Please read our Subscription Terms and Conditions before proceeding.
By checking the box you agree that you have read, understood and agree to the Standard Subscription Terms and Conditions.
Yes, I accept the Terms and Conditions
This form contains example data which you can type directly over. Include any additional information where indicated.
If logos and/or images are to be used, please upload the files at the bottom of this form. Refer to our information on suitable files.
Formatting and layout are completed during the setup process.
Once we receive your application we prepare a formatted proof and send for checking and approval. You can then provide further instructions for text amendments and/or fine tuning layout.
We recommend you place your practice information on the front of your newsletter, whereas the back section is perfect for communicating practice policies or updates.
All fields marked * must be completed
How did you hear about Your Doctor?* Please select...Direct mailConferenceRecommendedAnother clinicOther, please state
Contact Name*
Contact Email*
Practice Name*
Practice Email*
Phone (with area code)*
Website
Physical Address*
Our Doctors Add names of the doctors at your practice, their qualifications and any professional interests.
Our Staff Add names of staff, designation and relevant information.
Hours Add your practice opening hours and consultation times.
General Consultation Policies
Home Visits
After Hours
Please provide any additional content you require on the front column and any special instructions for our design team
The following examples provided are suggestions of additional information you may wish to communicate through your newsletter.
Suggested content could include practice policies, a practice update, new staff introductions, special events, staff availability, promotions and public notices or even your own written article.
We recommend you aim for around 430 words. This is a good amount of copy to be able to keep the text at an acceptable size for easy reading and helps to ensure your information is presented clearly and professionally.
Back page content (430 words)
File upload Upload any files to include, eg, logo
How often would you like to receive your newsletter?* Every monthEvery second monthEvery third month
Please select how many newsletters to receive* 5075100150200250300Other
Include PDF Check to include a PDF version ($20 per edition) Include PDF
Payment method* Please select your preferred payment method. We will send you the appropriate form to complete. Credit CardDirect Debit
Promo code Please enter a promotional code if you have one:
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