For PT, chiropractic & acupuncture practices

Healthcare Marketing,
Engineered.

Growth marketing solutions for independent clinics to multi-location & multidisciplinary groups.

12×
Website leads, year over year
Thrive
+143%
Monthly appointments since April 2023
Thrive
−86%
Cost per lead after the redesign
Princeton Acupuncture
4.2×
Average ROAS over six months
Princeton Acupuncture

Trusted by independent clinics and multi-location groups

Our approach

Your focus is care. Ours is your growth.

You wouldn’t prescribe treatment before understanding what’s actually causing the problem. We approach growth the same way.

More traffic isn’t always the answer. Sometimes the problem is your website. Sometimes it’s lead follow-up. Sometimes it’s patient reactivation, retention, or a broken handoff between marketing and the front desk. We look at the entire patient-acquisition system, identify what’s actually limiting growth, and fix that first.

Patient-acquisition system

Assessment

01
Visibility
Can new patients find you on Google, Maps and AI search?
Checked
02
Website
Does the site turn visits into inquiries?
Checked
03
Follow-up
Is every call, form and chat answered fast?
ConstraintConstraint
04
Front desk
Do inquiries become booked first visits?
Checked
05
Retention
Do patients finish care, and do past patients come back?
Checked
06
Attribution
Do you know which dollars produce patients?
Checked

Every practice has a constraint holding growth back. We find it first, fix it, then scale what works.

Who we help

Built for physical therapy, chiropractic, acupuncture and occupational therapy practices — from independent clinics to multi-location, multidisciplinary groups.

Ways to work together

Three ways in. One system underneath.

Find the line that sounds like your practice — that is where we would start too. Most practices plug the leaks first, then add patient volume once every inquiry is being answered.

The Whole Healthy Family homepage we designed and built: a patient receiving acupuncture under the headline "What if you could stop managing pain and start living again?"

The same Whole Healthy Family homepage on a phone, with the practice’s chat open

For practices whose site is the bottleneck

Websites

Custom, modern websites proven to drive more traffic and generate more patients.

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Google Ads overhaul

Thrive Spine & Sports Rehab

Conversion rate3.4×: 4.76% to ~16%
Weekly conversions5.3×: 8 to 42
Cost per conversion−73%: ~$187 to ~$50

Three months before the overhaul against the three months after.

For practices ready for more volume

Google & Meta Ads

Campaign success is determined by new patients and collected revenue in your EHR, not vanity metrics coming from the ad platforms.

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Google AdsMeta AdsWebsiteCRMEHRPatients& revenue

One scorecard, from first click to collected revenue.

For multi-location & multidisciplinary practices

Fractional Growth Partner

An embedded growth lead who owns the number, finds the constraint holding growth back, and fixes it.

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Our capabilities

Everything your growth needs.

These are not services you buy separately. They are what goes into the work, in whatever combination your practice actually needs.

Data & attribution
Collect, simplify, and secure your data across ad platforms, website analytics, CRM, and EHR. The data is used to drive strategy while providing marketing and business insights.
Paid media
Reach prospective patients through Google and Meta campaigns shaped around your services, market, and capacity.
Search & local visibility
Help patients find your practice through SEO, AEO, local search, and content that answers their questions, whether they ask Google or an AI assistant.
Websites & conversion
Make it easier to choose your practice and take the next step, with clear service pages, landing pages, and booking paths. Website speed, SEO, and conversion optimization are the core of every website, not an add-on.
Follow-up & reactivation
Keep new inquiries moving toward an appointment and reconnect with past patients through timely, relevant outreach.
AI & workflow automation
Reduce manual follow-up and repetitive admin with connected tools, practical AI, and workflows built around your team.

Selected results

Real growth, measured in patients.

View all case studies

The Thrive Spine & Sports Rehab homepage we rebuilt: a therapist treating a patient under the headline "All Your Rehab & Recovery in One Place"

The same Thrive homepage on a phone, with request-appointment and call buttons above the fold

Multi-disciplinary rehab · Website & Growth

Website leads up 12×

A brand site with chat, Recovery Lounge booking on Mindbody, and closed-loop reporting from a non-cloud EHR to ads and CRM

Website leads, year over year: 12×
Monthly appointments since April 2023: +143%
Google Ads conversion rate, up from 4.76%: ~16%

AJ AdamczykOwner, Thrive Spine & Sports Rehab

Read the Thrive case study

The Princeton Acupuncture digital back-pain assessment that replaced Meta instant forms: "Find the root cause of your back pain"

The same assessment landing page on a phone, where most Meta traffic arrives

Acupuncture practice · Paid Media

CPL down 86%

Instant forms replaced with a digital assessment, AI UGC creative, and a landing page rebuilt for completion

Cost per lead after the redesign: −86%
Average ROAS over six months: 4.2×
First-month ROAS: 9:1

Read the Princeton Acupuncture case study

The people behind the work

Twenty years of engineering, pointed at patient growth.

Before High Country Digital, Dan built software for newsrooms, publishers and healthcare companies. That is why the attribution, integration and automation work most agencies outsource is done in-house here — and why we can connect systems that were never designed to talk to each other.

Previously built for