Top Digital Marketing Trends in 2019 | CreativeTake MedicalA 2018 survey of businesses across the United States by Clutch indicates that 83 percent of participants believe that their digital marketing initiatives are helping them in accomplishing their objectives as a company.

But a 2019 report from Infusionsoft showcases that 29 percent of small enterprise owners surveyed do not intend to use digital marketing this year, citing a lack of resources and time.

While it may appear intimidating, creating an online presence and implementing an effective digital marketing strategy can be undertaken and can deliver exceptional outcomes, even on the tightest of budgets.

In 2019, medical practices without a digital marketing strategy will risk being omitted from the conversation and ignored by prospective patients who are devoting an increasing amount of time online and depending on online content when making decisions.

Some digital marketing trends in 2019 and how to take advantage of each to position your company as a leader in the industry are as follows:

 

  1. Video Content Will Dominate

Consumers are increasingly more interested in viewing video content to acquire information. According to a recent survey by the Pew Research Center, 73 percent of Americans use the video-sharing platform YouTube. This represents more users than any other social media platform (versus 68 percent adults who use Facebook).

 

  1. Not optional to have Social Media Presence

This may seem like a no brainer for those who actively use social media in their digital marketing strategy. However, there are still many companies who do not fully subscribe to this social media use. It is widely known that social media has near-universal appeal today. Statista reports indicate that 77 percent of Americans use social media.

 

  1. Online Reviews are Increasingly Important

A Bank of America survey reports that 51 percent of small business owners do not consider social media reviews and online ratings as being relevant to their business.

However, BrightLocal found that 84 percent of individuals trust online reviews as much as they would personal recommendations from friends and family.

Therefore, it is vital to ensure that your company is listed on review platforms such as Yelp and optimize your listing by adding information about your company and photos. It is also important to monitor review sites on a consistent basis to gauge public perception as well as respond politely and promptly to any negative feedback.

 

  1. “My Business” Profiles On Google Suited For 2019 Consumers

Today, people are likely to turn to Google as their first and primary source when seeking a medical practitioner or business.

When searching this way, the profile of a business will usually appear on the right-hand side of the search results, either associated with the firm searched or related to the general industry that the user is interested in.

It will be essential to develop and update your Google “My Business” profile in 2019, as more and more users are choosing to get any necessary information from the profile instead of taking another step and visiting the company’s actual site.

 

  1. Only the Best Content will be Viewed

An increase in the participation of individuals online enables businesses to potentially connect with more people.

However, this inundation of users has also started to saturate the internet with vast amounts of content.

There are various strategies that you can use to distinguish your practice from the crown and reach prospective clients through unique, relevant content.


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Nearly 80% of Digital Advertisers Use SEO in Their Marketing Strategies | Palm DesertThe number of monthly visitors on a website is important. But even more vital is the number of leads that a website is able to generate from the incoming traffic.

After the leads are generated, a practitioner can promote their cosmetic or med spa services to them via email marketing or a follow-up phone call.

This will make sure that the website is a direct contributor to the growth of a practice. In short, this is known as inbound marketing.

 

Develop Targeted Landing Pages

When it comes to generating leads, impressive landing pages are useful in engaging incoming traffic producing a higher conversion rate. The landing page is meant to be a tool to capture the contact details of visitors, unlike blogs or articles which are meant to disseminate information.

The conversion rate is as high as 50 to 60 percent for target audiences where the landing page design is developed with that particular group in mind. At times, the rate of conversion can be even higher in terms of percentages.

For this reason, the higher the number of landings pages on a specific site, the higher the rate of lead capture.

It is a good idea to use Google Analytics to determine which type of landing page design is most suitable for a specific medical practice. Hub Spot recommends that a business should create a minimum of 40 to 50 different landing pages to garner the attention of diverse target audiences.

Using plugins or themes when designing landing pages can make things easier.

 

Use Notification Bars

Notification bars are a full wide banner on the top of a site. These bars are common on the web and users have become accustomed to their presence over the tears. Readers often pay attention to these bars as the browsers usually show warning messages such as a missing plugin or blocked popup in the notification bar.

These bars are meant to stay on top and can be configured to stick to the top, even when a user scrolls down the website. It is a compelling tool to grab attention.

The email form can be placed on the notification bar, or users can be guided to a landing page through it for maximum impression.

