Positioning

Advertising a clinic or practice in Australia: what section 133 and the Ahpra guidelines rule out

The direct answer

In Australia, advertising a regulated health service is governed by section 133 of the Health Practitioner Regulation National Law, and Ahpra and the National Boards publish guidelines on it that have applied since 14 December 2020. Section 133(1) prohibits advertising that is false, misleading or deceptive; that offers a gift, discount or other inducement without stating the terms and conditions; that uses testimonials or purported testimonials about the service or business; that creates an unreasonable expectation of beneficial treatment; or that encourages the indiscriminate or unnecessary use of regulated health services. The rules apply to registered practitioners and to businesses and other people who advertise a regulated health service. A testimonial, in the guidelines, is a positive statement about the clinical aspects of a service used in advertising; comments about service or communication that leave clinical matters out are treated differently, and reviews on independent platforms the advertiser cannot edit or control are generally outside the advertiser's responsibility. Only practitioners with specialist registration may use the word specialist, and a practitioner using Dr must make the profession clear. This is general information rather than legal advice; confirm your position against the current guidelines or with counsel.

By Suman Sharma · 9 min readPublished October 6, 2026
Work through the decision5 decisions · The section 133 page check

Five conclusions

The argument, compressed.

  • Section 133 applies to anyone advertising a regulated health service: the practitioner, the practice company and the agency it hires. The business answers for its website.
  • Testimonials are positive statements about clinical aspects of care used in advertising. A review praising the receptionist is a different thing from a review describing a diagnosis and an outcome.
  • Reviews on an independent platform the practice cannot edit or control are generally outside the practice's responsibility. Copying one onto the practice website brings it inside.
  • An offer, discount or gift needs its terms and conditions stated in plain language where a reader can find them.
  • The word specialist belongs to practitioners with specialist registration. Everyone else describes experience in plain terms, and Dr needs the profession beside it.

Working framework · 5 decisions

The section 133 page check

Five questions to ask of any page, profile or post before it carries the practice name. Each follows one limb of section 133(1).

Decision 01 / 05

Can every claim be substantiated?

Section 133(1)(a) rules out advertising that is false, misleading or deceptive, or likely to be. A claim that a treatment works needs acceptable evidence behind it, and the guidelines expect you to hold that evidence before the claim goes up.

Who the rules cover

Founders often assume advertising rules sit with the individual practitioner and that a company website is a separate matter. Section 133 of the National Law says otherwise. The Ahpra guidelines state that the rules apply to registered health practitioners, to people who are unregistered, and to businesses and corporate entities, whenever any of them advertises a regulated health service.

That reach matters for a group practice. The practice company owns the website, the directory listings and the social accounts, and it is the advertiser for all of them. An agency that writes the posts is advertising too. Responsibility is shared rather than transferred when the work is outsourced.

The current guidelines took effect on 14 December 2020 and replaced the 2014 version. Ahpra keeps an advertising hub with the guidelines, a resource on testimonials and a self assessment tool. Those are the texts to check against, since the summary here is written for brand decisions rather than as legal advice.

The short version

If the practice name is on it and it promotes a regulated health service, section 133 applies to it, whoever typed it.

Testimonials, and the review question every practice asks

The guidelines define a testimonial as a recommendation or positive statement about the clinical aspects of a regulated health service, used in advertising. Three words carry the weight: clinical, used and advertising. A patient describing a symptom, a diagnosis, a treatment or an outcome is giving a testimonial. A patient praising the parking, the reception desk or how clearly a clinician explained things is commenting on service, and the guidelines treat that differently.

The second question is where the review sits. Reviews on an independent platform the practice cannot edit, modify or control are generally outside the practice's responsibility; they are the platform's content. The line is crossed when the practice uses them: reproducing a review on its own website, quoting it in a post, or selecting the favourable ones for a page. At that point the practice is advertising with a testimonial.

The practical rule for a website is simple. Keep clinical testimonials off every surface the practice controls, and keep the review link pointing to the platform rather than copying reviews across. A practice that has built its homepage around patient stories is the one with the most rewriting to do.

Offers, gifts and the terms rule

Section 133(1)(b) allows an offer, discount or inducement only when the advertisement also states its terms and conditions. The guidelines expect those terms in plain language, easy to find and read, and they accept a clear link to the terms where space is tight.

The examples the guidelines give of failures are familiar from retail: a buy one get one free scheme where the base price was raised first, a price that leaves out what it excludes, and offers that fail to state age, expiry or location limits. Any of those becomes misleading under limb (a) as well as failing limb (b).

For a brand, offers are rarely the strongest device anyway. A practice that competes on a first visit discount has told the buyer that price is the reason to choose it. The guidelines make that device harder to use; positioning makes it unnecessary.

