDownload form
Form 23 PPB – Application for RegistrationDownload form
Form 24 BK – Application for RegistrationDownload form
Form 27 – Independent PracticeDownload form
Form 27 BK – Biokineticist for Intern Duty CertificatesDownload form
Form 49 PT – Physiotherapist Foreign GraduatesDownload form
Form 53 BKS – Biokinteticist in TrainingDownload form
Form 53 – StudentDownload form
Psychology 
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 RC & PMT –  Application for RegistrationDownload form
Form 24 PS – Registration as PsychologistDownload form
Form 24 PMT – Application for RegistrationDownload form
Form 26 PSIN – Intern PsychologistDownload form
Form 27 – Independent PracticeDownload form
Form 27 PSY – Intern duty Certficates for PsychologistsDownload form
Form 53 PSS – Psychology StudentDownload form
Form 53 SRC & PMTSDownload form
Form 176 – NeuropsychologyDownload form
Radiography & Clinical Technology 
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Community ServiceDownload form
Form 24 KT – Clinical TechnologistDownload form
Form 27 – Independent PractiseDownload form
Form 53 – StudentDownload form
Form 177 DR- Application for registration as RadiographerDownload form
Form 177 BKT – Application for registration as Clinical TechnologistDownload form
Speech, Language and Hearing
Form 8 – Visiting StudentDownload form
Form 19 – Additional QualificationDownload form
Form 23 – Community ServiceDownload form
Form 23 A (SLH) –  Change of Category: Speech Language and Hearing ProfessionsDownload form
Form 27 – Independent PractiseDownload form
Form 53 – StudentDownload form
Other forms
Application for Aproval of Mobile Practice – ODODownload form
Contact details form – Change of Contact detailsDownload form
Form 2 Consent to social or cultural circumcisionDownload form
Form 3 Consent to religious circumcisionDownload form
Form 22 Reporting of abuse or deliberate neglect of childDownload form
Form 23 Reporting of abuse or deliberate neglect of a child to the Director GeneralDownload form
Form 33 Application for Consent to Medical Treatent or Surgical Operation by MinisterDownload form
Form 34 Consent to surgical operation by a childDownload form

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