 

Place Opt-In Forms

The location below the article content on a website and the sidebar are great areas to place opt-in forms. In general, visitors pay attention to the sidebar if they are not captivated by the content. If there is a relevant offer to engage them during this time, they may choose to opt-in.

When a reader finishes reading an article or blog post on a website, they usually do not know what to do next. They will simply leave the site unless they are prompted into some action.

 

Welcome Redirects

Redirecting site visitors to other locations of the site is another excellent method to generate leads and acquire the contact details of first-time visitors. This can be done by directing them to a landing page specifically meant for new visitors.

You can offer them something which has value, such as a newsletter or a free e-book. Ensure that this landing page only captures the leads of first-time visitors, while repeat visitors will only see the homepage upon visiting the website.


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CreativeTake Medical Launches GeoffreyKeyesMD.com | Palm DesertThe leading Internet marketing and search engine optimization company for medical professionals, CreativeTakeMedical.com, has launched a new plastic surgery website for Dr. Geoffrey Keyes, M.D, F.A.C.S, who is a double board certified cosmetic surgeon.

CreativeTake Medical has vast experience in developing plastic surgery marketing plans, and online campaigns for doctors across the US. At the core of CTM’s online promotion is the design and development of a keyword-rich, search engine optimized website.  

With over 15 years of experience in the business, CreativeTake has already assisted many medical professionals in creating and expanding the market for their practices in their local area.

CT Medical’s medical strategies are developed to accomplish top search engine rankings for client websites. It is the most effective and comprehensive technique to reach out to target audiences in the area where the practice is located.  

 

Website for Dr. Keyes

Dr. Keyes is a double board certified plastic surgeon. This means that he is certified by The American Board of Plastic Surgery as well as The American Board of Otolaryngology- Head and Neck Surgery. 

Dr. Keyes wanted CreativeTake to develop a new website for his private practice in order to share useful information to patients in the local area and serve the objectives of plastic surgery marketing simultaneously.

CreativeTake Medical designed and developed a distinct website called geoffreykeyesmd.com. The website has focuses on nose, face, and breast procedures.

The website serves as a powerful educational and information resource for patients which may be considering procedures related to various areas of the body.

 

About Dr. Keyes

CTM understands from experience that the most vital section of a medical practitioner’s website is the “About” section.

This section should be able to offer new patients comprehensive information about the doctor’s educational qualifications, specializations, experience, awards, and accomplishments, and general background. New patients usually like to get some information about the doctor before setting up a consultation.

CreativeTake Medical has ensured that geoffreykeyesmd.com has in-depth and accurate information about Dr. Keyes, who is a specialist in rhinoplasty and has been named the President of the Rhinoplasty Society for the year 2016.

Through the “About” section, new patients can learn more about Dr. Keyes background and commitment to plastic surgery.

 

Procedures Section

The website features a procedures section which is broadly classified into Rhinoplasty, Face, Breast Procedures, and Skin Rejuvenation Treatment sections. The practice offers various procedures, and CTM has divided them into the above sections with sub-sections in each category.

New visitors to the website can access pertinent information about the particular procedure that they are seeking. This will allow them to be well-informed about various facets of the procedure and engage in a more meaningful consultation with Dr. Keyes.

 

Other Sections of the Website

CreativeTake has included a comprehensive Photo Gallery section on Dr. Keyes’ website. This section includes before and after pictures of various procedures that Dr. Keyes performs.

New patients can review this gallery to understand the type of improvements that they can expect after undergoing a specific plastic surgery or non-invasive procedure.

 

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Local Search Ranking Factors | Palm DesertGoogle My Business (GMB) posts offer one of the most compelling opportunities in local SEO nowadays. The control over the messaging allows for a significant amount of creativity.

More specifically, there is traction in cases where branded searches are “leaking” clicks to other domains in the SERPs. GMB posts are an effective way to garner more engagement and clicks from potential consumers who are already searching for the specific brand name and maybe in a purchase mode.  

When it comes to SEO, there is usually just as much opportunity to leverage the keywords that an entity already ranks well for as there is in targeting new keywords.

There is also a major improvement with multi-location brands where the rewriting location of pages can be done to make it more relevant. It does not matter if a practice has two locations or 2,000. This strategy can enhance existing rankings while making it eligible to rank for other queries.

