Jeremy on Marketing Podcast

Why Google Ads Matter for PT Clinics (And Why Most Get It Wrong) When people are in pain, they don't go to Instagram or Facebook. They go to Google. They search things like "best physical therapist near me" or "knee pain treatment," and that behavior is not changing anytime soon. In this episode, Jeremy breaks down why Google Ads are one of the most powerful and predictable growth tools for clinics and why most clinic owners fail to get results with them. 📌 Episode Topics Why Google is still the #1 place patients go when they need care The difference between intent-based marketing vs interruption marketing How Google Ads helped scale a clinic to 7 PTs and a second location The biggest mistake clinic owners make when running ads The 3 systems required for accurate tracking and performance 🧠 Why Google Ads Work Google Ads are not interruption marketing. They are intent-based. That means you are showing up exactly when someone is already looking for help. Jeremy shares that: 45% of Google searches have local intent 75% of those searches go directly to Google Maps And Google Ads allow you to show up right there, where patients are actively searching. 📈 The Real Advantage: Predictability Jeremy used Google Ads to grow his own clinic to multiple therapists and locations. The reason he leaned on them was simple: They are predictable. With the right setup, you can estimate how many patients you'll get based on how much you spend. ⚠️ Why Most Clinics Fail with Google Ads It's not that Google Ads don't work. It's that most clinic owners set them up incorrectly. The biggest issue is bad tracking. Out-of-the-box conversion tracking often: Doesn't accurately track real leads Doesn't connect to booked evaluations Optimizes ads based on incomplete data If your data is wrong, your results will be too. ⚙️ The 3 Things You Must Have Set Up To make Google Ads actually work, Jeremy explains you need: Google Analytics: Tracks who is visiting your site and what they're doing Google Tag Manager: Connects your site to tracking events like form fills, calls, and bookings Google Search Console: Shows what people are searching to find your website If you're missing one of these, there's a good chance your ads have underperformed in the past. 📊 Why This Matters When everything is set up correctly, Google can tell you: How many people are searching for PT in your area What it costs per click and per lead How many leads you can expect from your budget Instead of guessing, you're making decisions based on real data. ✅ The Goal: Clarity Before You Spend Most clinic owners either guess, rely on bad past experiences, or never set things up correctly. The goal of a proper Google Ads setup is simple: Know exactly what to expect before you spend money. 📞 Want a Free Google Ads Audit? Jeremy is offering a limited number of 30-minute audits where you'll get: A breakdown of your current setup (if you're running ads) What's broken and how to fix it How many leads you can expect in your area Estimated cost per lead and patient acquisition 👉 Book your free Google Ads audit By the end of the call, you'll know exactly whether Google Ads make sense for your clinic.

Why Your Google Reviews Aren't Ranking You Higher Most clinic owners focus on the total number of Google reviews. But the clinics consistently showing up in the top three spots on Google Maps are doing something different — and it has nothing to do with volume. The real ranking factor: review velocity Review velocity is the speed and consistency at which your business earns new reviews over time. Google is not rewarding the clinic with the most reviews — it is rewarding the clinic that is actively earning reviews right now. A clinic with 90 reviews receiving two or three new ones every week will typically outrank a clinic with 220 reviews that stopped getting new ones six months ago. Consistency is what wins. Not volume. A steady flow of reviews week after week signals to Google that your clinic is active, your patients are satisfied, and your business is worth recommending. Why the "review push" approach backfires Many clinics fall into the same pattern: go weeks without asking for reviews, remember it matters, do a big push, collect 10 reviews in a week, then go silent again. From Google's perspective, this looks unnatural. Clinics doing large sporadic bursts are now seeing those reviews flagged and removed. A slow, steady rhythm is not just better — it is safer. How the AI SMS admin works Inside the CRMs Patch builds for clinics, there is a built-in tool designed specifically to build review velocity automatically — without your admin chasing patients or your PTs feeling awkward asking at the front desk. Here is how it works: About three weeks after a new patient starts, the system sends a casual check-in text asking how their experience has been. If they respond positively, a follow-up asks them to rate their experience on a scale of 1 to 5. Patients who respond with a 5 are immediately sent a direct Google review link with a short note about why it helps. If they do not follow through, the system sends gentle reminders — just enough to nudge, not enough to annoy. You are only asking satisfied patients for reviews. That single filter dramatically increases the percentage who actually follow through. With 20 new patients a month and a 50% conversion rate, that is roughly 10 reviews per month — the two to three per week mark that signals real review velocity to Google. The takeaway Stop optimizing for total review count. Instead, build a system that produces consistent, ongoing reviews — one this week, two next week, another after that. That pattern is exactly what Google's algorithm is designed to reward. Clinics that do this well earn a compounding advantage in local search over time, showing up where it matters most: the top three results on Google Maps, where the majority of calls actually come from. Want to see how the AI SMS admin works for your clinic? Book a free demo

