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Advertising Concerns: How Ahpra Assesses Health Advertising and What to Do Next

A letter about your website or social media is usually a chance to correct the problem early. This page explains what section 133 prohibits, how Ahpra decides how seriously to treat a breach, and how to respond so the matter closes rather than escalates.

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Wooden blocks labelled rules, compliance, law, standards and policies

What an advertising concern actually is

Health advertising in Australia is held to a stricter standard than ordinary marketing. Section 133 of the Health Practitioner Regulation National Law makes it an offence to advertise a regulated health service, or a business that provides one, in a way that breaches its prohibitions. The Ahpra and National Board Guidelines for advertising a regulated health service explain how those prohibitions are applied in practice.

Advertising is much broader than paid ads. Any public communication that promotes a regulated health service and seeks to attract people to it can count, whatever the format: your website, a clinic Instagram account, a booking-platform profile, a directory listing, a newsletter, signage, a video, or a post on a personal account that ends with a booking link. Anyone who publishes, authorises, directs or can remove the content may be treated as the advertiser, including practice companies, managers and unregistered owners.

An advertising concern usually reaches you in one of two ways:

  • An advertising compliance letter. Ahpra identifies specific material, explains why it appears not to comply and gives you a deadline to correct it. This is the most common form of contact.
  • A notification about your conduct. Where advertising is serious, repeated or tied to other concerns, it may be handled as a conduct matter under your Board's code, alongside or instead of the offence provisions.

Advertising problems also turn up in other concerns. A cosmetic clinic notification often includes advertising issues, and inaccurate titles can raise questions of honesty. If your concern involves cosmetic procedures, read our page on cosmetic practice concerns as well.

Courses for advertising concerns

Start with the advertising course, which works through section 133 and the guidelines decision by decision. Add the others if your concern involves cosmetic services, social media or a formal notification.

The five things section 133 prohibits

ProhibitionWhat it meansWhere practitioners commonly slip
False, misleading or deceptive advertisingThe test is the overall impression on an ordinary member of the audience, including what is left outCondition lists without acceptable evidence, words such as cure, painless or permanent, comparisons with other practitioners, incomplete price or gap information
Gifts, discounts or inducements without termsAny offer must state its terms and conditions in the advertisement or through a prominent linkA free first visit or package deal with no eligibility, expiry or total cost stated
Testimonials or purported testimonialsA positive statement about a symptom, diagnosis, treatment or outcome cannot be used in advertisingEmbedded review widgets, curated patient quotes, sharing a patient's post, influencer or staff content about results
Creating an unjustified expectation of benefitAdvertising must not lead people to expect results the evidence does not supportPatient success stories, dramatic before-and-after images, filtered or AI-generated results
Encouraging indiscriminate or unnecessary useAdvertising must not push people towards services they may not needUrgency messages, routine maintenance reminders without clinical need, incentives to book more often

The six areas behind most advertising letters

Advertising concerns cluster around a handful of patterns. If one of these is in your current material, deal with it on every channel, not only where someone noticed it.

  • Reviews and testimonials

    You are responsible for testimonials on websites and social media you control. You do not have to remove reviews on third-party sites you cannot control, but you must not use, share, curate or embed clinical reviews in your own advertising.

  • Specialist and protected titles

    Only practitioners with specialist registration or the relevant endorsement may use the related title. "Special interest in" or "experience in" is safer if accurate. Only certain specialist medical practitioners may use "surgeon", and non-medical practitioners using "Dr" must make their profession clear.

  • Effectiveness claims

    Claims must be backed by acceptable evidence before they are made. Laboratory studies, uncontrolled studies, self-assessment and anecdote generally will not support them.

  • Offers and prices

    Discounts, free assessments and bundles need clear terms. Price, bulk-billing, rebate and gap claims must be accurate and show total costs.

  • Images and video

    Before-and-after images must be genuine, comparable and unedited, with separate documented patient consent and context that results vary. Entertainment-style video can trivialise treatment.