 

Seeking a Continual Flow of Positive Reviews on the GMB Page

BBB listings do not appear to matter. The GMB page should be as complete and engaging as possible.

Seeking particular, long-tail keywords with a high amount of “related keywords” associated with them is an excellent strategy to ensure that a specific brand shows up in the SERP (search engine page results).

For keywords that are long-tailed and specific, ranking typically isn’t too challenging to achieve. However, these keywords usually have a low search volume.

But ones with a fair amount of “related keywords” can actually rank the most for those related keywords and drive traffic from them. This often more than compensates for the low search volume.

The method of starring the current location on maps and then searching the city name in maps.google.com is also useful. It makes it convenient to see the city boundaries. After a customer moves, or adds a new location, to be within boundaries, there will be a rise in visibility and calls.

One aspect that still has a high impact on ranking is native reviews on GMB. Reviews, as well as the owner’s response, shows consumer trust in a business, and trust is the cornerstone of ranking.

Fighting spam is a great strategy as it not only helps clean up Google Maps, but also the impact on the client’s ranking is almost immediate.

 

Things to Focus on

  • Is Google crawling and indexing the website properly?
  • Is the site pertinent and authoritative for the vertical and geo?
  • Are there pages targeting the search queries that a practice wants to rank for?
  • Do you have a strong backlink profile?
  • How does the GMB profile appear?

On the basis of these answers, content strategy/creation/marketing, a technical SEO audit, or link building may be most suitable.

Local landing/location pages still work quite well. In case there are searches that you are targeting in the local area, creating a particular page for the office help remain competitive in stronger domains (especially if they don’t have any local/office pages).


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CreativeTake Medical Launches PlasticSurgeryWashingtonDC.com | Palm DesertCreativeTake Medical has recently launched a new website plasticsurgerywashingtondc.com for board certified surgeons Dr. Burton Sundin, M.D., and Dr. Reps Sundin, M.D., who specialize in the cosmetic surgery of the face, body, and breasts.

The website has been developed with the twin objectives of serving as a comprehensive online resource for various innovative treatments for the enhancement of the face and body as well as promoting the services offered by Virginia Institute of Plastic Surgery (VIPS).

Plasticsurgerywashingtondc.com has been created as a patient-friendly website and includes content that is written in easy to understand language but without any compromise on the accuracy or quality of the information.

CTM’s team of website designers has provided the website with a unique look that showcases VIPS in a professional manner.

 

‘About Us’ Section on the Website

Plasticsurgerywashingtondc.com includes a comprehensive “About Us” section containing relevant information about Dr. Burton Sundin and Dr. Reps Sundin as well as the aestheticians at the practice. New patients are usually concerned about the credentials and background of the doctors and the facilities and services that the practice is equipped to provide.

Creative Take Medical knows from experience that new visitors spend more time on this section and usually decide on seeking an appointment with the practice on the basis of how they feel about the doctor’s background and the facilities that the practice offers.

For this reason, CTM’s site development team invests a significant amount of time and attention in this section. The credentials of both the doctors have been presented in a clear, transparent, and comprehensive manner to help new patients achieve familiarity with the plastic surgeons and feel encouraged to seek a consultation.

 

Procedure Section

CreativeTake Medical understands from experience that most new visitors to a cosmetic surgery website usually want to understand more about the particular procedure that they may be considering.

Plasticsurgerywashingtondc.com provides in-depth and accurate information on various procedures to facilitate this search for new visitors to the site. The procedures section is segregated on the basis of Body, Breast, Face, Laser, and Hair to make it easier for site visitors to locate the treatment of their interest.

Patients can conveniently identify and review details about the relevant procedure, which will enable them to be better prepared for their consultation with the plastic surgeon.

 

Other Sections of the Website

Plasticsurgerywashingtondc.com includes a dedicated “Photo & Videos” section, which includes before and after images of procedures that Dr. Burton Sundin and Dr. Reps Sundin perform.

New patients can review this section and achieve a realistic comprehension of the type of improvements that they can expect with a specific cosmetic surgery or non-invasive procedure.

There is a separate section on Testimonials that offer new patients a perspective on the practice from the point-of-view of previous patients. CTM website development and content creation specialist showcase the importance of Patient Testimonials.

These testimonials can serve as one of the most compelling and convincing endorsements of a plastic surgery practice as they provide insights on the practice from the perspective of other patients.


