HPCSA Registration Form Title*ProfDrMrMrsMsDecline to stateFirst Name* Last Name* E-mail Address* Confirm E-mail Address* Phone Number Password* Confirm Password*Confirm Professional Council Registered with*HPCSAProfession*Aesthetic GynaecologistAesthetic Medicine SpecialistAge Management SpecialistAllergologistAmbulance Emergency Assistant (ANA)AnaesthesiologistAnaesthetistAnti-Aging SpecialistAudiologist (AU)Audiologist (Supplementary ) - SAUAudiometrician (AM)Bariatric Medicine SpecialistBasic Ambulance Assistant (BAA)BiokineticistCardiac ElectrophysiologistCardiologistCertified Diabetes EducatorClinical AssociateClinical Metal ToxicologistClinical TechnologistClinical VirologistCritical Care Medicine SpecialistCyto-Technician (CT)CounsellorDentalDentistDermatologistDiabetologistDietitianDietitian (Student)Dispensing OpticianDispensing Optician (Student)Electro Encephalographic Technician (EE)Emergency CareEmergency Medicine SpecialistEndocrinologistEndodontistEnvironmental HealthForensic OdontologistGastroenterologistGeneral PractitionerGeriatric Medicine SpecialistGynaecological OncologistGynaecologistHaematologistHearing Aid AcousticianHome Health Care SpecialistHomeopathImmunologistInfectious Disease SpecialistIntegrated Health PractitionerIntensive Care SpecialistInternal Medicine SpecialistKinesiologistLaboratory Assistant (LA)Medical Biological ScientistMedical ConsultantMedical GeneticistMedical Laboratory Scientist (MLS)Medical Orthotics and ProstheticsMedical PhysicistMedical Technician (GT)Medical Technician (Supplementary) - SGTMedical Technologist (MT)Medical Tourism SpecialistMetabolic Medicine SpecialistMindfulness PractitionerNaprapathNephrologistNeurologistNeuromusculoskeletal Medicine SpecialistNuclear Medicine SpecialistNutritionistObstetrician & GynaecologistOccupational SpecialistOncologistOperational Emergency Care Orderly (OECO)OphthalmologistOptical Dispenser (Student Supplementary)Optical Dispenser (Supplementary)OptometristOral HygienistOrthodontistOrthopaedic Footwear TechnicianOrthopaedic Technical AssistantOrthoptistOtorhinolaryngologist (ENT)PaediatricPaediatricianPain Medicine SpecialistParamedicsPathologistPeriodontistPersonal Injury PractitionerPersonal TrainerPhysical Rehabilitation SpecialistPhysicianPhysiotherapistPodiatristPodiatrist (Student)Preventive Medicine SpecialistProsthodontistPsychiatristPsychologistPsychometristPsychometrist (Student)PsychotherapistPulmonologistRadiation OncologistRadiographerRadiologistReproductive Medicine SpecialistRetina SpecialistRheumatologistSexologistSexual MedicineSleep Disorder SpecialistSpeech and Hearing Worker (Community) - SGGSpeech Hearing and Correctionist (SGK)Speech TherapistSports Medicine SpecialistSurgeonTherapistUrologistWellness PractitionerWomens Health SpecialistSelect Biokineticist profession*BiokineticistBiokineticist StudentBiokineticist InternSelect Clinical Technologist profession*Clinical Technologist (Graduat) - KTGClinical Technologist (Student) - KTSClinical Technologist (KT)Select Counsellor profession*Adoption CounsellorFamily CounsellorGenetic CounsellorPastoral CounsellorRegistered CounsellorStudent CounsellorTrauma CounsellorSelect Dental profession*Dental AssistantDental HygienistDental SpecialistDental TherapistSelect Electro Encephalographic Technician (EE) profession*Electro Encephalographic Technician (EE) - CardiologyElectro Encephalographic Technician (EE) - Cardiovascular PerfusionElectro Encephalographic Technician (EE) - Critical CareElectro Encephalographic Technician (EE) - NephrologyElectro Encephalographic Technician (EE) - NeurophysiologyElectro Encephalographic Technician (EE) - PulmonologyElectro Encephalographic Technician (EE) - Reproductive BiologyElectro Encephalographic Technician (Student) - EESSelect Emergency Care profession*Emergency Care Assistant (ECA)Emergency Care Practitioner (ECP)Emergency Care Technician (ECT)Select Environmental Health profession*Environmental Health AssistantEnvironmental Health PractitionerEnvironmental Health Practitioner (Student)Select Hearing Aid Acoustician profession*Hearing Aid Acoustician (Supplementary) - SGAKHearing Aid AcousticianHearing Aid Acoustician (GAK)Select Laboratory Assistant (LA) profession*Laboratory Assistant (LA) - Blood TransfusionLaboratory Assistant (LA) - Clinical PathologyLaboratory Assistant (LA) - Clinical Pathology/mediaLaboratory Assistant (LA) - Histology and CytologyLaboratory Assistant (LA) - ImmunohaematologyLaboratory Assistant (LA) - Laboratory AssistantLaboratory Assistant (LA) - Non-ClinicalLaboratory Assistant (Supplementary) (SLA)Select Medical Laboratory Scientist (MLS) profession*Medical Laboratory Scientist (MLS) - Blood Transfusion