  • Medicines and therapeutic goods

    TGA law generally prevents promoting prescription-only medicines to the public. Euphemisms such as "anti-wrinkle injections" are treated as references to the product. Describe the consultation, not the product.

How Ahpra and the Boards assess advertising concerns

Ahpra manages advertising complaints under a published, risk-based advertising compliance and enforcement strategy. The starting assumption is that most advertisers want to comply, so education and correction are the primary tools for low-risk matters, while serious or repeated breaches attract stronger responses.

The strategy identifies priority areas that are more likely to be escalated:

  • advertising that causes, or risks, actual harm to patients
  • misleading claims about treating serious illness
  • advertising that targets or reaches vulnerable people, such as people with body image concerns, serious illness, disability, financial stress or limited health literacy
  • widespread non-compliant practices within a profession
  • holding out as registered, or misusing protected or specialist titles

For testimonials, enforcement focuses on those that also breach another part of section 133, for example by being misleading. Ahpra also runs proactive audits, including checks on the declaration you make at registration renewal that your advertising complies.

Penalties are significant. Amendments to the National Law passed in 2022 raised the maximum penalty for an advertising offence to 60,000 dollars per offence for an individual and 120,000 dollars per offence for a body corporate. Separately from any prosecution, a registered practitioner can face disciplinary action, including findings of unprofessional conduct or professional misconduct. Where advertising is part of a wider conduct concern, the matter follows the usual notification process described on our Ahpra notification help page; in New South Wales and Queensland the co-regulatory bodies may be involved.

Risk levels and typical responses

Risk levelTypical response from Ahpra
Low riskA letter identifying the non-compliant material, with guidance and a deadline to correct it. Compliance may be checked later, for example by audit.
Medium risk, or repeated non-complianceA written warning and targeted follow-up. Practitioners who do not fix their advertising, or have a history of breaches, may face a show cause process proposing conditions that restrict their advertising, and possible referral to a tribunal.
High riskDirect referral for prosecution or disciplinary action.

Responding to an advertising letter: a practical sequence

  1. Read the letter closely

    Note the deadline, the specific material identified and whether this is a compliance letter or a notification about your conduct. The tone and the next steps differ.

  2. Get advice before you reply

    Contact your professional indemnity insurer or medical defence organisation, especially if the letter is a notification. Ask how to correct public content without anything looking like concealment of records.

  3. Fix every channel, not just the example

    The letter usually cites examples, not the full extent of the problem. Check your website, archived pages you control, directory and booking profiles, social media posts and captions, signage and anything an agency produced for you.

  4. Audit the rest of your advertising

    Review everything for similar issues: testimonials, titles, claims, offers, images and medicine references. Ahpra may audit beyond the material it named, and continued problems elsewhere can be treated as repeated non-compliance.

  5. Respond in writing by the deadline

    Explain what you changed and what you have put in place to prevent recurrence. Keep it factual and courteous. If you need more time, ask before the deadline and give reasons.

  6. Keep evidence

    Save before and after screenshots, dates of changes, your correspondence and any revised sign-off procedure.

  7. Fix the system

    Ask why the material got through. A written advertising policy, a named person responsible for compliance, registered-practitioner review of clinical content and clear agency contracts make compliance sustainable.

Typical outcomes, and where education fits

Most practitioners who respond promptly, take the concern seriously and correct their advertising across all channels see the matter closed. Those who ignore deadlines, argue that the rules do not apply to them or make only partial changes risk escalation to a warning, conditions on their registration or prosecution. Every matter is decided on its own facts, and no course can guarantee any regulatory outcome.

Education can help in three honest ways. First, it helps you understand the rules well enough to audit your own material accurately, which is what actually closes most matters. Second, if your concern has become a conduct matter, structured learning that is relevant to the specific problem, together with a clear account of what you learnt and changed, is the kind of material a Board can weigh. Third, it gives your team a shared standard so the same problem does not recur through a new staff member or agency.

