Membership information +27 11 484 5288
Dentolegal advice 0800 014 780

We exist purely for the benefit of our members, offering them dentolegal advice and assistance throughout their careers and beyond.

Joining Dental Protection as a dental student is easy and it's free. Simply complete the form below.

If you require any advice or assistance completing this form email [email protected]


How did you hear about us?

Do any of the following apply to you (now or in the past):

  • Criminal convictions or police cautions
  • Disciplinary or personal conduct issues
If the answer is Yes please provide dates as well as full details in the box below. 

Have you ever had professional indemnity/insurance:

  • Refused, cancelled (including a decline to renew) or made void 
  • Offered with non-standard terms or conditions imposed such as an increased subscription
If the answer is Yes please provide dates as well as full details in the box below.

IMPORTANT! – Your personal information and data

When interacting with MPS, you may choose to give MPS information about your criminal convictions and offences (including alleged offences), your health, race, ethic origin, sex life, sexual orientation and trade union membership (“Special Category Data”). This happens where that information is relevant to your membership or the actual or potential provision of advice, assistance or indemnity.  We may also receive Special Category Data about you from others in connection with membership or advice, assistance or indemnity (e.g from a complainant, claimant, witness, expert, court or regulator).

To find out more about how we collect, use and handle your data including Special Category Data, please see the Privacy Statement on our website

When you tick the box below, you expressly consent to MPS processing your Special Category Data for the purpose of providing you with membership and its benefits (including assistance and indemnity). 

IMPORTANT! – Please read, sign and add the current date below.

By submitting this form, you agree and confirm that:

(i) You wish to apply for membership of MPS subject to the Memorandum and Articles of Association

(ii) You understand that any failure to disclose full and accurate details may delay your application and/or if you are accepted into membership could result in the suspension and/or withdrawal of membership benefits and/or the cancellation and/or termination of membership

(iii) You understand that membership is not conferred automatically and is subject to approval by MPS

(iv) You acknowledge that any subscription payments made are subject to verification and that acceptance of a payment by MPS does not of itself confirm membership and/or entitlement to request benefits

(v) You will inform us if your personal circumstances or scope of practice change

(vi) We may seek information from other professional defence organisations, insurance companies, employers, and/or other third parties in respect of membership and that they may release to us such information

(vi) For the purposes of the South African law and The Protection of Personal Information Act (4 of 2013), we may obtain, process, retain and transfer your personal data as set out in the Privacy Statement on our website

Please print your name
Please note must be current date
In order to provide you with the best possible service we would like to inform you of other products and services offered by us that we believe may be of interest to you. To opt-in to receive such information, either via post or email, please tick here. You can update your marketing preferences by contacting us.