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How Doctors Can Handle a Negative Review Online | Palm DesertEvery medical practice will, at some point, experience a negative review or two. The key thing to do at this juncture is to remain calm and have a strategy in place.

Even the most patient-friendly practice with the best customer service policies will receive at least some negative reviews. At times, mistakes happen, or the employee or patient may just be having a bad day.

But at times like these, it is important to understand that a bad review is not the end of the world. In fact, it is likely the last chance that a practice will have to make amends and win back the patient.

 

By the Numbers

Interestingly, it is 25 times more costly to earn a new patient relative to retaining an existing one. This is a huge incentive to make a valiant effort to win back patients who are slipping away because of a negative experience.

First and foremost, you should understand what not to do. Regardless of whether the medical practice or the patient is at fault, it is up to the practice owner or manager to use their people skills and make amends, including apologizing to the patient, if necessary.

This needs to be done not only to pacify one disgruntled patient but also to ensure that all prospective patients who read the review develop a favorable impression of how the medical practice treats its patients. But how do you achieve that? It all depends on the owner response.

 

Do’s and Don’ts about Responding to Negative Reviews

You will need to monitor all of your review profiles routinely and act swiftly upon seeing a negative review. This is the primary part of your strategy. The second part will involve a carefully-crafted message you will post in response to the negative feedback. Some simple do’s and dont’s are as follows:

 

Don’t:

  • Put the blame on the patient
  • Shift blame onto your employees
  • Accuse the patient of falsification or exaggeration
  • Refuse to offer an apology
  • Refuse accountability
  • Use language that is unprofessional or rude
  • Respond with long and unwieldy messages
  • Respond to reviews that allege illegal activities; consult a lawyer if this ever happens

 

Do:

  • Offer a sincere apology for the patient’s bad experience
  • Show empathy to the distress they express
  • As the owner of the medical practice, express complete responsibility
  • Offer something that would help make amends if the patient would be so kind as to give you another opportunity (another service, a refund, etc.)
  • Express your complete commitment to resolving the issues that are raised and explain your intent to remedy them
  • Be straightforward and honest about the possible cause of the error
  • Convey to the patient that you eagerly invite in-person complaints going forward as you are committed to offering them an excellent experience

Keep your response short but sincere. Develop a personal strategy for identifying and responding to reviews in a manner that aligns with your practice policies and desire to excel.

It may surprise you to see how frequently a generous and empathetic response from the doctor will encourage the patient to update their feedback and even raise star ratings to reflect the improved perception of the care they have received.

Remember that you can also respond to positive reviews. You can express gratitude to an appreciative patient, and make them feel valued.


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Should you encourage a review of your medical practice? | Palm DesertIf your medical practice has a profile on a few online review and rating platforms, as a first step, you should look at the policies of each platform. Every review or rating website has its own guidelines on what you are allowed to do when seeking reviews (or encouraging reviews) online.

If you fail to comply with guidelines for any reason, the visitors to the platform (potential clients) and the platform administration are not going to appreciate it. It may even result in profile disabling.

 

There are Ethical Ways to Encourage Reviews

One of the important principles to remember is never pay the platform for reviews. Never pay your patients for reviews. Never pay marketers to post reviews (posing as fictitious patients). Reviews should only come directly from patients from their own devices, not the devices owned by your practice.

Fortunately, the policies of most third party online platforms allow you to encourage patients to leave reviews. Every medical practice or plastic surgery practice should have a well-crafted review acquisition strategy. This strategy may include:

  • Taking email IDs at the time of the service and sending a request for a review shortly after the service.
  • Create a “Review Us” page on your practice site, featuring links to your major review profiles.
  • Offer print materials such as handouts, receipts, and cards requesting a review after the service
  • Personally ask for a review at the end of the service
  • In case your medical practice has not been focusing on review management in the past, but you are ready for a change, consider conducting a complete review audit.
  • Be careful not to bombard patients by using spammy review management services, but be aware of some good options that do exist, such as GetFiveStars and Grade.us. These paid services help you understand the patient sentiment and encourage reviews in a completely legitimate manner.

Your aim should be to achieve a slow but steady stream of positive reviews over a period on various platforms. Also, it is important to remember that your own site is one of these platforms.