Titles: specialist, Dr and endorsements

The guidelines reserve the word specialist, and forms such as specialises in or specialty, for practitioners who hold specialist registration. A physiotherapist with twenty years in sports injuries describes that in plain terms. The guidelines suggest wording such as substantial experience working primarily in a field.

Dr is a courtesy title and the guidelines accept it, provided the profession is clear so a reader does not take the practitioner for a medical practitioner. Dr Lee (Osteopath) passes. Dr Lee alone, on an osteopathy site, fails the clarity test.

Endorsements registered against a practitioner, such as an endorsement for a scheduled medicine, may only be claimed by practitioners who hold them. Check every clinician bio against the register before it goes up.

  • Specialist, specialises, specialty: specialist registration only.
  • Dr: always with the profession beside it.
  • Endorsements and areas of practice: only as registered.
  • Qualifications: as awarded, with the awarding body where it helps.

What remains for the brand, and why it is stronger

Take away clinical testimonials, before and after images, guarantees and discount hooks, and most clinic websites in Australia lose their whole argument. That is the diagnosis. The argument was never theirs; it was borrowed from retail and from other patients.

What remains is specificity. Who the practice treats, stated precisely. How a first appointment runs, what it costs and what happens next. Each clinician's registration, training and the work they actually do most. The evidence behind each treatment claim, held before the claim is made. None of this is prohibited, and all of it is what a referred patient wants to verify before booking.

Positioning does the work testimonials used to do. A practice that can say it treats runners with recurring knee and ankle injuries, with a return to running plan from the first visit, has given a reader a reason to choose it that no review could. The section 133 rules push a practice toward that sentence, which is why practices that write it tend to come out of a compliance review with a better brand than they went in with.

The order of work

Audit first. List every surface the practice controls: website, directory profiles, social accounts, printed material, the agency's content calendar. Mark every clinical testimonial, every offer without terms and every title that fails the register check.

Then write the positioning sentence and the clinician facts, and rebuild the pages from those. Only after that is it worth spending on design, because design applied to a page that has to be rewritten is money spent twice.

Keep the Ahpra self assessment tool and the current guidelines open while you do it. Regulatory judgement belongs with the practice, its professional adviser and, where it matters, a lawyer. The brand work happens inside that judgement rather than around it.

Before you use it

Questions that can change the recommendation.

Can a physiotherapy or psychology practice in Australia use Google reviews?

Reviews on an independent platform the practice cannot edit or control are generally outside the practice's responsibility under the Ahpra guidelines. Reproducing those reviews on the practice website or in a post is advertising with a testimonial, and section 133(1)(c) prohibits testimonials about the clinical aspects of a regulated health service. Keep clinical reviews on the platform and off the surfaces you control.

What counts as a testimonial under the Ahpra guidelines?

A recommendation or positive statement about the clinical aspects of a regulated health service, used in advertising. Statements about a symptom, diagnosis, treatment or outcome are clinical. Comments about customer service or communication that leave clinical matters out are treated differently.

Can a clinic advertise a discount or a free first consultation?

Section 133(1)(b) allows a gift, discount or inducement only where the advertisement also states the terms and conditions. The guidelines expect plain language terms that are easy to find, and they treat inflated base prices and hidden limits as misleading.

Who can call themselves a specialist?

Under the guidelines, only practitioners who hold specialist registration may use specialist and related terms such as specialises in. Other practitioners describe their experience in plain language, and anyone using Dr must make their profession clear.

Do the rules apply to the practice company or only to the practitioner?

Both. The guidelines state that section 133 applies to registered practitioners, to unregistered people and to businesses and corporate entities when they advertise a regulated health service. The practice that owns the website is the advertiser.

What does brand strategy cost for an Australian practice?

At Branding Tatva the Foundation engagement starts at US$2,800 for Australian projects, quoted in US dollars. Its published scope covers discovery and positioning, audience and purpose definition, a core visual identity, starter brand guidelines and launch messaging direction. Regulatory review of advertising sits outside that scope and belongs with the practice and its adviser.

Research record

What this guide draws from.

Each source note describes what the reference supports. Platform guidance, research findings and Branding Tatva's practical suggestions have different scopes.

  1. Guidelines for advertising a regulated health service

    Australian Health Practitioner Regulation Agency (Ahpra) and the National Boards

    Section 133(1)(a) to (e), the definition of a testimonial, the treatment of reviews on independent platforms, the terms and conditions rule for offers, and the specialist and Dr guidance. In effect from 14 December 2020.

  2. Advertising hub

    Ahpra

    Home of the guidelines, the testimonial tool and the self assessment tool.

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