Think Bullish
Paid Media

Medical advertising isn’t about clicks — it’s about real patients.

Niche-specific campaigns built, launched, and managed across Google, Meta, TikTok, and YouTube — with fresh creative weekly, daily A/B testing, landing pages built to convert, and follow-up that answers every enquiry in under ten seconds.

441+
practices served
$9.1M+
ad spend managed
91%
retention

Backed by the 100-patient guarantee — 100 new patients or you don’t pay.

As seen on

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Why ad budgets underperform

Your ideal patients are searching right now. The only question is whether they find you.

Most practices are not short of clicks. They are short of a system that turns those clicks into a patient sitting in a chair — and a report honest enough to show which campaigns did it.

You are missing at the moment of intent

Patients search for their condition, their treatment, and their city today. If the practice is not there when they look, the appointment is not lost — it is booked somewhere else.

The click lands somewhere built for everyone

Traffic sent to a homepage arrives with one problem and is offered twenty paths. The campaign gets blamed for what is really a landing-page problem.

Reporting stops at cost per lead

Cheap form fills look like success right up until nobody shows. Without booking, attendance, and revenue in the same report, the cheapest campaign can be the least profitable one.

Multi-channel advertising

Match the channel to the patient’s intent.

Search captures demand that already exists. Social creates and retargets it. The right mix depends on the service, the market, the offer, and how fast the practice follows up.

Existing demand

Google (Search & Local)

Capture patients who are actively looking for treatment right now. High-intent keywords, location-based targeting, and conversion-optimised landing pages turn searches into booked appointments rather than website visits.

See the playbook →
Created demand

Meta (Facebook & Instagram)

Highly targeted campaigns reaching patients by location, intent signals, and real-world demographics — built to establish trust quickly, promote high-value services, and drive qualified enquiries to your booking form, not low-quality social traffic.

See the playbook →
New audiences

TikTok

Short-form, high-attention creative that educates and builds credibility with new and younger patient segments, positioning the clinic as modern, approachable, and easy to book with.

See the playbook →
Familiarity

YouTube & video

Video that does the pre-selling before a consultation decision, then retargets the people who watched — so the first call is with someone who already knows the practice.

Running chiropractic campaigns? See the Facebook ads for chiropractors playbook.

What we run

A complete advertising system, not a campaign hand-off.

Strategy, creative, landing pages, follow-up, and reporting are one job. Splitting them across vendors is where performance goes to die.

  1. 01

    Strategy and offer

    One specialty, one market, one patient profile, one offer, and the numbers the campaign has to hit — agreed before a single ad goes live.

  2. 02

    Creative that keeps moving

    Fresh creative every week and daily A/B testing across hook, angle, image, and video, produced by an in-house copywriting and video team instead of recycled stock.

  3. 03

    Landing pages built to convert

    Clean design, concise copy, and one clear next step. Patient-focused messaging about outcomes, guidance, and peace of mind — not technical jargon.

  4. 04

    Follow-up in under ten seconds

    Every enquiry is answered, qualified, and booked by the A.I. front desk, then chased by phone, text, and email until there is a clear outcome.

  5. 05

    Reporting you can act on

    Impressions, qualified leads, booked appointments, show rate, and return on ad spend in one place, so budget decisions are made on evidence.

Reporting

Cost per lead is the least interesting number on the report.

Qualification, booking, attendance, and revenue data feed straight back into campaign decisions, so cheap volume never gets mistaken for performance.

Qualified enquiry rate
How many of the leads were the patient you actually want.
Response time
How long an enquiry waited before somebody answered it.
Booking rate
How many qualified enquiries became an appointment on the calendar.
Show rate
How many booked patients arrived — the number cost per lead hides.
Patient acquisition cost
What one attended patient cost, all-in, per campaign.
Collected revenue
What the campaign returned, tracked back to the ad that started it.

Proof

Real practices. Real numbers.

$1.27M

collected on $98K in ad spend · neuropathy, 15 months

$2.0M

collected on $135K in ad spend · spinal decompression

$1.01M

added revenue in 16 months on ~$3K/mo · Fairwood Health

$143,500

in revenue from just $2,477 in ad spend

$46k → $100k/mo

in 8 months · Blue Mountain Wellness

$167K/mo

on just $4K/mo in ad spend · cash-pay clinic

“With Think Bullish, our revenues have doubled two years running.” — Dr. Stacy Chidester, Oxford Health & Wellness
$1,016,045 added in 16 months — Fairwood Health & Body Transitions
Decade-old $50K/mo goal smashed in 30 days — Christina Hansen, Precision Spinal Care

Medical advertising questions, answered.

Which advertising channels work best for medical practices?

Google Ads is strongest for existing local demand, while Meta, TikTok, and YouTube can create awareness and retarget interested prospects. The best mix depends on service economics, market demand, platform policies, creative strength, and how quickly the practice follows up.

What should medical advertising report besides cost per lead?

Report qualified inquiry rate, booking rate, response time, show rate, consultation outcome, patient acquisition cost, and collected revenue. Those metrics reveal whether the campaign is creating useful demand or simply cheap form fills.

Do medical ads need dedicated landing pages?

Usually. A focused page can continue the ad's message, explain the relevant service, set expectations, present appropriate proof, ask useful screening questions, and give the prospective patient one clear next step.

How is this different from a generic marketing agency?

Campaigns are built for one specialty at a time and judged on booked, attended patients rather than impressions. Creative is refreshed weekly and tested daily, every inquiry is answered and qualified by the A.I. front desk within seconds, and every touchpoint is tracked so you can see what produced revenue and what did not.

Do you only work with certain types of medical practices?

No. We run campaigns across chiropractic, spinal decompression, peripheral neuropathy, regenerative medicine, functional medicine, weight loss, hormone therapy, aesthetics, and more. What matters is that the service economics support paid acquisition.

How quickly can campaigns go live and produce results?

Funnels, ads, CRM, and the A.I. front desk are typically live in about a week. Once ads are running it is not unusual to see inquiries within the first few days, though booked and attended patients depend on the market, the offer, and how the practice handles the schedule.

Will my staff still have to chase leads?

No. New inquiries are answered, qualified, and booked by the A.I. front desk and the follow-up workflow, so your team works the schedule instead of working a list of cold contacts.

Do you require long-term contracts?

Terms depend on the scope of services and are agreed during onboarding, before anything is activated. The patient guarantee has its own agreed terms — qualification, covered services, timelines, practice responsibilities, and how patients are counted.

The 100-patient guarantee

100 new patients guaranteed or you don't pay.

We guarantee 100 new patients, not just names in a CRM or spreadsheet. If we do not deliver 100 under the agreed patient-acquisition program terms, you don't pay.

Extremely limited to 1 practice per geographical area