The Psychological Practices Regulations 1974 (SA)
SOUTH AUSTRALIA
being
as varied by
Gaz . 7 September 1978, p. 8531 No. 103 of 1983:
Gaz . 4 August 1983, p. 2912 No. 100 of 1986:
Gaz . 12 June 1986, p. 1541No. 149 of 1989:
Gaz . 27 July 1989, p. 250No. 138 of 1990:
Gaz . 5 July 1990, p. 2203 No. 164 of 1991:
Gaz . 18 July 1991, p. 329No. 81 of 1992:
Gaz . 18 June 1992, p. 1771No. 153 of 1995:
Gaz . 6 July 1995, p. 334 No. 183 of 1996:
Gaz . 8 August 1996, p. 5095
1 Came into operation 1 October 1978: reg. 3.
2 Came into operation 1 October 1983: reg. 2.
3 Came into operation 1 October 1990: reg. 2.
4 Came into operation 6 July 1995: reg. 2.
5 Came into operation 8 August 1996: reg. 2.
1. These regulations may be cited asThe Psychological Practices Regulations, 1974 .
2. In these regulations, unless the contrary intention appears—"Act" means the
Psychological Practices Act, 1973 ."Board" means the South Australian Psychological Board constituted by the Act.
"Recognised University" means a university declared by the Board to be a recognised
university for the purposes of the Act.
"Register" means the Register established and maintained pursuant to section 20 of the Act.
"Registrar" means the Registrar appointed and for the time being in office pursuant to
section 13 of the Act.
4. Every application for entry of name on the Register shall be accompanied by:—
a passport type photograph of the applicant; | |
two statutory declarations in the form "B" of the Schedule hereto deposing to the applicant’s good fame and character, the declarations being from two persons of good standing and repute; | |
a summary of the applicant’s experience in psychology, particularly over the three years preceding the application and including particulars of any practice in psychology in the State; | |
a fee of $180 which shall be refunded to the applicant if the registration sought is not obtained. |
(2) The fee payable for renewal of registration as a psychologist is $160, except in the case of a psychologist who will be over 70 years of age when the period of registration commences, in which case, the fee payable is $40.
his full name and address (both private and professional). | |
his qualifications in respect of which registration is granted. | |
the date of registration or renewal thereof. | |
particulars of any removal, cancellation or suspension of registration. |
(1)
(a) the holder of a degree from a Recognised University in the course of attaining which, or after attaining which, he has successfully passed such subjects in the discipline of psychology as constitute a progressional three year course of study in psychology and
(b) supervised in that practice in a manner proposed by the registered psychologist and approved by the Board as part of that unregistered person’s practical experience for registration under the Act; or(2) a person approved by the Board as competent to practise or receive practical experience in psychology under the supervision of the registered psychologist in a manner proposed by the registered psychologist and approved by the Board.
(1)
(a) the holder of a degree from a Recognised University, in the course of attaining which, or after attaining which, he has successfully passed such subjects in the discipline of psychology as constitute a progressional three year course of study in psychology and
(b) supervised in that practice in a manner proposed by the registered psychologist and approved by the Board as part of the unregistered person’s practical experience for registration under the Act; or(2) a person approved by the Board as competent to practise or receive practical experience in psychology under the supervision of the registered psychologist in a manner proposed by the registered psychologist and approved by the Board.
Form A
SOUTH AUSTRALIA
APPLICATION FOR ENTRY OF NAME ON REGISTER
South Australian Psychological Board .
I, (full name). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . of (address). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. hereby apply to the South Australian Psychological Board to have my name entered on the Register kept under the
1. A passport type photograph of myself;
2. Two statutory declarations deposing to my good fame and character.
3. | * | I have obtained the degree of | .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . |
from the. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
(Full name of Recognised University)
*in the course of which
*after attaining which | I passed the following subjects in the discipline of psychology those |
subjects constituting a progressional three year course of study in psychology:
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
(A "Certificate of Subjects Passed and Degrees Obtained" from the University
concerned must be attached.)
* | I am a member of (Insert name of body established outside the State membership of which you wish the Board to accept as sufficient qualification for registration under the Act). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . |
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . | |
* | I have obtained (Insert any qualification not dealt with in sufficient qualification for registration under the Act) |
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . |
4. |
Asummaryofmyexperienceinpsychology. of years experience: particulars of any examinations passed in addition to those referred to in 3
(a) that you wish the Board to consider as sufficient qualification for registration: particulars of any matters stated in 3(b) and 3(c) ).5. The registration fee.
