General Chiropractic Council (
Self-assessment of chiropractic skills
Please complete this assessment form if you have:
- a UK chiropractic qualification achieved two or more years ago and have not previously registered with the GCC
- not been registered for two or more years and wish to restore to the Register
- have been registered as non-practising for two or more years and now wish to transfer to practising registration
Give details below of the activities you have undertaken which show that you have remained up to date with your skills, knowledge and behaviour since you were last registered to practise in the UK, or since you graduated if you have never previously been registered.
Please demonstrate each standard by referencing examples from your continuing learning and any relevant work experience you have undertaken, to show that you have remained up to date while you have not been practising.
Your details
Full name: GCC registration number:
Address:
Email address:
Telephone number:
Principles from The CodeThe full version of the code can be found on our website [here]. / Learning with others
Give details of any events you have attended which meet the principles of the GCC Code below. Explain how the event met the principle. / Learning alone
Give details of any learning you have undertaken alone which meets the principles of the GCC Code below. Explain how the event met the principle. / Work experience
Give details of how any work experience you have undertaken which meets the principles of the GCC Code below. / Office use
- Put the health interests of patients first
Hours / Hours
- Act with honesty and integrity and maintain the highest standards of professional and personal conduct
Hours / Hours
- Provide a good standard of clinical care and practice
Hours / Hours
- Establish and maintain a clear professional relationship with patients
Hours / Hours
- Obtain informed consent for all aspects of patient care
Hours / Hours
- Communicate properly and effectively with your patients, colleagues and other healthcare professionals
Hours / Hours
- Maintain, develop and work within your professional knowledge and skills
Hours / Hours
- Maintain and protect patient information
Hours / Hours
Total Hours
Declaration
Please sign and date this declaration as confirmation that you have read and understood it.
- I declare that all information supplied by me in support of my application for recognition of my qualification is, to the best of my knowledge and belief, true and accurate.
- I understand that the Registrar may take steps to verify any such information supplied by me, for which I will cooperate fully.
Signed:
Dated:
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