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
Phone (with area code)*
Add names of the doctors at your practice, their qualifications and any professional interests.
Eg: Dr Andrew Jones
Graduated from Sydney University in 1993. He has a professional interest in child and adolescent health, obstetrics and sports medicine.
Add names of staff, designation and relevant information.
Eg: Ellen Grimaldi (Practice Manager)
Louise Summers (Reception)
Mary Kitchener RN
Add your practice opening hours and consultation times.
Eg: Consultations are by appointment
Monday to Friday: 8.00am to 6.00pm
Saturday: 8.00am to 11.00am
General Consultation Policies
Eg: Urgent medical problems will be dealt with promptly.
Eg: Home visits are available when necessary. If you need a home visit, please contact the surgery as soon as possible after 8am.
Eg: Urgent medical problems at night, on weekends or public holidays, will be attended by the locum service. Please call 123 9876.
Please provide any additional content you require on the front column and any special instructions for our design team.
Eg: Please use the attached clinic logo. Please place doctors’ qualifications directly after their name on the same line (not below). Make sure all staff names are on individual lines.
The following examples are suggestions of additional information you may wish to communicate through your newsletter.
Suggested content might 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)
Our aim is to provide the most up-to-date medical service possible and to focus on preventive health to help you avoid disease before it starts.
Our doctors commit themselves to ongoing education and skill development by attending conferences, seminars and lectures.
Electronic information sources further enhance access to the most current information and research.
Parking facilities including allocated spaces for permit holders are available to our patients.
ARRIVAL AT THE CLINIC
Please see the receptionist upon arrival. This eliminates the possibility of you being overlooked and enables us to have your information ready.
This practice is committed to maintaining the confidentiality of your personal health information. Your medical records are confidential. It is the policy of this practice to maintain security of personal health information at all times and to ensure that this information is only available to authorised members of staff.
Standard consultation costs vary and each doctor has their own individual billing practices.
All fees are payable at the time of consultation. Major credit cards and EFTPOS facilities are available. Discounts are available for holders of Healthcare Cards and pensioners.
If you have difficulty in paying your account, please talk to your doctor or the Practice Manager.
Doctors in the practice may be contacted during normal surgery hours. Wherever possible, please discuss your problem first with the receptionist or the nurse. If the doctor is with a patient a message will be taken and you will be advised by the reception staff when it is likely that the doctor will return your call.
Our practice is committed to preventive care. We may issue you with a reminder notice from time to time offering you preventive health services appropriate to your care. Should you not wish to be part of this system, please let one of our of staff at reception know.
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*
Check to include a PDF version ($20 inc. GST per edition)
Please select your preferred payment method. We will send you the appropriate form to complete.
Credit CardDirect Debit
Please enter a promotional code if you have one: