PARTNER WITH OUR NETWORK

Enrich your prescription waiting area environment with an Aboriginal Health TV (AHTV) Screen. By integrating the Aboriginal Health Network’s engaging, educational, and clinically verified health and wellness content, you can create a dynamic environment that informs your patients while also encouraging their interaction with your practitioners. We look forward to the possibility of working with you.

ABORIGINAL HEALTH TV (AHTV)

Thank you for making an enquiry with Aboriginal Health Television regarding the services we provide. By completing the information below we will be able to assess your application against our network qualification guidelines. This information will not be shared with ANY third parties.

PowerWebForm

Account Details

AMS/Organisation Name *

Trading as: (the AMS/Organisation)

ACN/ABN *

Street Address *

Unit/Shop

City/Suburb *

State/Territory *

Postcode *

Phone (Main)

Reception Email *

Practice Manager

First Name *

Last Name *

Position / Job Title *

Mobile Phone

Email *

By giving us your email addresses, you agree to receive updates, invitations to exclusive webinars, promotions, newsletters from us (Practice Connect) and our commercial partners. We guarantee your email's safety and will not share it with third-party vendors. To unsubscribe, click the link at the bottom of any email you receive.

Are You Interested in Having AHTV in Your Waiting Room?

AHTV Screen *

Primary Proposed Location*

Secondary Proposed Location

Primary Waiting Area *

Secondary Waiting Area

How many waiting areas do you have?

How many AHTV would you prefer?

Practice Information

Practice Type*

Billing Type *

Opening Hours e.g.
Mon 8:00am-5:00pm
Tue 8:00am-9:00pm
Wed 8:00am-5:00pm
Thu 8:00am-9:00pm
Fri 8:00am-5:00pm
Sat 9:00am-1:00pm
Sun CLOSED

Business Card/Letterhead* (Proof of Ownership)

Information About the Doctors at Your Practice

How many full-time GPs?

How many part-time GPs?

Doctors/GP Details Full Names
Languages
Email (Optional)

By providing GP email addresses, the contacts agrees to receive invitations to exclusive webinars and Practice Connect newsletters (from us) that assist your practice to meet CPD accreditation standards.

Information About the Allied Health or Medical Specialists at Your Practice

How many full-time Allied Health or Medical Specialists in your Practice?

How many part-time Allied Health or Medical Specialists in your Practice?

Allied Health or Specialist Details Full Names
Languages
Email (Optional)

By providing specialists email addresses, the contacts agrees to receive invitations to exclusive webinars and Practice Connect newsletters (from us) that assist your practice to meet CPD accreditation standards.

Does the practice offer the following services?

What Are the Most Common Languages Spoken by Your Patients?

How Many Patients Attend the Practice Each Week?

Estimated % of Bulk Billed

Estimated % of Private Billed

Additional Feedback

On AHTV, we have themed content to make sure that we are broadcasting the right content for your practice. Are there any considerations we need to make to accommodate this? For example, do you have gendered waiting rooms or waiting areas specific to another demographic? We can then do our best to only broadcast content that speaks specifically to that demographic.

Any additional information you think we need to process your application?

How did you hear about the
Aboriginal Health TV Network?

By submitting this form, you agree to receive news, offers and promotions from Aboriginal Health Television and Tonic Media Network.

Aboriginal Health Television would like to thank you for expressing interest in partnering with our network and taking the time to complete the form. A member of our Customer Care team will be in contact with you shortly. We value your interest and look forward to the possibility of working together.

AHTV Screen

Aboriginal Health Television’s full sight and sound screens serve as a powerful tool to help you meet CPD accreditation standards for health promotion and preventive activities through our content while effectively promoting your practice’s services. Through partnering with our network, you can customise the information displayed on the screens such as Doctor availability and practice opening hours, ensuring that patients receive relevant and engaging information about your practice’s offerings.

Standard TV size is 43”. Smaller or larger screens may be installed dependent on waiting room size. Contract term may be defined by the size selected.