Chiropractor marketing on Google, from Conway, ArkansasGoogle Ads for chiropractors, built for new patients.

Your ads show to people in your area or who spend time there. By default, Google also shows ads to people far away when they show interest in your town. We switch that off on every local campaign, because a patient has to be able to drive to you.

Our Local Services Ads management page has the full routine we run on a Local Services account, from the profile to the weekly cap.

We're a small team in Conway, Arkansas, and we've run Google Ads since May 2016. We work with businesses across the US by phone and video, so your office doesn't need to be near ours.

• Local Services Ads: we build your profile with the care you offer, your area and your hours, and you pay Google for each lead instead of each click. Open Spots Local runs these.
• Search ads: where Google doesn't offer Local Services in your ZIP code, we write ads for the visits you want more of and send each one to a page built for new patients. Open Spots Search runs one Search campaign.
• Tracking: we track each call and form back to the ad that brought it, so your portal lists every lead with the time it came in and what it cost.
• Waste: we read your search terms every week and block the ones that won't become patients, because you pay for a click from a student or a job seeker just as you pay for one from someone in pain.
• Your area: we build it from the ZIP codes you serve, so your ads show to people close enough to come in for a visit.

Google checks a health office closely. For chiropractors, Google's US list names a provider check, a practice check, and state licenses for both the practice and the provider. Some offices also have to send malpractice and general liability insurance and an NPI number. We gather those files with you and send them to Google.

Your ad waits for every check. Google lets some businesses run an early listing before their checks are done, and it shows that listing below the verified ones. It doesn't offer that early listing for health care. So your ad starts once your checks pass, and the sooner your files come in, the sooner that day comes.

New patients call or send a message. Google says booking leads aren't available for health care, so a new patient reaches you by phone or by message. Google ranks your ad on your bid and your profile, and that takes in how fast you answer, your stars, your review count, your reply time and your photos.

Google doesn't credit health office leads. Google says lead credits aren't available for health care, so a junk call stays on your bill. Google can also charge for a missed call in your open hours when the caller holds on for more than 20 seconds, so list only the hours someone picks up.

That's why our Lead Guarantee counts leads its own way for a chiropractor. Word for word: A qualified lead is a call of 30 seconds or more, or a message, that Google charges you for in your Local Services account. A lead you tell us is spam, a wrong number or a sales call within 7 days doesn't count.

Google began moving Local Services campaigns into Google Ads in August 2026, with chosen home and storefront service businesses first. Wider groups follow in late 2026 and the rest in 2027, so we watch for your office's date and move your account with it.

Harvard Business Review researchers studied how fast companies answered new web leads. Those that reached a lead within an hour were nearly 7 times as likely to talk with the person who decides as those that waited longer. Our speed to lead guide has a callback routine any office can run.

Plenty of leads arrive after you close: across 6 of our clients, 46% of website form leads came in at night or on a weekend. A message that lands on Saturday night should get a reply first thing Monday morning, from the office line, so the person knows it's you.

A booked first visit still needs a reminder. A review of seven trials with 5,841 people looked at who came to their health care visits. Of the people sent no reminder, 68% came, and of the people sent a text reminder, 79% came. So text every new patient the day before the first visit, once they've said texts are OK.

Your calls carry your patients' health facts, so we don't record them or keep transcripts. That stays off until we both sign a business associate agreement (a BAA). We still count every call and form, and your portal shows each one with the time it came in and what it cost.

Your ad spend is separate from our fee. On Open Spots we pay Google and take last week's exact charges from your business bank each Monday, up to the weekly cap you set. We add nothing on top.

Open Spots Local carries our Lead Guarantee: A set number of Local Services leads, in trades and states that have a number. Your proposal prints the number for your trade and state, and what happens if you fall short. If Google hasn't charged your first $1,000 by day 60, you don't pay your next bill, as long as your ads stay on at the budget we set. Our lead guarantee applies to Local Services leads only. Search Ads may bring extra leads but have no guaranteed minimum.

Your ads go live within 21 days of getting your access and answers, not counting the days Google takes to check your profile. If we miss, you don't pay your first 4-week fee.

We bill every 4 weeks, so a year is 13 bills. Stop anytime in your first 30 days, and the fee never starts. The 13-cycle plan: the build is $0 today, and you sign up for 13 cycles, one every 4 weeks. There's no 30-Day Stop. If you stop before your 13th cycle, the build you skipped goes on your last bill.

Open Spots Search keeps the count small where you work. We take at most 2 shops in your trade in each market. Every price we charge is on our pricing page.