TechnologyMedical Laboratory Scientist (MLS) - Clinical PathologyMedical Laboratory Scientist (MLS) - CytogeneticsMedical Laboratory Scientist (MLS) - CytologyMedical Laboratory Scientist (MLS) - HaematologyMedical Laboratory Scientist (MLS) - Histopathological TechniqueMedical Laboratory Scientist (MLS) - ImmunohaematologyMedical Laboratory Scientist (MLS) - ImmunologyMedical Laboratory Scientist (MLS) - Medical Lab Scientist (Clin Path)Medical Laboratory Scientist (MLS) - MicrobiologyMedical Laboratory Scientist (MLS) - VirologySelect Medical Orthotics and Prosthetics profession*Medical Orthotics and ProstheticsMedical Orthotics and Prosthetics & Leatherworks AssistantMedical Orthotics and Prosthetics (Supplementary)Select Medical Technician (GT) profession*Medical Technician (GT) - Blood Transfusion TechnologyMedical Technician (GT) - Chemical PathologyMedical Technician (GT) - Clinical PathologyMedical Technician (GT) - CytotechnologyMedical Technician (GT) - HaematologyMedical Technician (GT) - Histopathological TechniqueMedical Technician (GT) - ImmunohaematologyMedical Technician (GT) - ImmunologyMedical Technician (GT) - MicrobiologyMedical Technician (GT) - Non-ClinicalMedical Technician (GT) - PhlebotomyMedical Technician (GT) - Tuberculosis (bacterium)Medical Technician (GT) - VirologySelect Medical Technician (Supplementary) - SGT profession*Medical Technician (Supplementary) - SGT - Blood Transfusion TechnologyMedical Technician (Supplementary) - SGT - Clinical PathologyMedical Technician (Supplementary) - SGT - CytogeneticsMedical Technician (Supplementary) - SGT - CytotechnologyMedical Technician (Supplementary) - SGT - HaematologyMedical Technician (Supplementary) - SGT - Histopathological TechniqueMedical Technician (Supplementary) - SGT - MicrobiologyMedical Technician (Supplementary) - SGT- Radio-Isotope TechnologySelect Medical Technologist (MT) profession*Medical Technologist (MT) - Blood Transfusion TechnologyMedical Technologist (MT) - Chemical PathologyMedical Technologist (MT) - Clinical PathologyMedical Technologist (MT) - CytogeneticsMedical Technologist (MT) - CytotechnologyMedical Technologist (MT) - HaematologyMedical Technologist (MT) - Histopathological TechniqueMedical Technologist (MT) - ImmunohaematologyMedical Technologist (MT) - ImmunologyMedical Technologist (MT) - MicrobiologyMedical Technologist (MT) - Non-ClinicalMedical Technologist (MT) - ParasitologyMedical Technologist (MT) - PharmacologyMedical Technologist (MT) - Radio-Isotope TechnologyMedical Technologist (MT) - VirologySelect Nutritionist profession*Clinical NutritionistNutritionistNutritionist (Student)Select Occupational Specialist profession*Occupational Health SpecialistOccupational Medicine SpecialistOccupational TherapistOccupational Therapist (Supplementary)Occupational Therapy AssistantsOccupational Therapy TechniciansSelect Optometrist profession*OptometristOptometrist (Student)Optometrist (Supplementary)Select Paediatric profession*Paediatric AllergistPaediatric CardiologistPaediatric DentistPaediatric EndocrinologistPaediatric GastroenterologistPaediatric NeurologistPaediatric PulmonologistSelect Physician profession*Specialist PhysicianFamily PhysicianSelect Physiotherapist profession*PhysiotherapistPhysiotherapist (Student)Physiotherapy Assistant (Student)Physiotherapy TechnicianSelect Psychologist profession*Clinical PsychologistCounselling PsychologistEducational PsychologistForensic PsychologistIndustrial PsychologistNeuropsychologistPsychologistPsychologist (Intern)Psychologist (Student)Research PsychologistSelect Radiographer profession*Radiographer (DR) - DiagnosticRadiographer (DR) - Nuclear MedicineRadiographer (DR) - Radiation TherapyRadiographer (DR) - UltrasoundRadiographer (Student) - DRSSelect Speech Therapist profession*Speech Therapist & Audiologist (STA)Speech Therapist (ST)Speech Therapy and Audiology (Supplementary) - SSTASpeech Therapy Assistant (STB)Speech and Hearing Assistant (STB)Select Surgeon profession*Breast SurgeonCardiothoracic SurgeonGeneral SurgeonHand SurgeonHepato Pancreato Biliary SurgeonLaparoscopic SurgeonMetabolic SurgeonNeurosurgeonOral SurgeonOrthopaedic SurgeonPaediatric SurgeonPlastic & Reconstructive SurgeonRhinoplasty SurgeonRobotic SurgeonSpecialist SurgeonVascular SurgeonSelect Therapist profession*Arts Therapist: Drama, Music, Art & MovementHand TherapistHypnotherapistKinesiotherapistPlay TherapistProfessional Council Number* City* Guidelines for a strong password: At least 8 characters—the more characters, the better. A mixture of both uppercase and lowercase letters and a mixture of letters and numbers. Inclusion of at least one special character, e.g. ,! @ ? ]# Only fill in if you are not human