How to Fill a New Staff PT's Schedule in 8 Weeks Hiring your first staff PT is one of the biggest mindset shifts in clinic ownership. The second payroll becomes real, fear shows up fast. In this episode, Jeremy breaks down the exact 6-part system he has used in his own clinic and taught inside Patch to help new staff PTs reach 25 visits per week within 8 weeks. 📌 Episode Topics Why hiring feels scary for most clinic owners The real reason new staff PT schedules stay empty The 6-part system for filling a new PT fast Why discounted offers can help you break even sooner How email, ads, social media, and manual reach-outs work together 🧠 The Big Idea Most clinic owners do not have a hiring problem. They have a demand generation problem. If you do not have a system to create demand for someone other than yourself, hiring will always feel risky. ✅ The 6-Part System Email Campaign: Run a 2-week campaign introducing the new PT, their niche, and a strong limited-time offer. Paid Ads: Increase Google and/or Meta ads once the PT is ready to take evaluations. Social Media: Post consistently about the new hire, the offer, and why they are a great fit. Old Lead Reach-Out: Manually contact form fills and discovery call leads from the past 12 months. Past Patient Reach-Out: Reconnect with former patients, incomplete packages, and people who fell off the schedule. Sales Assets: Create a landing page and package sheet so all traffic points to one clear offer. 🎯 Why the Offer Matters Jeremy recommends a low-barrier entry offer to get momentum fast, usually a discounted evaluation and a discounted package. The goal early on is simple: fill open slots, build confidence, and get the new PT to break even as quickly as possible. 📈 The Main Takeaway If you only do one or two of these steps, results will be inconsistent. If you execute all six together, hiring stops feeling like a gamble and starts becoming a growth lever. 📞 Want Help Building This System? If you want help filling a new staff PT's schedule faster, Patch can help you build and run this system inside your clinic. 👉 Book a free demo

Why February Revenue Looks "Down" and Why You Shouldn't Panic It's the first week of March. You open your revenue dashboard, and February looks soft. And every year, clinic owners send the same message: "Jeremy, what's going on? New Year's resolution people are everywhere, but February revenue was low." Jeremy's response is always the same: How many days were you actually open? Because February is short. Fewer working days often explains the entire dip. 📌 Episode Topics Why February often "underperforms" on paper The difference between lagging vs leading indicators How to compare months correctly (hint: per-day metrics) The biggest mistake owners make when February looks down How to think like a CEO instead of reacting emotionally 🧠 Revenue Is a Lagging Indicator Jeremy defines a lagging indicator as a metric that reflects past activity. Revenue is not telling you what's happening right now. It's reflecting: Leads from the last 30–60 days Conversions from January Marketing decisions made back in Q4 So when February revenue dips, most of the time nothing is "broken." You're just looking in the rearview mirror. ✅ What to Watch Instead: Leading Indicators If you want to know how healthy your clinic is, look at what's happening now: Leads in the last 7 days vs your weekly average Speed-to-lead (how fast you respond) Eval-to-package conversion over the last 30 days Total reach-outs and follow-up activity Revenue is the scoreboard. Activity is the game. 📊 The Simple Math of a Short Month If you compare January to February without accounting for working days, you're setting yourself up to spiral. Example from the episode: If your clinic averages $6,000 per working day And February has 2 fewer working days That's $12,000 "missing" with no real change in performance In many regions, February also includes travel, school breaks, weather disruptions, and cancellations, which magnify the perception of a "down month." 🚫 The Real Danger: Overcorrecting Jeremy's biggest warning is that February being down isn't the problem. The problem is what owners do next. When clinic owners panic, they often: Pull ad spend Cut marketing Start discounting Tighten up in the wrong places Do not make permanent decisions based on temporary data. Marketing is a long game. If you pull marketing because of a short month, you create a worse March, then panic again, then spiral. 🧱 Emotional Volatility Is Part of Ownership Owning a clinic is emotionally volatile. One week you feel unstoppable. The next week you're googling "Is my PT market saturated?" The goal isn't to be numb. It's to be steady. Don't let one month define your confidence. 📈 Think Quarterly, Not Monthly Jeremy shares he barely looks at months anymore. He tracks on a quarterly basis. Monthly numbers can swing heavily, especially if you sell packages and collect cash in bursts while fulfilling later. Use monthly data only to confirm you're still on track for your quarter. ✅ The Takeaway If your clinic is fundamentally sound: Leads are coming in Follow-up is aggressive and consistent Conversions are strong Marketing is running Then February is just February. The clinics that win don't freak out in February. They build in February. 🔥 Final Reminder Take a breath. Check your daily numbers. Stop staring at the monthly dashboard. Go sell five more packages. You'll feel better immediately.

