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OCCUPATIONAL THERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS - SCHEDULE 2
(Past version on 30/06/1997).
[regulations 7, 9, 14, 23 & 42]
FORM 1 [regulation 7(1)]
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
(Chapter 359)
OCCUPATIONAL THERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS
Application for Registration/Provisional Registration as an Occupational
Therapist
I ...........................................................................
..........................................................
(name in both English and Chinese)
of.........................................................................
................................................................
(correspondence or home address) being qualified for registration under
section 12(1)*(a)/(b)/(c)/section 15 of the
Supplementary Medical Professions Ordinance apply for
*registration/provisional registration as an occupational therapist and
request that my name be placed on Part ............ of the Register.
2. I hold the following qualifications
...........................................................................
...........
...........................................................................
..................................................................
...........................................................................
..................................................................
3. I have the following professional experience
......................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
4. My business address(es) *is/are as follows: (English)
...........................................................................
....................................................
...........................................................................
.................................................................. (Chinese)
...........................................................................
...................................................
...........................................................................
..................................................................
5. My telephone numbers are: (Home)
...........................................................................
...................................................... (Office)
...........................................................................
.....................................................
6. I *+have/have not been convicted in Hong Kong or elsewhere of an offence
punishable with imprisonment. I *have/have not been found guilty in Hong Kong
or elsewhere of unprofessional conduct. I *am/am not the subject of an
existing order under section 22(1)(i) or (ii) of the
Supplementary Medical Professions Ordinance.
I declare that the information given in this application is correct to the
best of my knowledge and belief.
Signed at ..................................................
.............................................................. the
............... day of ...................... 19 ..... ﹜ (Signature of
Applicant)
Before me,
.......................................................
.............................................................. (Name in block
letters) (Signature)
* Barrister/Commissioner for Oaths/Occupational therapist registered in Part I
of the Register/Registered medical practitioner/Solicitor
Photograph of Applicant
+ Please supply details of conviction.
* Delete as inappropriate.
(47 of 1997 s. 10)
_____________
FORM 2A [regulation 9(1)]
OCCUPATIONAL THERAPISTS BOARD HONG KONG
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
(Chapter 359)
Certificate of Registration
Number on Register ...................
This is to certify that
...........................................................................
................ whose address is
...........................................................................
...................................................
...........................................................................
.................................................................. and whose
photograph appears hereon was on the .......... day of .............
19.......... admitted to Part .............. of the Register of
Occupational Therapists.
Dated this ........ day of ....... 19......
Photograph
.................................................... Secretary,
Occupational Therapists Board. (L.N. 87 of 2004)
_____________
FORM 2B [regulation 9(2)]
OCCUPATIONAL THERAPISTS BOARD HONG KONG
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
(Chapter 359)
Certificate of Provisional Registration
Number on Register ...................
This is to certify that
...........................................................................
................ whose address is
...........................................................................
...................................................
...........................................................................
.................................................................. and whose
photograph appears hereon was on the ........ day of ............. 19........
admitted to Part Ill of the Register of Occupational Therapists subject to the
undermentioned conditions.
Conditions imposed pursuant to section 15(3) of the Supplementary Medical
Professions Ordinance-
Dated this .......... day of ................... 19 .......
Photograph
.................................................... Secretary,
Occupational Therapists Board. (L.N. 87 of 2004)
_____________
FORM 3 [regulation 14]
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359)
Occupational Therapists (Registration and Disciplinary Procedure) Regulations
Particulars of a Company carrying on the Business of Practising Occupational
Therapy
Presented by
...........................................................................
......................................
(Name of Company) of
...........................................................................
..............................................................
(Registered Business Address)
...........................................................................
..................................................................
(Business Registration Certificate No.)
Particulars of the names and addresses of all persons who are professionally
qualified directors, other directors or managers of the above company in
respect of the business of occupational therapy carried on by it at
...........................................................................
........
...........................................................................
.................................................................. under the
name of
...........................................................................
......................................
Name in full Position Cert. of Reg. No. and Date of
Reg. where Directors are registered
under Part I of the Register Residentia
Address
and of persons who practise occupational therapy in connection with the
business of the said company in the above.
Name in full Residential
address
Occupation
Qualifications Cert. of Reg.
