Search Marketing for Chiropractic Practices Doing $1M+

Most "okay" practices are leaving 30 to 50% of their potential patient flow on the table because they're doing marketing that's good enough to keep the lights on but not good enough to scale. We help established practices break through the plateau and build predictable patient acquisition that doesn't depend on you personally. If you're at capacity and want to hire your way out of treating, you need consistent lead flow first - and that's what we build.

Most chiropractic Google Ads campaigns fail for two specific reasons: the ads send traffic to generic homepages instead of dedicated landing pages, and there's no system to follow up with leads who don't book on the first attempt. We fix both. The ad copy matches the search intent, the landing page matches the ad, and the lead pipeline catches anyone who falls through the cracks. That's why our clients see cost-per-lead drop from $150 down to under $70 within 90 days.

Google Ads traffic starts within 2 weeks. Meaningful, optimized lead flow by day 60. SEO compounds over 6 to 9 months. We set realistic expectations upfront because the agencies that promise "leads in 7 days" are the same ones you've been burned by before. If you need patients in the next month, Google Ads is your fastest path. If you want a defensible long-term position, the SEO work is what compounds over time.

No. We have a 3-month minimum because the algorithm needs time to optimize. After that, it's month-to-month with 30 days notice. We don't lock clients in with annual contracts or cancellation penalties. Our goal is to deliver enough value every month that you stay because you want to, not because you're stuck.

We measure in sales qualified leads, not clicks or impressions. Every campaign has full call tracking and form attribution, so you can see exactly which keywords are driving which patient bookings. Monthly reports show new patient leads, cost per lead, conversion rates, and Google Business Profile heatmap progress. If you want to know "did marketing work this month," the answer is in the report - not buried in vanity metrics.

Organic rankings are great. They're also fragile, slow to recover when they shift, and capped by whatever your current page count and content depth allow. Adding paid search and proactive Google Business Profile management gives you a defensible position that doesn't disappear when Google changes its algorithm. The practices winning long-term don't pick one channel - they own search across paid, organic, and the map pack at the same time.

Almost none. We handle the strategy and execution. You get a monthly call where we walk through what's working, what we're testing, and what's coming next. Outside of that, you focus on patient care. We're not a consultant who hands you a strategy and tells you to execute it - we run the full marketing engine so you don't have to.

Because high-intent patients aren't on Instagram looking for a chiropractor at 9pm. They're on Google. Social media generates low-intent leads who scroll past your ad, click out of curiosity, and either ghost or waste your front desk's time with insurance questions you don't take. We're not anti-social-media as a brand-building tool, we just don't think it's where your marketing budget should go if your goal is more new patients. We've helped clients shift their ad budget from social to Google and dramatically improve both lead quality and volume.

A $500-a-month agency runs your campaigns alongside 30 other accounts. Your work is templated, your account manager is a junior, and your reports show clicks instead of patients. We do the opposite. We work with a small number of clients each quarter, your point of contact is a senior operator, and we measure in booked appointments. We charge more because the work actually gets done. The math works because one new care plan typically covers our fee for the month.

The math doesn't work below $1M. Our fees plus ad spend need to fit inside a marketing budget that's 8 to 12% of revenue, and a sub-$1M practice usually doesn't have that capacity without starving the rest of the business. If you're close to $1M and growing fast, let's still have a conversation - we can plan a start that aligns with where you're going. If you're at $400K, we're not the right fit yet, and we can recommend agencies that specialize in that sta