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Google Ads for therapy practices

Help the right clients find your open appointments.

We build and manage Google Ads for therapy practices with room for new clients. Your services, locations and available appointments guide the campaigns. You see what inquiries cost and what happens after your intake team responds.

Book my strategy call → Run your numbers first
Built with
Google Ads Google Ads
Google Tag Manager Google Tag Manager
Google Analytics Google Analytics 4
HIPAA-conscious
Ontario group practice • 30-day snapshot
$3,400
Ad spend
→
91
Inquiries
$37 each
→
73
Consults booked
80% book rate
→
12
Clients started
16% close rate
$3,000 Avg client LTV
~$36k Est. revenue from this spend
What would this look like for your practice? →
Anonymized. Source: active account managed by TheraPPC. Results vary by market, specialty, and ad spend.
One published Ontario account · 30-day snapshot
$37
Cost per tracked inquiry
Ontario practice · $3,400 ad spend
12
Client starts in the 30-day period
Reported intake outcomes, separate from inquiries
91
Inquiries in a single 30-day period
Group practice, $3,400 spend
30
Days in this account snapshot
A reporting period, not a launch promise
The landscape changed

Your next hire needs more than another directory listing.

Referrals and directory profiles can bring valuable clients. When a clinician has open hours in a particular specialty, though, you need a way to promote that service deliberately and see whether the spending produces suitable inquiries.

Google Search ads let you compete for searches such as "couples counseling in Austin." We connect that search to an ad and a matching service page, then review the calls and forms it produces. Showing an ad still depends on eligibility, the auction and your budget.

What we see in audits

A campaign can generate clicks while missing the services you need to fill. We review search terms, landing pages, measurement and intake outcomes together, so the next budget decision has a reason behind it.

"Search ads appear only when someone is already looking for help. You're not interrupting - you're answering."
TheraPPC position on therapy advertising ethics
What this means for you
→ Compete for searches related to the services your practice offers
→ Set keywords and locations around the clients your clinicians can serve
→ Keep your ad account and reporting under your practice’s ownership
The numbers first

We show you the math before you spend a dollar.

Before choosing a budget, compare the cost with the appointments you want to fill. The table shows three planning scenarios using stated assumptions. On a call, we review those assumptions against your services, fees, availability and local search market.

If the numbers don't work at your budget, we'll tell you that on the call. We've turned down practices where the math didn't justify the spend.

Run your own projections →

Scroll across to compare every scenario.

$750/mo spend
Conservative
Moderate
Optimistic
Inquiries/mo
6
8
8
Client starts/mo
5
6
6
Monthly session revenue
$3,500
$4,200
$4,200
Monthly ads + management
$2,250
$2,250
$2,250
Session revenue ÷ ad/management cost
1.6x
1.9x
1.9x
Illustrative calculator inputs: $12/click, 10%/12%/13% visitor-to-inquiry rates, 75% inquiry-to-client rate, $175/session and four sessions/client/month. Counts round to whole people. Revenue excludes care-delivery costs; the ratio is not profit or lifetime return.
From first call to live campaigns

What working together actually looks like.

Four phases take the campaign from a plan to measurable inquiries. Timing depends on account access, page work and approvals; the numbers show when to improve the setup and when to consider more spend.

1
Week 1-2
Build
Tracking infrastructure, campaign architecture, landing page review. Pipeline math confirmed before first dollar of ad spend.
2
Week 3-4
Launch
Launch the approved campaigns and check delivery, search terms and inquiry measurement. Early results help identify errors and unsuitable searches before the budget expands.
3
Month 2-3
Consolidate
Exclude unsuitable searches and compare costs by service. Weekly reporting distinguishes calls and forms from consultations and client starts supplied by your practice.
4
Month 4+
Grow
Budget expanded as pipeline confirms capacity. Recruiting campaigns launched if you're hiring. Multi-location expansion if relevant.
HIPAA-conscious tracking

We've seen practices turn off all analytics after a compliance scan flagged risks.

Measurement needs a data review before it needs another tag. We check what the website sends, keep intake details out of advertising tools and document the proposed setup for your practice’s privacy review. An event-only tag does not establish compliance by itself.

Measurement we review
  • ✓Form submitted (event only)
  • ✓Phone call connected
  • ✓Device type and source
  • ✓Which page converted
Keep out of ad platforms
  • ×Who submitted the form
  • ×What they wrote in it
  • ×Any identifying information
  • ×Anything that could be PHI
GTM
Google Tag Manager
One place to review the tags we manage, their triggers and the information each sends.
GA4
Google Analytics 4
Review event parameters, identifiers, retention and data-sharing settings before collection.
Google Ads
Google Ads Conversion
Count approved contact actions after testing. Keep names, contact details and clinical form answers out of tags.
Privacy review
Bring your privacy officer or existing review framework into the measurement decision before launch.
If you work with a compliance officer, we're happy to walk them through our tag architecture before we set anything up.
Where you are right now

We work with practices at every growth stage.

