Compliance
The AHPRA advertising rules every physio, podiatrist, and chiropractor needs to know
Section 133 applies to your profession, not just psychology. Here's where the line is, why generic agencies keep crossing it, and what good ad copy looks like inside it.
By Pete Flynn · 10 May 2026 · 8 min read
We published an article on AHPRA compliance for psychology clinics a while back. The response was interesting. A lot of physio and podiatry clinic owners read it, then sent me a version of the same message: 'I didn't realise this applied to us too.' It does. Section 133 of the Health Practitioner Regulation National Law doesn't name professions. It applies to the advertising of any regulated health service. If you're registered with AHPRA, your Google Ads, your Meta Ads, your website, and your social media posts all sit under it. Most of the agencies running your campaigns don't know this. And some of the copy they're writing for you is creating regulatory risk you can't see.
AHPRA compliance zones
Three zones. Know which one your copy is in before you publish.
Section 133 of the Health Practitioner Regulation National Law applies to every AHPRA-regulated profession including physiotherapy, podiatry, and chiropractic. Green is where you want to live. Amber means check before you publish. Red means a complaint is possible and a $60,000 penalty is on the table.
Write this.
Safe, effective, and AHPRA compliant.
Physiotherapy for lower back pain, neck pain, and sports injuries in [suburb].
Podiatry for heel pain, ingrown toenails, and diabetic foot care. All ages.
Chiropractic care for adults and children. Same week appointments available.
HICAPS available. All major health funds accepted.
Sports injury assessment and rehabilitation for all ages and levels.
Medicare-rebated physiotherapy available under a Chronic Disease Management plan.
Check carefully.
Possible, but easy to get wrong. Review before publishing.
Award-winning practice: only if the award is genuine, verifiable, and not clinical in nature.
Highly experienced physiotherapists: only if experience is measurable (e.g. '15 years in sports rehabilitation').
Google review star rating: customer service reviews only, never clinical outcome quotes.
Before and after descriptions: only if they describe a general population trend, not a specific patient.
Colleague testimonials: allowed if the reviewer has no current or former clinical relationship with the practitioner.
Do not use.
Prohibited under Section 133. Maximum penalty $60,000 for an individual.
Patient testimonials about clinical outcomes: 'I was back running in six weeks after my knee surgery.'
Guaranteed results: 'Fix your back pain in three sessions or your money back.'
Superlatives about clinical quality: 'Best physio in Melbourne', 'Most experienced sports physio.'
Before and after clinical comparisons about a specific patient's improvement or recovery.
Claims about conditions being cured or eliminated: 'Eliminate your heel pain permanently.'
Source: Section 133, Health Practitioner Regulation National Law, as amended 2022. Individual penalties up to $60,000. This is not legal advice; consult an AHPRA-specialist lawyer for specific guidance on your advertising materials.
The three things Section 133 prohibits across all professions.
The prohibited categories are the same regardless of your profession. No testimonials about the clinical aspects of the service. No claims that guarantee a specific outcome. No misleading or unverified comparative claims.
A testimonial is defined broadly. It's any positive statement about the clinical aspects of a regulated health service by a person who has received it. 'My back pain was gone after four sessions' is a testimonial. 'The receptionist was lovely and the clinic was easy to find' is not, because it describes customer experience, not a clinical outcome. The line is what the statement is about, not who said it.
The maximum penalty for advertising that breaches Section 133 was lifted in 2022. Individuals face fines up to $60,000. Corporations face up to $120,000. Most clinic owners don't know those numbers have moved. Most agencies running their campaigns don't either.
Section 133 doesn't ask whether you're a physio or a psychologist. It asks whether you're advertising a regulated health service. Every AHPRA profession is in the same room.
Where physio, podiatry, and chiropractic ads most often cross the line.
The pattern I see most consistently in physio and podiatry accounts is outcome language embedded in ad headlines. 'Fix your back pain.' 'Eliminate foot pain.' 'Get back on the field faster.' These lines read as guarantees. AHPRA treats them as misleading claims because no practitioner can promise a specific outcome for a patient they haven't assessed.
Chiropractic has an additional layer of risk because of historical AHPRA enforcement around specific condition claims. Ads that connect chiropractic care to conditions beyond musculoskeletal and spinal health, especially ads that imply adjustment can treat systemic conditions, attract scrutiny at a level that physio and podiatry advertising typically doesn't.
The other consistent issue across all three professions is Google and Meta review extensions. An agency that pulls your Google review rating into the ad headline is pulling in whatever your reviews say. If those reviews include clinical outcome language, the ad is now quoting a testimonial even if the agency didn't write the words themselves.
Copy that crosses the line
- Fix your back pain in 4 sessions or your money back.
- Best physio in [suburb], 5-star rated.
- Eliminate sciatica, shoulder pain, and sports injuries fast.
- Our clients are back on the field within weeks. (Review quote)
- Leading chiropractor for spinal conditions in [city].
- Overcome foot pain with award-winning podiatry.
Copy that works and is safe
- Physiotherapy for back pain in [suburb], same week appointments.
- Podiatry services for sports injuries and chronic foot conditions.
- Chiropractic care, spinal assessments, and musculoskeletal management.
- Private health rebates accepted, no GP referral required.
- WorkCover and TAC appointments, evening sessions available.
- Physiotherapy for post-surgical recovery and sports rehabilitation.
What you can say, and how to make it convert.
The constraint is real, but it is narrower than most clinic owners assume. You can describe the conditions you treat without promising you'll fix them. You can name the populations you specialise in without claiming superiority. You can describe your credentials and training without guaranteeing outcomes. You can name funding pathways, booking convenience, and the experience of the appointment itself.
And within those constraints, specificity still wins. An ad that says 'Physiotherapy for lower back pain, sciatica, and postural issues in [suburb], same-day appointments available' outperforms a generic 'local physio' ad because specificity signals expertise and relevance. The patient reading it knows the clinic treats people with their exact presentation. That inference does not require a testimonial or a guarantee to land.
Four questions to run your ads through before you publish.
The compliance audit doesn't need to be complicated. Four questions, applied before any ad goes live, will catch the vast majority of issues.
The pre-publish compliance check
Question 1
Does this line make a promise about a clinical outcome?
'Fix', 'eliminate', 'overcome', 'cure', 'heal faster', 'back to normal in X weeks.' If the line implies a specific result for a patient you haven't met, it's a claim you can't make. Rework it to describe the service or the conditions you treat, not the outcome you'll deliver.
Question 2
Is there a patient's voice in this ad?
Review extensions, quoted testimonials, social proof copy that restates what a patient said. If the ad includes someone describing their clinical experience as a patient, that's a testimonial under Section 133 regardless of who wrote it or where it originally appeared.
Question 3
Does this claim require verification I don't have?
'Best', 'most experienced', 'highest rated', 'leading provider.' These superlatives are only defensible with a specific, verifiable source. If you can't name what survey, publication, or objective measure backs the claim, don't publish it.
Question 4
Would an AHPRA assessor reading this think I'm making a specific clinical promise?
That's the final filter. Not whether the line is technically accurate. Whether a regulator reading it without context would conclude it implies a guaranteed clinical outcome. If the answer is 'possibly', that's enough to rewrite it.
Running compliant Google Ads for clinics
Every campaign we run is built inside the AHPRA lines from day one.
We know the rules, we've audited the common mistakes, and we brief every piece of copy against a compliance checklist before it goes live. You should never have to worry about this on top of everything else you're managing.
See how we run Google AdsCommon questions
