Professionals registered with the Health Professions Council of South Africa (HPCSA) are required to keep their personal details accurately recorded with the council. This necessity includes updating one's address promptly, which is where the Hpcsa Change Address form comes into play. This form is vital for ensuring that registered health professionals maintain up-to-date contact information with the HPCSA, following the directives outlined in section 18(3) of the Health Professions Act of 1974. This section obligates registered individuals to notify the Registrar of the Council in writing within thirty days of any address change. Completing and submitting this form results in the recording of the new address in the official register. It includes fields for both new postal and practice or work addresses, previous addresses, and additional personal details for identification and statistical purposes. This process not only aids in keeping the HPCSA's records current but also supports the council's mission to protect the public and guide the professions by ensuring effective communication channels between the council and its registrants.
| Question | Answer |
|---|---|
| Form Name | Hpcsa Change Address Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | hpcsa change, hpcsa login iregister, hpcsa change of address, hpcsa email address |
553 Vermeulen Street
Arcadia, Pretoria
PO Box 205
Pretoria, 0001
Tel: +27 (12) 3389312
Fax: +27 (12) 33389312
Email: records@hpcsa.co.za
FOR CHANGE OF ADDRESS
AND DETAILS ONLY
Website: www.hpcsa.co.za
HPCSA Registration No.………………………………………...
CHANGE OF REGISTERED ADDRESS
It has come to my attention that you have possibly changed your address. In terms of section 18(3) of the Health Professions Act, 1974 (Act No. 56 of 1974), every registered person who changed his or her address shall in writing notify the Registrar of Council within thirty days of such a change.
Upon receipt of the signed, completed notice below, your new address will be recorded in the register.
REGISTRAR
I, (Prof, Dr, Mr, Mrs, Miss) ……………………………………………………………………………………………………
Surname ……………………………………………………………………………………………..…………………………
Maiden Name (if applicable) ……………………………………………………………………….……………………......
(Should you wish to be registered in your married name; a certified copy of your marriage certificate must be submitted.)
First Names …………………………………………………………………………………………..………………………
NEW POSTAL ADDRESS
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………………………………. postal code: …………….
PRACTICE / WORK ADDRESS
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…………………………………. postal code: ……………
ID number: …………………………………………………………………………………………………………………….
Code and Telephone Number (H) …………………….………….… (W) ……………………….…………………….….
Cell Tel Number.….………………………………………………… (FAX)…………………………………………………
PREVIOUS REGISTERED ADDRESS ……………………………….……………………………..……………………..
……………………………………………………………………………………………..…………………………………….
…………………….…………………………………………………………………..…….……………..……………………
*Please note this is PURELY for statistical purposes
*Marital Status: |
Divorced |
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Married |
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Single |
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*Race: |
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Nationality: |
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Gender: Male
Disabilities:
Female
Date …………………………. |
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SIGNATURE OF REGISTERED PERSON |
Please return a duly completed form by post to: THE REGISTRAR, P O BOX 205, PRETORIA 0001
Protecting the public and guiding the professions
President: Prof MSM Mokgokong, Vice President: Prof T Sodi, Acting Registrar/CEO: Dr TKS Letlape