01
What were the instant forms producing?
Cheap leads that stayed inside Facebook. They rarely engaged with the offer, and the campaign was break-even at best. Cost per lead looked like the win. The patients did not show up in the return.
Princeton Acupuncture’s instant-form leads were cheap and break-even. An on-site back-pain assessment took first-month return on ad spend to 9:1 and the six-month average to 4.2×. Cost per lead fell −86% after the page behind the ads was rebuilt.


Average ROAS over six months
Princeton Acupuncture
First-month ROAS
Princeton Acupuncture
Cost per lead after the redesign
Princeton Acupuncture
Princeton Acupuncture & Oriental Medicine, after the assessment replaced instant forms and the page behind it was rebuilt. Read the case study
01
Cheap leads that stayed inside Facebook. They rarely engaged with the offer, and the campaign was break-even at best. Cost per lead looked like the win. The patients did not show up in the return.
02
To a back-pain assessment on the practice’s own site. The questions select for someone who wants to understand the pain before they book. The lead arrives in the CRM with the condition attached, and the reply can go out in minutes.
03
First-month return on ad spend was 9:1, from a break-even instant-form baseline. The six-month average was 4.2×. After the page behind the ads was rebuilt, cost per lead fell −86% in that first redesign month, on the same campaign and the same offer.
04
Google Ads belong on the conditions and the towns, with searches for schools, jobs, and supplies kept out of the spend. A mature account can move within days or a couple of weeks. A new account needs its own data before anyone should scale it. Scaling is nearly impossible when you cannot tell whether the channel produced patients.
Dan RamosFounder / Growth Engineer, High Country DigitalDan has been one of the few people to deliver on what he promises. He's prompt and follows up, I never have to wonder what the status of my project is. I knew Dan would be great to work with as soon as I saw how organized he is and is able to reduce a problem down to an easy project he can fix fast. Thanks Dan!
Anthony GordonOwner, Integrative Family Wellness: acupuncture in Smithtown, New YorkThe service page: ads, a website built to book, follow-up, and reporting in patients and revenue.
From basically no traffic to roughly 200 highly qualified visitors a month. Pure SEO, still climbing.
Condition pages that end in a booking, for Princeton and Whole Healthy Family.
$500 to $1,000 a month for one offshore channel. $2,000 to $5,000 for a partner measured on new patients and revenue.
Playbooks from outside healthcare, tracking tags on health pages, and reports that stop at the click.
Small wins in the first month. Numbers you can trust in four to six months. A partnership that stays.
Without spend tied to new patients and revenue in the EHR, you’re flying blind.
Technical search architecture that brings qualified demand into a measurable funnel.
Google and Meta campaigns connected to landing pages, conversion data and sales.
Fast sites built to acquire, convert, measure and connect to the rest of your stack.
Lifecycle design, routing and follow-up that keep qualified leads moving.
Connect source, lead, pipeline and revenue in reporting your team can trust.
See how these capabilities work as one managed revenue system.
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