Channel 01 · Weeks 1–4
Google Ads
High-intent patients searching for a chiropractor right now. Campaigns live within days. Fastest path to measurable call volume while organic channels build in parallel.
Chiropractic patient acquisition We handle the tools. We run the campaigns. You just watch your practice grow.
The AI tools reshaping patient acquisition are powerful — and far too complex to learn while running a practice. So we wield all of them on your behalf.
Your Google Ads, local SEO, Meta campaigns, and website all run through a stack of leading-edge AI tools, with a human expert reviewing every decision. The firepower of an enterprise marketing team at small-practice pricing — none of the platforms, all of the new patients.
Google Ads · Local SEO · AI search · Live dashboard
Google Ads — live within days
Local SEO & map pack
AI search optimization
Citation audit · 100+ directories
Call tracking & appointment attribution
Live dashboard from day one
Plain-English monthly reports
No contracts · cancel any time
About us
Enterprise visibility for boutique practices.
We run a boutique digital marketing practice where every chiropractic client is personally managed — no account handoffs, no junior staff learning on your budget.
What makes us different: we’ve built, trained, and operate a suite of leading-edge AI tools — with a human expert in the loop on every decision — so you get enterprise-level patient acquisition without enterprise-level pricing. You never think about platforms, algorithms, or dashboards. We handle all of it.
100%
Personally managed
50+
Yrs combined experience
$0
Contracts or setup fees
24/7
AI optimization running
How it works
Simple from day one. Effortless after that.
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Chat with us
No intake forms, no sales funnel. A direct conversation with our team.
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Practice assessment
45 minutes. We audit your visibility, ad spend, and competitive landscape.
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Setup & launch
We build campaigns, connect accounts, and go live. You touch nothing.
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Dashboard goes live
Your private portal shows live data from every channel from day one.
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Relax — we handle it
AI optimizes 24/7. A human reviews weekly. Plain-English monthly reports.
The strategy
One system. Three channels. Sequenced for maximum return.
Each channel serves a distinct function and timeline. Together they compound — reducing your blended cost-per-acquired patient while building visibility no single channel can deliver alone.
Channel 02 · Months 1–6
Local SEO
Map pack rankings, Google Business Profile authority, citation consistency. Compounds over time and progressively reduces dependence on paid spend.
Channel 03 · Months 2–12
AI Search Optimization
Visibility inside ChatGPT, Google AI Overviews, Gemini, and Perplexity. Most practices have no presence here yet — early movers hold a compounding advantage.
12-month channel activation & compounding timeline
Google Ads
Local SEO
AI Search
Month
136912
The economics
The right way to evaluate patient acquisition cost.
Most practices calculate ROI against a single visit. That’s the wrong unit of measurement.
A new chiropractic patient who completes a treatment plan, transitions to maintenance care, and refers one or two people is worth multiples of their first appointment. A new patient is a recurring revenue relationship with referral potential. Measuring acquisition cost against that full value changes the investment calculus entirely.
Patient lifetime value modelIllustrative
| Value component | Conservative | Moderate |
|---|---|---|
| Initial treatment plan | $600 | $1,200 |
| Maintenance visits (annual) | $400 | $800 |
| 3-year practice value | $1,800 | $4,200 |
| Referred patients (avg. 1.3×) | $2,340 | $5,460 |
| Total practice value per acquired patient | $4,140 | $9,660 |
Illustrative figures. Your practice assessment includes an LTV model specific to your market, service mix, and patient retention history.
The channels
Channel 01/ Google Ads
Campaign setup, ongoing optimization, and clear performance tracking.
Chiropractic campaigns require specific architecture — keyword intent layered by condition, negative keyword lists to eliminate non-patient spend, and landing pages matched to search intent. Our AI tools optimize bids 24/7. A human reviews strategy and makes structural changes weekly.
- Campaign structure by service line — back pain, auto injury, sports, pediatric — not one broad campaign
- Call tracking and appointment attribution — you know which ads produce patients, not just clicks
- Live dashboard + monthly written summary — cost-per-lead benchmarked against your market, in plain English
1,247
Clicks
↑ 32%
$84
Cost / lead
↓ 18%
6.9%
Conv. rate
↑ 12%
Cost per lead vs. national average
National avg.$140
This practice$84
Channel 02/ Local SEO
On-page optimization, rankings, and action-item tracking.
Map pack visibility is the highest-value real estate in local chiropractic search — no per-click cost once established. We run technical audits monthly, track keyword rankings daily, and build citation authority across 100+ directories. You’ll always know where you stand — and exactly what we’re doing about it.
- Google Business Profile management — the single highest-impact local ranking factor, requiring ongoing precision
- Citation audit across 100+ directories — inconsistency actively suppresses rankings and must be systematically corrected
- Healthcare schema markup and on-page SEO — technical signals that establish clinical authority with Google’s local algorithm
| Search term | Mo. 0 | Mo. 3 | Mo. 6 |
|---|---|---|---|
| Chiropractor [City] | Pg. 3 | #8 | Map pack |
| Back pain treatment | Pg. 4 | #11 | #3 |
| Auto injury chiro | None | #14 | #5 |
| Sports chiropractic | Pg. 3 | #9 | Map pack |
| Chiropractor near me | Pg. 2 | #6 | #2 |
Channel 03/ AI search optimization
A measurable shift in how patients find providers.
