SALVS Membership Portal
I would like to become a SALVS Member
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CONSENT: I understand the purpose for disclosing this personal information. Collection of this information complies with The Protection of Personal Information Act 4 of 2013 (POPI), South Africa. If you have any questions about the Privacy Policy contact salvs@salvs.org
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Please chose the membership level you are applying for
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*Full Membership*: Registered with the Health Professions Council of South Africa, The South African Nursing Council or a relevant Professional Medical Society. Special interest in venous and lymphatic conditions. Must be a resident in the Republic of South Africa
*Associate Member (South African)*: Individuals who are resident in the Republic of South African and who have a special interest in venous and lymphatic conditions.
*Associate Member (non-South African)*: Healthcare practitioners who are not resident in the Republic of South Africa who have a special interest in the treatment of venous and lymphatic conditions are members of their respective national medical societies wherever such societies exist;
Please indicate if you are currently a paid-up member of one of the following societies:
Alliance of South African Independent Practitioners Associations (ASAIPA)
Lymphoedema Association of South Africa (LAOSA)
Podiatry Association South Africa (PASA)
South African Orthotists and Prosthetic Association (SAOPA)
South African Society of Obstetricians and Gynaecologists (SASOG)
South African Society of Surgeons in Training (SASSiT)
The Association of Surgeons of South Africa (ASSA)
The Vascular Society of Southern Africa (VASSA)
Wound Healing Association of Southern Africa (WHASA)
The South African Society of Physiotherapy (SASP)
Member Information
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Title
First Name
Surname
E-mail Address
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example@example.com
Mobile Number
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Speciality
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General Practitioner
Lymphoedema Therapist
Lymphologist
Occupational Therapist
Orthotist Prosthetist
Physician
Physiotherapists
Radiologist
Surgeon - General
Surgeon - Vascular
Surgical Registrar
Vascular Surgery Fellow
Wound Care Specialist
Other
Year Highest Qualification was Obtained
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Type N/A if not applicable.
Medical Council Registration Number (Complete with Council abbreviation followed by number for example: MP 0123456, SANC 12345678, P 0123456, etc.)
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Type N/A if not applicable.
Primary Hospital Affiliation
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Type N/A if not applicable.
City
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Province
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Please Select
Not Applicable
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Country
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South Africa
Other
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