 

Claim Your Review Profiles

Many review platforms also have a feature called “owner responses.” This feature provides owners with an opportunity to be a part of the online discussions that surround their brands. You can thank patients who leave positive feedback and attempt to regain the trust of patients who leave negative reviews.

In order to participate, you will need to claim your business profiles on the sites and platforms that your patients use the most. You can determine this by performing a simple Google search for your practice name and the word “reviews” to start building a list of those platforms that rank highly for your practice and feature reviews from your patients.

If your medical practice is fairly new and has yet to create a digital footprint, you should check your local competitors to understand where their patients are leaving reviews. There is a strong chance that those sites will be important for your medical practice as well.

You will typically have to create a login of some kind to claim your profile. If you do not have a business profile on a platform, you will need to create one. Certain platforms may require further steps to ensure that you are indeed the owner of the practice.

 

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How to Handle Medical Reviews And Ratings Online | Palm DesertAn online medical review is a written sentiment left directly by a patient on any website or platform that supports this form of content. Three major review platforms are Google, Facebook, and Yelp.

However, there are various other options to review medical practices such as Healthgrades and RealSelf. Reviews represent ongoing conversations that your patients are having about your medical practice in the digital world.

Medical practitioners and local search marketers should master the following six elements to make reviews work for the practice rather than against it.

 

The Medical Practitioner sets the Review Stage

As a medical practitioner and a business owner, you set the practice policies and train the staff responsible for the service your patients experience.

Make sure that each employee that you hire is someone you feel confident about representing your practice to the public, and that they receive continuing support in implementing your official customer service policy.

 

The Practice is made to be Complaint-Friendly

In case you are able to catch a complaint before it emerges as a negative review, you will be able to save your patient as well as your practice from a significant amount of problems.

You should train your staff well in complaint resolution, and take the following steps to ensure that you are resolving upfront as many patient issues as possible:

  • Create a mobile-friendly complaint form on your practice website.
  • Post a complaint hotline phone and text message number in your office and on your website.
  • Routinely review social media for discussions on your practice and jump into these conversations with offers to make things better for patients expressing negative feelings.
  • Ensure that all administrative staff attending to patients makes a point of asking whether anything was less than perfect for them.

 

The Medical Practitioner Claims their Major Review Profiles

Multiple platforms featuring reviews also offer a function called “owner responses.” This provides the medical practitioner and business owner a chance to contribute to the online discussions surrounding their practice. You will be able to thank patients who leave affirmative reviews and attempt to win back or placate patients who leave negative reviews.

Creating some type of login is usually a part of claiming your profile. You will need to create a business profile on a platform if you do not already have one. Certain platforms make additional steps necessary to verify that you are indeed the business owner.

 

The Practice Encourages Reviews

Primarily, you must understand the policies of each platform on which your medical practice has a profile.

Fortunately, most platforms do enable you to encourage patients to leave reviews. Every medical practice should have a well-developed review acquisition strategy.

 

The Medical Practice Gets Negative Online Feedback

There are six words of advice for every medical practitioner who will inevitably acquire a negative review at some point-remain calm and have a strategy.

A few negative reviews will be written for even the most complaint-friendly practices with the best customer service policies. Sometimes mistakes happen, or a member of the staff or patient may just be having a bad day.

 

The Medical Practitioner Responds

It is important to monitor all of your review profiles routinely and act swiftly when a negative review emerges. This can be your initial fire-fighting strategy. The second part involves a carefully-crafted message to post in response to the negative feedback.


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Setting-up Your Local Medical Office Business Listing | Palm DesertCreating a structured local business listing for your medical practice, whether at Facebook, Google, Yelp, or elsewhere, will involve filling out a form with a specific set of fields.

Google, the leading player in local search, has set the precedence for best practices for formatting this data. The complete guidelines by Google can be found here.

When developing most of your citations, you will be following these general guidelines to make sure that they match your Google My Business listing.

 

Things to Include in your Local Business Listing

Medical Practice Title/Name

In this field, always use the real-world business name of your medical practice. Google is capable of reading street-level signage.

Therefore, ensure that the manner in which you format your name matches the sign on your practice, print marketing, website logo, and the way your phone is answered. It is important not to add more keywords, geographical terms, or other modifiers to name of your plastic surgery practice.

