Renew registration – Lodge annual return

Renewal of 2022 registration and lodgement of 2021 annual return. Please take care when answering all questions. It is an offence under section 68 of the Veterinary Practice Act 2003 to provide information in an annual return that is false and misleading.

Personal details

Registration Number *
First Name *
Middle Name
Surname *
Personal Email Address *
Mobile Number *
Date of Birth *
Gender *
Are you of Aboriginal and/or Torres Straight Islander origin? *

Residential Address

Your residential address will NOT be recorded on the publicly accessible register(s)

Address Line 1
Address Line 2
Suburb/Town
State
Postcode
Is this address your principal place of residence?

Postal Address

Your postal address will NOT be recorded on the publicly accessible register(s)

Address Line 1
Address Line 2
Suburb/Town
State
Postcode

Business Address

Your business address will be recorded on the publicly accessible register(s)

Address Line 1
Address Line 2
Suburb/Town
State
Postcode

Practice Details

Select boxes where applicable

Please specify:

Extent of Practice

Select relevant box

Areas of Practice

Select all relevant boxes

If other, please specify:

Declaration of Medical Fitness

Do you have an impairment that detrimentally affects, or may detrimentally affect, your capacity to provide veterinary treatment?

Impairment means a physical or mental impairment, disability, condition, or disorder (including substance abuse or dependence) that detrimentally affects, or is likely to detrimentally affect, your capacity to provide veterinary treatment.

Details of impairment
How is your impairment managed?

Application for Renewal of Registration

Prescribed Annual Practice Fee

Annual return for the year ending 2022

1, Section 44(1) of the Veterinary Practice Act 2003 provides that a veterinary surgeon must not, unless exempted by the Board, provide veterinary treatment for fee or reward unless insured in a manner and to an extent approved by the Board.

All veterinary surgeons providing veterinary treatment for fee or reward in South Australia (including those practising under interstate registration) must ensure that they are covered by a professional indemnity insurance policy which met the Board's requirements unless they have been granted an exemption from compliance. A copy of the Board's Professional Indemnity Insurance Requirements is available from the 'Registration' page of the Board's website at:https://www.vsbsa.org.au/

Failure to be covered by professional indemnity insurance which meets the Board's requirements is an offence carrying a maximum penalty of $10,000.

(a) Were you covered by a professional indemnity insurance policy which met the Board's requirements during the year ending 31 December 2022?

(b) If not please indicate the reason.

Other (please specify)

2. Section 45 of the Veterinary Practice Act 2003 imposes an obligation on a veterinary surgeon to provide the Board with prescribed information about any claim for damages or other compensation arising from alleged negligence committed by that veterinary surgeon in the course of providing veterinary treatment.

The claim need not be made personally against a veterinary surgeon. Therefore, if a veterinary surgeon becomes aware of a claim against another person or company in relation to veterinary treatment which that veterinary surgeon personally provided, the veterinary surgeon must provide the prescribed information to the Board. This is the case even if the veterinary surgeon is not personally named as a party to the claim. For example, if a claim has been made against a veterinary surgeon's employer in respect of that veterinary surgeon's alleged negligence, the veterinary surgeon is personally required to report it to the Board.

A claim need not be the subject of formal legal proceedings in a court of law. Provided the claim is for damages or other compensation arising from alleged negligence in the course of providing veterinary treatment, the reporting obligation applies.

The obligation takes precedence over obligations to maintain client confidentiality and any confidentiality agreements entered into with other parties.

Failure to comply with this obligation is an offence carrying a maximum penalty of $10,000. In addition, failure to comply with the obligation may be proper cause for disciplinary action against a veterinary surgeon.

Information about complying with this obligation is published on the Board’s website: Notifying Claims of Negligence

(a) Are you aware of any claims for damages or other compensation made against you or your employer in the year ending 31 December 2022 relating to alleged negligence committed by you in the course of providing veterinary treatment?

Have you provided prescribed information to the Board in relation to such claim(s)?

Please email admin@vsb.sa.gov.au prescribed information about the claim(s) by no later than 31 December 2022

(b) In relation to a claim for alleged negligence committed by you in the course of providing veterinary treatment, are you aware of any order made by a court to pay damages/ other compensation, or entry into an agreement for the payment of money in settlement of that claim during the year ending 31 December 2022?

Have you provided prescribed information to the Board in relation to such claim(s)?

Please email admin@vsb.sa.gov.au prescribed information about the claim(s) by no later than 31 December 2022

3. Did you engage in any conduct that constitutes an offence punishable by imprisonment for 1 year or more under any Act or law during the year ending 31 December 2022?

Please email admin@vsb.sa.gov.au prescribed information about the claim(s) by no later than 31 December 2022

4. Section 43 of the Veterinary Practice Act 2003 provides that a veterinary surgeon who has not provided veterinary treatment for fee or reward (whether in or outside of South Australia) for a period of 3 or more years must obtain approval of the Board before providing veterinary treatment for fee or reward. Have you provided veterinary treatment for fee or reward during the past 3 years?

Please email admin@vsb.sa.gov.au providing details of all period(s) of practice as a veterinary surgeon since your first registration as a veterinary surgeon in any jurisdiction by 31 December 2022

5. During 2022, did you complete any continuing professional development (CPD) activity relevant to your area of practice?

During 2022, did you comply with the Board’s CPD Guidelines for Veterinary Surgeons including the requirement to maintain CPD records?

CPD records include information about:

  • Your CPD plan (the learning goals that you have identified and how you plan to meet them)
  • Each CPD activity that you have completed
  • Your reflection on each completed CPD activity and how it benefited or will benefit your professional practice
  • Evidence that you have completed your CPD activity

I,

declare that I have personally completed this annual return and that, to the best of my knowledge, information and belief, the particulars are true in every respect.