Dated the. .. .. .. .. .. .. .. .. .day of. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19.. .. .
(Signed).. .. .. .. .. .. .. .. .. .. .
Applicant
I further solemnly and sincerely declare that I am the abovenamed applicant, that I have attained the age of 18 years and that the particulars set out above and contained in the documents attached hereto are true.
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the
Duty | (Signed).. .. .. .. .. .. .. .. .. .. . |
Stamp | Applicant |
Declared before me at | this | day of |
, 19 | . |
.. .. .. .. .. .. .. .. .. .. . .,
*Delete if inapplicable.
Form B
SOUTH AUSTRALIA
I, (full name). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
of (address). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
Occupation. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
do solemnly and sincerely declare that I have known. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. of.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . for
.. .. .. .. .. .. . .years, and that in my opinion he is a person of good fame and character, and in that respect
suitable for registration as a Registered Psychologist in accordance with the provisions of the
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the
Duty | (Signed).. .. .. .. .. .. .. .. .. .. . |
Stamp |
Declared before me at | this | day of |
, 19 | . |
.. .. .. .. .. .. .. .. .. .. . .,
Form C
SOUTH AUSTRALIA
CERTIFICATE OF REGISTRATION
This is to certify that. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
Address | .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . |
Qualifications and Titles. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. is a registered psychologist for the year ending 30th September, 19, by entry of the above name and qualifications in the Register of Psychologists kept pursuant to the provisions of the
Dated the | day of | , 19 | . |
(Signed).. .. .. .. .. .. .. .. .. .
Registrar
Form D
SOUTH AUSTRALIA
APPLICATION FOR RENEWAL OF REGISTRATION
South Australian Psychological Board .I, hereby apply for renewal of my registration as a Registered Psychologist and enclose the prescribed
fee.
Name in full. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .
(block letters)
Address (private). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
Address (professional) | .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . |
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
Dated the | day of | 19 | . |
.. .. .. .. .. .. .. .. .. .
(Signature of Applicant)
Form E
SOUTH AUSTRALIA
THE REGISTER
Registered | Date of | Full Name | Address | Qualifications | Titles | Further |
Number | Registration | Particulars |
Private:
Professional:
Form F
SOUTH AUSTRALIA
Psychological Practices Act, 1973 APPLICATION FOR INQUIRY
of (address). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
(Occupation). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. | hereby apply for |
an inquiry into the conduct of (full name and business address) | .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . |
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. | a Registered Psychologist. |
The conduct of the Registered Psychologist about which I complain is:—
(give particulars)
Dated the | day of | , 19 | . |
(Signed).. .. .. .. .. .. .. .. .. .. . .
Form G
SOUTH AUSTRALIA
APPLICATION FOR APPROVAL TO PRACTISE HYPNOSIS
. of (address). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .
(Occupation). .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. | hereby apply for |
approval to engage in the practice of hypnosis pursuant to the provisions of the
1. *Thefollowing
|
(Give particulars)
2. * This application is made by me as a dentist as defined in the
Dentists Act, 1931-1966 for approvalto engage in the practice of hypnosis in conjunction with the practice of dentistry.
3. * This application seeks approval to engage in the practice of hypnosis independently of the practice of dentistry. Particulars of my income for the period of two years immediately preceding the commencement of the Act showing how much of that income was derived from the practice of hypnosis for therapeutic purposes are attached.
Dated the | day of | , 19 | . |
(Signed).. .. .. .. .. .. .. .. .. .. . .
Applicant
And I further solemnly and sincerely declare that I am the abovenamed applicant and that the information and particulars contained herein and in the documents attached hereto are true.
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the
Duty | (Signed).. .. .. .. .. .. .. .. .. .. . . |
Stamp | Applicant |
Declared before me at | this | day of |
, 19 | . |
.. .. .. .. .. .. .. .. .. .. . .,
*Delete if inapplicable.
Regulation 4: | varied by |
Regulation 5: | varied by 103, 1983, reg. 1(2) |
Regulation 6: | varied by |
Regulation 6(2): | varied by 164, 1991, reg. 2; 81, 1992, reg. 2; 153, 1995, reg. 4; |
183, 1996, reg. 4
Schedule Form A: | varied by 103, 1983, reg. 1(4); 100, 1986, reg. 4(a); 149, 1989, |
reg. 4(a); 138, 1990, reg. 5(a)
Form D: | varied by 103, 1983, reg. 1(5); 100, 1986, reg. 4(b); 149, 1989, |
reg. 4(b); 138, 1990, reg. 5(b)
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