Each stage needs a different strategy, different budget structure, different campaign architecture. We've worked through solo launches, first hires, small-group expansions, and multi-location builds.

01
Solo Practice
Building your caseload or thinking about your first hire. Budget is tight. We start where you are: $500-$1,000/mo in spend, conservative targeting, pipeline math that shows what the spend returns before you commit.
02
First Hire
Filling a new clinician's caseload while maintaining yours. We build separate campaign structures per therapist and move budget where the open slots are.
03
Small Group (3-7)
Managing multiple specialties and caseloads. Separate campaigns per specialty and clinician, budget allocation tied to your actual availability, not a blanket spend plan.
04
Established Group (8+)
Growing operations, hiring regularly, launching satellite locations. Recruiting ads alongside client acquisition. We coordinate with your SEO team on every change.
Real client data

Actual performance data from actual accounts.

See full case studies →
OG
Group practice • Ontario

$3,400/mo spend. 91 inquiries. 30 days.

Bidding on cost per inquiry, not cost per click. Campaign architecture built around their 4 specialties with separate ad groups per presenting issue.
$37
Cost per inquiry
12
Clients started in 30 days
SL
Multi-location practice · Three service lines

$3,607.62 spend. 63 non-brand inquiries.

A three-week review separated psychiatry, adult therapy and testing from searches for the practice name. Costs by service showed where to tighten targeting before increasing spend. Read the account review →
$57.26
Cost per tracked inquiry
423
Non-brand clicks in the window
TH
Think Happy Live Healthy · Virginia

205 to 457 inquiries across two 90-day windows.

Cost per inquiry fell from $70.56 to $47.20 while spending increased from $14,473 to $21,570. Calls and forms are inquiries, not established client starts. See the dated comparison →
−33%
Cost per inquiry
90 days
In each comparison window
Is this the right fit?

Two minutes to find out.

This isn't a filter to keep you out. It's a quick way to tell whether paid search is likely to work for your practice before you spend any time on a call. Answer honestly - we'd rather tell you now if the math won't work.

Five statements. Tick every one that is true for your practice today. Nothing is sent anywhere.

My practice has an active website with a contact form or phone number.
I have at least one open appointment slot I'm actively trying to fill.
I can commit $500+ per month in ad spend (separate from management fees).
I can respond to new inquiries within 24 hours - speed to contact matters for conversion.
I want to own my own ad accounts and data, not hand them over to an agency platform.
Your practice has the basics for a review.

These answers cover the basics for an assessment. Request a call so we can review local demand, likely costs and your intake capacity before recommending spend.

You may need a few things in place first.

Paid search works best when the fundamentals are ready. Book a call anyway - we can tell you what to fix and when to come back.

Two ways to work with us

One flat management fee. No percentage of spend games.

We charge a flat monthly fee regardless of how much you spend in ads. No hidden markups, no percentage-of-spend commissions, no surprise billing.

Save 44%
1 Channel

Core

Google Growth System
$1,500/mo

Billed monthly

Best for practices that want to fill caseloads through search and maps first, without adding social media to their plate.

  • Google Campaign Management (eligible Search, Display and YouTube campaigns)
  • Full Google Setup (GTM, Analytics, Conversion Tracking)
  • Monthly Performance Reports (strategy-forward, clear insights)
  • On-Demand Support Access (you ask, we act)
  • ROI-Focused Practice Coaching
  • Caseload Progress Check-ins
  • Campaigns structured around your services and capacity
Start With Google Only
Most Popular
3 Channels

Premium

Multi-Channel Growth Engine
$3,000/mo

Billed monthly

For group practices and clinics ready to layer Google, Meta, and YouTube in a single, coordinated plan.

  • Cross-Channel Campaign Management (Google, Meta, YouTube, TikTok, IG)
  • Full Google Ecosystem Setup (GTM, Analytics, measurement, YouTube)
  • Unified Performance Dashboard (real-time insights)
  • Weekly Strategy Reports + Monthly Deep-Dive Reviews
  • On-Demand Coaching Calls (whenever you need clarity)
  • ROI-Focused Practice Guidance
  • Caseload & Financial Tracking
  • Coordinated budgets and reporting across agreed channels
Plan Multi-Channel Growth

Ad spend is separate. Any applicable payment processing charge is shown at checkout.

Which tier fits your practice?

Solo practice or one location: start with Core. Several clinicians, several locations or more than one specialty: Premium is built for that.

See full pricing details and what's included →
Ready to see your numbers?

Tell us about your practice.
We'll build your pipeline projection.

Takes about 90 seconds. We'll come to the call with projections built on your actual market data - not generic averages.

Share your practice goals without including patient or clinical details. We use your answers to prepare for a useful conversation about cost, capacity and the next step.

Get my pipeline projection → Run the calculator first
Send your practice details
Six fields. We use them to build your projection before the call.

Thanks, your details are on their way.

We have your practice details and someone from the team will reply within one working day.

Next step: we look at your market and your numbers, then come to the call with projections built on your data rather than on averages.