No. and Date
of Reg. Duties
performed
Dated this ........... day of .................... 19 .......
(Signature) ............................................... (State whether
director or manager or secretary)
_____________
FORM 4 [regulation 23(1)]
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
(Chapter 359)
OCCUPATIONAL THERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS
Notice of Inquiry
[Date]
Sir/Madam,
On behalf of the Occupational Therapists Board notice is hereby given to you
that, in consequence of a complaint made against you to the Board/information
received by the Board, an inquiry is to be held into the following charge(s)
against you-
(If the allegation relates to conviction) That you were on the .............
day of .................... 19 ........ at
...........................................................................
................................................. (specify court recording the
conviction) convicted of
................................................................
......................................................... (set out particulars
of the conviction in sufficient detail to identify the case).
or
(If the charge relates to conduct) That you
.....................................................................
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged you have
been guilty of unprofessional conduct.
or
(If the allegation relates to obtaining registration by fraud or
misrepresentation) That you
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged you
obtained registration by fraud or misrepresentation.
or
(If the allegation is that the registered occupational therapist was not
qualified, at the time of his registration, to be registered) That you
...........................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged); and that in relation to the facts alleged you were not at the
time of your registration qualified to be registered.
or
(If the allegation is that the registered occupational therapist has not
complied with or is in breach of any condition of his registration or has
failed to comply with the Ordinance) That you
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged).
or
(If the charge or allegation is that an applicant for registration has been
convicted in Hong Kong or elsewhere of any offence punishable with
imprisonment, has been guilty of unprofessional conduct, is not qualified to
be registered in his application for registration, has been guilty of fraud or
misrepresentation or has failed to comply with the Ordinance) That on the
......... day of ........... 19 ....... you made application to the Secretary
for registration in accordance with section 13 of the
Supplementary Medical Professions Ordinance, whereas
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
...................................................... (set out briefly the
facts alleged); and that in relation to the facts alleged your name should not
be approved to be entered upon the register.
(Where there is more than one charge or allegation they are to be numbered
consecutively).
Notice is further given to you that on .......... (day of the week) the
........ day of ........... 19 ........., a meeting of the Board will be held
at ..........................................................................
...........................................................................
........................................., at..................... a.m./p.m.
to consider the above-mentioned charge(s)/allegation(s) in a complaint against
you, and to determine whether or not the Board should take any action against
you under section ................ (state whether section 13 or 22) of the
Supplementary Medical Professions Ordinance.
You are hereby invited to answer in writing the above-mentioned
charge(s)/allegation(s) and also to appear before the Board at the place and
time specified above, for the purpose of answering such
charge(s)/allegation(s). You may appear in person or by counsel or solicitor.
The Board has power, if you do not appear, to hear and decide upon the said
charge(s)/allegation(s) in your absence.
Any answer, admission, or other statement or communication which you may
desire to make with respect to the said charge(s)/allegation(s) in a complaint
should be addressed to the Secretary.
If you desire to make any application that the inquiry should be postponed,
you should send the application to the Secretary as soon as may be, stating
the grounds on which you desire a postponement. Any such application will be
considered by the Chairman of the Board.
A copy of the Occupational Therapists (Registration and Disciplinary
Procedure) Regulations is sent herewith for your information.
.................................................... Secretary,
Occupational Therapists Board.
_____________
FORM 5 [regulation 42(2)]
SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
(Chapter 359)
OCCUPATIONAL THERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS
Summons to Witness
In the matter of a Disciplinary Inquiry under section 13/section 22 of the
Ordinance:
And in the matter of (1)
...........................................................................
........................ To(2)
...........................................................................
...........................................................
You are hereby summoned to appear before the Occupational Therapists Board at
...........................................................................
.................................................................. on the
......... day of .......... 19 ......., at
...........................................................................
........ o'clock in the ......... noon to give evidence touching the matter
under inquiry(3) and also to bring with you and produce(4)
...........................................................................
................................
...........................................................................
..................................................................
Given under my hand this ......... day of
............................................................ 19 .........
................................................. Chairman,
Occupational Therapists Board.
NOTE: (1) Insert name of registered occupational therapist.
(2) Insert name and address of witness.
(3) Delete if not required.
(4) Specify the books, documents or other things to be produced. (Enacted
1990)
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