How to

Become a SAMLA
Medical Mediator & Medico-Legal practitioner

Medico-Legal Practitioner (MLP) &
Medico-Legal Mediator (MLM)

SAMLA offers its members the exclusive opportunity to become a SAMLA Medico-Legal Practitioner (MLP) or a SAMLA Medico-Legal Mediator (MLM)

To join either distinguished register, members must meet specific requirements, complete the application form, and submit the necessary documents for approval.

Once approved, your details, field of specialization, and email address will be included in the respective register, accessible on the SAMLA website.”

I, (full name) hereby apply to have my name included on the SAMLA Register of Medico-Legal Practitioners.

Title

Profession

ID Number

Office telephone No

Mobile phone No

Email address

Language proficiencies

Physical address of office or practice

Name/s of Professional Registration Authority or Authorities with which I am registered

Proof of registration by relevant Professional Registration Authority

Signed copy of SAMLA Code of Conduct.

Curriculum Vitae, with ID and recent photograph.

Proof of reasonable knowledge of the medico-legal field by: i. Copy of Certificate of Completion of the SAMLA-UCT Foundations Course in Medico-Legal Practice; OR ii. Properly motivated written application for qualification under the SAMLA RPL Policy (Recognition of Prior Learning - see SAMLA MOI para 11.3.2), together with the required references.

AUTHORIZATION

In accordance with the POPI Act, I hereby authorize SAMLA to provide copies of the above documentation, which contains my personal information, to parties or clients who wish to appoint a Medico-Legal Practitioner.

AFFIRMATION

By signing this application I affirm that I am in good standing with the Professional Registration Authority or Authorities indicated above; that I am a member in good standing of SAMLA; that I have read and accept the provisions of the SAMLA MOI; and that I have read and understood the SAMLA Code of Conduct.

PLEDGE

By signing this application I pledge to act in accordance with the ethical standards of the SAMLA Code of Conduct.

Date

SAMLA
South African
Medico-Legal Association

SAMLA
South African
Medico-Legal Association

How to

Become a SAMLA
Medical Mediator & Medico-Legal practitioner

Medico-Legal Practitioner (MLP) &
Medico-Legal Mediator (MLM)

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How to

Become a SAMLA Medical Mediator & Medico-Legal practitioner

Medico-Legal Practitioner (MLP) & Medico-Legal Mediator (MLM)

Become a SAMLA
Medical Mediator & Medico-Legal practitioner

Medico-Legal Practitioner (MLP) &
Medico-Legal Mediator (MLM)