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Deregistration / Application Cancellation Form

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    Deregistration Form

    We’re sorry to hear that you wish to end your registration with HPAC. Thank you for your time with us as a Registrant — we value your contribution and wish you every success for the future.

    To process your request securely, please complete the deregistration form in full after reading the important information below.

    Deregistration During Investigation or with Active Conditions

    Deregistration does not prevent an ongoing investigation, nor remove you from the register if you are subject to any active caution, suspension, or condition. If HPAC receives credible evidence of misconduct, criminal behaviour, or unsafe practice relating to your time on the register, you may still be investigated by the Fitness to Practise Team.

    Where an outcome results in a caution, suspension, or Removed from Register, your profile will be reinstated on the register for public safety, with the relevant status displayed.

     Changing Your Mind

    If you would like to discuss your decision, please contact us on 0208 004 8226 or email communications@hpac-uk.org.

    Re-application

    You may re-apply to the HPAC register after 12 months from your deregistration date.

    • Struck-off notices remain in effect permanently.
    • If deregistered during an investigation, re-application is not permitted for five years.

    Thank you once again for your professionalism and the time you’ve dedicated as an HPAC Registrant!

    Important: HPAC ID Card
    Please remember that your HPAC ID card may not be used in any capacity if you have deregistered, to do so may constitute fraud by deception and may result in your profile being reinstated and converted to "Removed from Register" and a referral being made to Police and DBS.

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    We need to confirm your details to ensure you are the account holder

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    If you have not been issued one, please enter n/a
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    If yes please ensure you declare these reasons under "reason for cancellation"
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    NB: You must declare in reasons relating to investigation, criminal, civil or in connection with your duties as a clinician.
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    I declare that to the best of my knowledge I have declared all relevant details in relation to any investigation, criminal, civil or in connection with my duties as a clinician.
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