Hpcsa form 12 2025

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The document is an application form for registration as a medical practitioner or dentist in South Africa. It requires personal information, qualifications, professional experience, and a declaration by the applicant regarding their credentials and legal standing. The form also includes sections for statistical data and official use, detailing required documents for submission.

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Click ‘Get Form’ to open hpcsa form 12 in the editor.
Begin by filling in your title (Prof, Dr) and surname in the designated fields. Ensure accuracy as this information is crucial for your application.
Continue with your maiden name (if applicable), first names, date of birth, and place of birth. These details help establish your identity.
Provide your postal address and contact numbers. Make sure to include an email address for correspondence regarding your application.
Complete the sections on marital status, race, gender, and country of origin. Note that some of this information is required for statistical purposes only.
List your qualifications by entering the name of the degree and the institution where it was obtained. Include dates for a complete record.
Detail your professional experience chronologically, including the nature of appointments held at each institution.
In the declaration section, affirm that all provided information is accurate and sign where indicated. This step is essential for validating your application.

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Can I sign my form 21 hpcsa with my phone?

Of course, it is possible with DocHub. This safe and compliant online solution has a phone-based signing option. When you log in to your DocHub account and add your form 21 hpcsa to our editor, complete all blank areas and use the Sign tool on the top barf. Click on Create your signature and choose Phone from the available choices. Here, you scan a QR code using your smartphone and draw your signature on your phone screen, as you normally do when signing hard copies. If you access DocHub right from your mobile device, you can electronically sign your template by drawing your electronic signature, uploading its image, or simply with a typed name.

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How do you check if a doctor is a genuine medical practitioner?

Go to the Federation of State Medical Boards (FSMB) website to check the basics with their DocInfo.org search function. You will find the doctors board certifications, education, states with active licenses, and any actions against the physician.

How do I pay my HPCSA annual fee?

HPCSA payments can be done via the online portal, direct deposits or EFTs see bank details below. Please note that the HPCSA does not accept cash on their premises or credit card payments.

How do I cancel my HPCSA membership?

To apply for voluntary removal from the HPCSA register a practitioner need to complete a sworn affidavit application in terms of Section 19 (1)(C) of the Health Professions Act, 1974 (ACT NO. 56 0F 1974 AS AMENDED) click here for the form, and submitted the document to the HPCSA: Email: info@hpcsa.co.za.

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How much is HPCSA 2022 annual fee?

The HPCSA has promulgated the fees for the year 2022/2023. To view these fees, please click here. The annual dispensing license fee of R200.Annual fees payable by Healthcare Professionals. CategoryAnnual fee for 2022Registered Nurses and MidwivesR700.00Enrolled Nurses and MidwivesR418.00Enrolled Nursing AuxiliariesR293.00 Feb 4, 2022

How do I check my HPCSA status?

Open the HPCSA website and click on the Log in or Sign up button. Click on My Registrations button. Choose the registration status that is indicated as ACTIVE and Click here to proceed. Click on Card option at the bottom of the page. The card will be displayed as show below.

How do I find out how much I owe at HPCSA?

The online HPCSA system can also be used to access practitioner account statement which will reflect all outstanding invoices due for payment. Even practitioners referred to above are encouraged to create a profile on the Online Platform in order for them to access other services. HPCSA registration no.

How do I renew my HPCSA registration?

Visit .hpcsa.co.za clicking on the Online registration tab in the navigation bar. Using your ID Number as the Username and Password created in step 2, Login and Renew. This also allows you to edit youre your personal details see Notes on Practicing Card below.

When can I renew my HPCSA registration?

Annual fee payment Annual fees are payable to the HPCSA by 01 April and are valid until 31 March of the following year. Please note that it is the responsibility of every registered practitioner to ensure that his/her annual fee is paid by 01 April of each year.