Practice Address

Remember to list the real-world address of your medical practice, with no changes, such as fictitious suite numbers. Unstaffed virtual offices and PO boxes are not considered real-world addresses. Therefore, you should not center your medical practice listings on them.

Key-in your street address in line one and any mailbox or suite numbers in line two of the address section of the form on Google. It is a good idea to follow this practice for almost all citations to avoid strange formatting.

Phone Number

Google’s guidelines indicate a preference for local area code phone numbers. However, they have supported toll-free numbers for a few years. This may be useful for patients who visit a medical practice from out of town as they may find using a toll-free number more convenient.

In case you use a toll-free number rather than a local one on your Google My Business listing, ensure that your site and other citations also use this number in a consistent manner.

On top of this, Google wants you to list the number that connects directly to the subject of the business listing, instead of reaching a call-center.

Website URL

Google states that your listed website URL should take the user directly to a page owned by the business or medical practice, instead of referring visitors to a third-party, a social media profile, or elsewhere.

If a practice has multiple locations and practitioners, it is common to direct the listing of the medical practice to the website homepage and point the listings for the branches, practitioners, and departments to their respective landing pages on the website. This ensures that the entities remain distinct.

Categories

A majority of local business data platforms have set categories that you will need to choose from to define your business. In general, a business owner will select one to ten of these categories.

Proper categorization can have a significant impact on rankings, especially with Google. Guidelines by Google encourage you to identify the categories which most accurately define your business.

Description

This field presents an opportunity to present the most impactful and compelling aspects of your medical practices. These are the attributes that are most convincing to prospective patients. You will usually have several hundred characters available to develop a short pitch for your medical or plastic surgery practice.

 

In Conclusion

The consistency, quality, and spread of your local business data directly impacts local search engine rankings, which in turn affects foot traffic, web traffic, and transactions.


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Facebook Advertising Ideas For Plastic Surgeons | Palm Desert Are you ready to increase your new patient numbers for your cosmetic surgery practice? Then it’s time to explore Facebook Ads to give your lead generation efforts the facelift it deserves!

Plastic surgeons have found that the advertising capabilities on social media platforms, in today’s digital world, have had a positive effect on their practices.

The reason is that Facebook Ads offers a chance to enhance:

  • Awareness: Enhances awareness of your practice by promoting your business page.
  • Consideration: Prompts users to leave Facebook, by clicking on your ad, and progress to the next step in the sales funnel by providing more details about them.
  • Conversations: Makes quantifiable revenue-producing activities take place.

This is the real strength of Facebook. However, to create more awareness, consideration, and conversion, you will need to develop an ad that has the following characteristics: an appealing visual, an attractive offer, model copy, precise targeting, and much more.

 

Plastic Surgeon’s Marketing Funnel for Excellent Outcomes

Attracting your target demographic involves setting up a simple funnel comprising four parts:

  • A precisely targeted Facebook ad
  • A landing page (also known as an opt-in page)
  • A thank you page
  • A simple follow-up email sequence and text message

Understandably, you will not get desired outcomes if you do not take the time to execute each part of the funnel meticulously. So, to set you up for success, let us take you through the entire funnel, from beginning to end.

 

The Facebook Ad

Facebook is the place where you will display a compelling proposition for your target audience to view and (hopefully) get excited about. It need not be glamorous, and you do not need to spend a lot of your time writing expert copy. The ultimate objective is to get clicks, or LEADS.

The most efficient ad type to achieve this goal is consideration, with the ideal goal being Traffic. Your focus is to send people to a destination on or off Facebook to procure some new patients.

Facebook presents numerous targeting options which can be overwhelming. Therefore, we share a select few as they can raise your patient numbers more effectively.

Does that sound good? Now the next step is building your ad creative. It does not need to be over-the-top but should get the audience to take action.

 

The Landing Page (Opt-In)

Practice websites commonly have a Contact Us form. But that is not the place to direct your leads. Why? It will confuse them once they arrive as most likely the copy and design will not be anything like what they saw on your ad.

 

The Thank You Page

The patient enters their details on the landing page and clicks the “Remove My Wrinkles Now!” They are now added to your email list and sent to a Thank You page.

 

Follow Up

In this final step of the marketing funnel, you will need to send a series of two emails and a text message. Why the text message? It gives the lead your tracking phone number which motivates them to call immediately. This is clever and professional at the same time.


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