SHMELFor clinics
15 paying patients in 90 days, or every dollar back
We scale clinics by integrating paid ads, organic traffic and compliance.
- New patients for less
- Patients who actually show up, not empty bookings
- Every ad reviewed before launch to reduce policy and regulatory risk
Min. $3,000/month ad budget · 3-month commitment · refund covers our fee, not ad spend. Full terms
Who we grow
Why your marketing isn’t bringing in patients
You pay for leads, not patients
Most agencies get paid the same whether a patient sits in your chair or not. They report leads, because leads are easy to produce.
The algorithm learns the wrong people
Every form fill goes back to Meta as a conversion, so it finds more people who fill in forms. More price shoppers. More people outside your area.
Ads get rejected or restricted
Hormones, IV and surgery claims trip ad policy. One rejected batch stalls a launch for weeks, and a restricted account stops acquisition cold.
Inquiries go cold overnight
A patient who asks at 9pm and hears back the next afternoon has already booked somewhere else.
Four vendors, nobody owns the result
Ads with one agency, SEO with another, social part-time, email with nobody. Each reports its own number. None owns paid patients.
Compliance is checked last, or never
Claims get reviewed after they are live, if at all, which is exactly when a regulator or a platform notices them.
One AI CMO runs the whole stack
Named AI agents run Strategy, Ads, SEO, Organic Social, Compliance and Email, all working from one memory of your clinic. You state the goal in plain chat. Nothing goes live without your yes.
Paid patient acquisition
Meta and Google run end to end and optimised on paid cases, so spend moves toward patients who actually start treatment.
Includes- Meta & Google campaigns, built and managed
- Creative written twice, so every ad is tested
- Paid-case signals sent back to the platforms
- Wasted spend paused the morning it appears
Compliance built in
Copy written to pass platform policy review, so fewer ads get rejected and launches stay on schedule. Every campaign gets a pre-launch audit, included, never billed separately and never checked last.
Includes- Pre-publish review of every claim
- HIPAA, FTC, FDA, TCPA and platform rules
- Prescription talk routed to licensed clinical staff
- A dated record of every change and sign-off
The conversion engine
Built, not advised on: the page, the tracking and the automation that turns an inquiry into a booked consultation.
Includes- Landing pages for each service and offer
- Replies to every inquiry in under sixty seconds
- Tracking from first click to paid case
- Google Business Profile kept current
Strategy you can approve in chat
What to promote this month, to whom, and at what budget, set from your margins and your open calendar time.
Includes- Monthly plan and target cost per patient
- Weekly report measured in paid cases
- SEO, organic social and email sequences
- Approvals in Teams or the SHMEL console
Paid growth results
Actual ad spend, purchase revenue, ROAS and acquisition cost from accounts run by the SHMEL team.
Selected accounts. These are among our strongest results and are not typical: outcomes depend on your offer, market, budget and follow-up. Past performance does not guarantee future results.
What clients say about us
Clients of the SHMEL founding team.
“We were mainly looking for a payment solution because our previous processor kept creating problems. Ended up letting the team take over our Meta ads too. Looking back, that was probably the best decision we made this year. Revenue went from about $180k to $410k/month in roughly three months, and communication was solid the whole way through.”
“The payment savings were nice, but that's honestly not why we're still working together. What mattered more was that they looked at the business as a whole. Appointment volume is up about 54%, Meta is performing much better than before, and we're saving around $4k every month on processing. It's been a really good experience overall.”
“We've hired agencies before, and most of them spent more time explaining metrics than actually improving the business. These guys were different. We gradually increased ad spend from around $25k to over $120k/month, kept ROAS above 3.8, and never had to worry about whether the payment side could handle the growth.”
From first call to paid patients
Patient growth audit
- Review of your ads, pages and tracking
- Margins and cost per patient by service
- Inquiry response time and follow-up
- Compliance gaps in live claims
Growth plan
- Services to promote and to whom
- Channel and budget plan
- Offer and landing page strategy
- Target cost per paid patient
Build the engine
- Ads and creative, compliance-reviewed
- Landing page and tracking to paid case
- Sub-60-second inquiry automation
- Google Business Profile cleanup
Launch and validate
- Campaigns live on controlled budgets
- Booking and follow-up flow tested
- Paid-case signals flowing back to Meta
- Early cost per consult and per patient
Scale and optimise
- Budget moved to what produces patients
- Weekly creative and offer tests
- SEO, social and email working the same list
- Weekly report in paid cases
15 paying patients in 90 days, or every dollar back
And we keep working without a fee until you get there. Not leads. Not booked appointments. Patients who attended a consultation, accepted treatment and paid.
Terms: minimum ad budget of $3,000/month paid to the ad platforms, 3-month commitment, 90 days counted from launch. The refund covers our management fee, not ad spend. Your clinic responds to new inquiries quickly and shares appointment and payment outcomes with us.
See if your clinic qualifiesBook your strategy call
Pick a time that works. We review your current setup and map out a plan to paid patients, together.
Common questions
Do you work with integrated wellness and plastic surgery practices?
Yes. Integrated wellness clinics and plastic surgery practices are two of our core verticals, alongside dental, med-spas, hormone and weight-loss clinics and peptide brands.
Can anything go live without my approval?
No. You state the goal in plain chat, the agents prepare the work, and nothing publishes without your yes.
How do you handle ad policy and compliance?
Every claim is reviewed before it publishes against HIPAA, FTC, FDA, TCPA, state board and platform rules, and each change is recorded with who signed it off. It is reviewed and documented, not a guarantee of compliance or a replacement for your counsel.
Does SHMEL touch patient health information?
The work runs inside the accounts you already own, with scoped access. A BAA is available.
What counts as a paying patient for the guarantee?
A patient who attended a consultation, accepted treatment and paid. Not a form fill and not a booked appointment. The guarantee applies with a minimum ad budget of $3,000/month and a 3-month commitment, and refunds our management fee, not ad spend.
Do I need separate vendors for ads, SEO, social and email?
No. One system runs all six jobs and watches across them, so nothing falls between vendors.
Guarantee terms: for clinics with an ad budget of at least $3,000/month (paid to the ad platforms) and a 3-month commitment. If fewer than 15 new patients have attended a consultation, accepted treatment and paid within 90 days of launch, we refund our management fee and keep working without a fee until you reach 15. Ad spend is not refunded. Your clinic responds to new inquiries quickly and shares appointment and payment outcomes with us.