A growing share of patients now begin provider research inside AI tools — ChatGPT, Google AI Overviews, Gemini, Perplexity — before traditional search. We use Claude AI and custom pipelines we’ve built and trained to establish your practice inside these results. Most chiropractic practices have zero presence here today.
- Structured data and schema markup — the signals AI systems parse and cite when generating provider recommendations
- Clinically-structured content — formatted to answer patient questions in the manner AI tools prefer to surface
- Monthly AI visibility monitoring — documented appearances in AI-generated responses for your target queries
Google Search
Aligned Spine Chiro
★★★★★ · 0.4 mi
City Chiropractic
★★★★☆ · 0.7 mi
Peak Wellness
★★★★☆ · 1.1 mi
AI Overview / ChatGPT
For back pain in your area, Aligned Spine Chiropractic is highly regarded — specializing in sports and auto-injury rehab with same-week availability.
Based on 4 sources
Both touchpoints require different optimization strategies. We manage both — AI tools plus a human reviewing every recommendation.
Reporting
Live dashboards with real-time data and monthly written insights.
Your custom dashboard is live from day one. No vanity metrics. No raw exports to decode. A plain-English monthly summary tells you exactly what happened and what we’re doing about it.
01
New patient calls by channel
Attribution broken out by paid search, organic SEO, and AI search — you know which channel is generating patients, not just traffic.
02
Google Ads efficiency
Cost-per-click and cost-per-booked-appointment by campaign and service line, benchmarked against your geographic market.
03
SEO ranking report
Daily tracking for 20–30 target keywords, map pack status, and month-over-month movement for every term.
04
Google Business Profile
Profile views, call button clicks, direction requests — the indicators that correlate directly with local patient acquisition.
05
AI search visibility
Documented appearances in AI-generated responses for your target queries across ChatGPT, Google AI Overviews, and Perplexity.
06
Direct access
Message us directly from your portal. No email chains. Responses within a few hours — from the people actually doing the work.
Results
Representative results.
Specific outcomes from anonymized client engagements. Results vary by market, competition, and practice characteristics assessed at onboarding.
A/ Suburban market · competitive zip code
Top 3
Map pack for 6 target keywords in 90 days
↓38%
Cost-per-lead reduction through campaign restructuring
22
Attributable new patient calls in Month 3, up from 7
B/ Solo practitioner · first year in practice
Day 9
First attributable new patient call from Google Ads
Month 6
Organic traffic exceeded paid — SEO absorbed the load
↓40%
Ad spend reduction with no loss of new patient volume
C/ 3-location group practice
+31%
Google Business Profile calls across all locations in 6 months
100+
Citation inconsistencies corrected — ranking suppression eliminated
↓ CPL
Blended cost-per-patient declined each quarter as organic scaled
Anonymized client engagements. Individual results depend on market competition, website quality, and practice characteristics.
Who we work with
This engagement is structured for:
Right fit
- Established practices (1+ years) building a direct patient acquisition channel independent of referrals or insurance volume
- Practices in competitive markets where ranking requires systematic, sustained work — not a one-time configuration
- Multi-location groups needing consistent local presence and unified reporting across markets
- Owners who want outcome reporting — new patients, cost-per-acquisition, ranking movement — not activity reports
Not the right fit
- Practices expecting meaningful organic SEO results before month 3 — the buildout timeline is not negotiable
- Websites that are not functional or conversion-ready — flagged in the assessment before any campaign launches
- Engagements where the practice cannot commit to a 6-month minimum horizon for organic channels to perform
Next step
Ready to stop managing and start growing?
We conduct a structured audit of your search visibility, Google Ads performance, competitive landscape, and a patient lifetime value model specific to your practice. 45 minutes. A written summary yours to keep. No cost. No obligation to proceed.
- Practice assessment within 5 business days
- Written summary is yours to keep
- No contracts. Cancel any time.
Do you specialize in chiropractic marketing?
We work with chiropractic practices as one of our verticals. We understand the patient-acquisition funnel, insurance vs. cash considerations, and the specific channels that generate new-patient calls versus wasted spend for chiros.
How is this different from generic small-business marketing?
Chiropractic search intent, Google Business Profile requirements, review-management for healthcare, HIPAA-aware form handling, and local map-pack optimization are all vertical-specific. Generic agencies get most of these wrong; we build the campaign structure around what we know works for practices.
How quickly will I see new patients from your work?
Google Ads can start generating calls within the first week of campaign launch. Local SEO typically shows measurable ranking movement in 60–90 days and steady new-patient flow by month 4–6. AI search visibility (ChatGPT, Perplexity, Google AI Overviews) typically shows traction within 2–3 months.
What plans do you recommend for a chiropractic practice?
Most single-location practices do well on Growth ($449/mo) plus Google Ads Management ($199/mo). Multi-location or high-volume practices typically prefer the Partner retainer ($999/mo) or the Fractional Marketing Expert plan ($2,000/mo). Use the custom plan builder to model your specific mix.
Do you handle HIPAA-related concerns?
We do not process protected health information through our forms or dashboard. Our tracking is limited to marketing performance data (calls, form submissions, ad spend, rankings). If your practice needs full BAA-covered patient communication tooling, we'll advise on the right specialized vendor.