What education cannot do is substitute for fixing the advertising. A certificate sitting beside a non-compliant website does not help. If you are subject to a condition or undertaking, check with Ahpra or your Board whether a particular course is acceptable before relying on it.

Writing up what you changed

If you are asked to reflect, or you want to record your learning against your CPD plan, a short reflective account works best when it names the problem, explains why it breached the rules, describes the specific changes and states how you will keep checking. Our reflective statement template gives you a structure. Record the actual time you spent learning against your own CPD plan.

Programs that include advertising

The Practice Compliance Program groups advertising with cosmetic practice, telehealth and privacy, the areas most often audited together. If you are responding to a notification, the Notification Response Program covers the process, insight and reflection.

Three scenarios worth recognising

The review widget on the home page

A psychology practice embeds its live Google reviews on its website, including comments from clients about recovering from depression. Once the practice displays them on its own site, they become the practice's testimonials. The fix is to remove the widget, keep any non-clinical comments only if they are genuinely about things like parking or reception, and leave third-party platforms alone rather than engaging with clinical reviews there.

The condition list

A clinic's website lists infant colic, asthma and ear infections among conditions it treats. A letter cites two web pages. The practitioner removes those pages but leaves the same list on a social media post and a directory profile. Ahpra may treat that as continued non-compliance. The better response is a full audit and a reply that describes it.

The free first visit

A practice promotes a free assessment and recovers the cost through higher follow-up fees. The offer has no stated terms and the total cost is unclear. Rewriting the offer with eligibility, expiry and total cost, or dropping it, addresses both the inducement and the misleading-price problems.

If the letter is a notification, not just a compliance letter

Speak to your indemnity insurer or medical defence organisation before you respond. Do not delete material in a way that could look like concealment, and do not contact anyone who may have complained. Our notification guide sets out the first steps.

Read the Ahpra notification guide

Advertising concerns: common questions

Can I keep patient reviews on Google if I did not ask for them?

You generally do not need to remove reviews on third-party platforms you do not control. The problem arises when you use them in your own advertising, for example by embedding, sharing, quoting or curating clinical reviews, or by engaging with them in a way that promotes the outcome described.

Is my personal Instagram account covered?

It can be. If posts promote your health service and seek to attract people to it, for example by linking to bookings or describing results, they can be advertising regardless of whether the account is labelled personal.

My marketing agency wrote the content. Am I still responsible?

Usually yes. Anyone who authorises, directs or can remove the content may be treated as an advertiser. Named and employed practitioners should also act if they believe advertising about their services does not comply. Agency contracts should require compliance and give you sign-off.

Can I describe myself as having a special interest in an area?

Wording such as "special interest in" or "experience in" is generally safer than "specialist" if it is accurate and not misleading. Specialist titles are restricted to practitioners with the relevant specialist registration, and endorsed titles are similarly restricted.

What is the maximum penalty for an advertising offence?

Since the 2022 amendments to the National Law, the maximum is 60,000 dollars per offence for an individual and 120,000 dollars per offence for a body corporate. Disciplinary action under your Board's code is a separate possibility.

Will an advertising letter appear on the public register?

A compliance letter that is resolved by correcting your advertising is not the same as regulatory action on your registration. Conditions imposed on registration are usually shown on the register. Ask your insurer or adviser what applies in your situation.

How often should I audit my advertising?

At least annually, and whenever you launch a new service, website or campaign. Use a structured checklist covering every channel, testimonials, claims and evidence, risk words, titles, offers, images and therapeutic goods references.

Will completing a course make the concern go away?

No course can guarantee a regulatory outcome. What matters most is correcting the advertising everywhere it appears and preventing recurrence. Relevant education can support that and help you explain your changes.

Primary sources

Links go to official regulator and government websites. Check them for the current version before relying on any requirement.

Received a notification?

Who to call first, what not to do and where education fits in your response.

Read the first-steps guide