Most Clinics Don't Have a Lead Problem: They Have a Systems Problem Here's the hot take from today's episode: most clinic owners think they need more leads, but what they really need is a reliable follow-up system. Leads are already coming in. The issue is what happens next. For most clinics, follow-up is inconsistent and revenue depends on whoever is available, how busy the front desk is, and whether the owner has time that day. But if you simply followed up better with the leads you already have, you'd grow without needing to work more hours. In this episode, Jeremy is joined by Ryan, who has been using Patch's new AI-powered clinic operating system for the past 6–12 months. They break down what it is, how it works, and why it's helping clinics scale with more predictability. 📌 Episode Topics Why most clinics don't have a lead problem, they have a follow-up problem What Patch's AI operating system includes and how it's installed How AI SMS solves the speed-to-lead and follow-up consistency gap Why human follow-up breaks down after the first few touchpoints The KPIs that make ad spend feel like an investment, not an expense How clinic owners can shift into real CEO mode once systems are installed 🧠 The Core Problem: Inconsistent Follow-Up People don't inquire about PT for fun. If they fill out a form, call, or message you, they're a hot lead. But most clinics rely on humans to follow up consistently and that's where things break down. Touchpoints get missed. Leads cool off. The schedule stays unpredictable. 🧩 Patch's AI Clinic Operating System: What It Does Jeremy outlines three core components that make up the Patch AI operating system: 1) Backend CRM Systems: Every lead from every source (website forms, calls, emails, Google ads, Meta ads) is captured into a CRM and followed up with based on where they are in the sales process. 2) Done-For-You Lead Generation: Clinics start with Google Ads because intent is highest. Patch handles setup, tracking, and performance optimization. 3) AI Admin SMS Follow-Up: New leads are texted and nurtured consistently to get booked, solving speed-to-lead and the follow-up drop-off that happens with humans. 📈 Ryan's Results: Speed-to-Lead Changed Everything Ryan explains that Patch's AI acts as the front-end "sales agent" for all new leads. The AI continues follow-up until one of two things happens: The lead books a call The lead says "stop" and is disqualified In the first two weeks of February (as recorded), Ryan's clinic completed 22 evaluations, and he credits the AI system with solving their biggest bottleneck: speed-to-lead. 👥 Why Humans Fall Off After 2 Touchpoints Even with SOPs, humans naturally stop following up consistently. Not because they're lazy, but because it feels awkward. Ryan's office manager could do the first couple touchpoints, but: Leads came in when she wasn't working Hours passed before the first response Follow-up fizzled after the first few messages The AI solved that by being available 24/7 and by following up as many times as needed without "cringe factor." 🤖 Why AI SMS Doesn't Feel Robotic Ryan shares that he was surprised how personal the conversations sounded. Instead of generic scheduled blasts, the AI responds to the lead's questions, qualifies them, and keeps the conversation moving toward a booked call. Patch also builds a clinic-specific knowledge base so the AI understands services, positioning, and local context, helping it answer questions with accuracy. 📊 Metrics That Make Growth Predictable A big theme of the episode is predictability. Ryan explains the KPIs he tracks: Total leads per month (across calls, forms, messages) Leads → discovery calls Discovery calls → evaluations Evaluations → packages Lifetime value (LTV) and profit margin Once those numbers are known, ad spend becomes simple math. You can reverse engineer growth instead of guessing. 🧠 CEO Mode: "Own the Morning" With systems running, clinic owners can step back and focus on fixing the real leaks in the business. Ryan describes "own the morning" as focused CEO time where you: Don't get stuck in emails and busywork Look at the business as a machine Identify bottlenecks and move the needle ✅ Who Is This For? Ryan's take: there's no minimum size. It's for clinic owners who want to grow and are willing to install real systems. If you're small, it helps you scale faster without relying on yourself for everything. If you're bigger, it reduces staffing strain and makes growth more predictable. 📞 Want to See the Patch AI Operating System? Ryan walks clinic owners through the system on strategy calls, including: Current numbers and goals for the next 6–12 months Where the real bottleneck is What it will take to hit the next level A live look at how the operating system works 👉 Book a free demo

Auto SMS for PT Clinics: Why Conversational AI Is the Future of Lead Conversion This might sound a little insane, but when auto SMS is set up the right way, clinics convert leads at an absurdly high rate. When someone fills out a form on your website, they are raising their hand and saying, "I'm in pain. I want help." If you can text them within 60 seconds, you're not marketing anymore. You're capturing demand while it's hot. But here's the catch: not all auto SMS is created equal. 📌 Episode Topics Why speed-to-lead via SMS dramatically increases conversions The legal risks most clinics overlook with automated texting Why time-based automation feels robotic and outdated The shift from timer-based SMS to conversational AI How to use SMS as a trust channel instead of a sales megaphone ⚖️ First: The Legal Side of Auto SMS There are far more rules around automated text messaging than most clinic owners realize. In certain states, you cannot send automated SMS on specific days, holidays, or times. Violations don't come with warnings. They can come with fines. Standard automation is blind to context. It sends texts based on timers, not real-world awareness. Example shared in the episode: A lead fills out a form on Christmas Eve. Standard automation texts them immediately. Then texts again 24 hours later… on Christmas Day. That's not thoughtful. In some states, it may not even be legal. Conversational AI systems recognize context like holidays and adjust accordingly. That difference matters. ⏱️ Old Automation vs. Conversational AI ❌ The Old Way: Time-Based Automation If X happens, wait X hours, send Y message. This works for email. It does not work for text messaging. If a lead responds immediately with a question like: "I have knee pain. I'm not sure if PT can help." Time-based automation keeps blasting scheduled follow-ups. That's not a conversation. That's harassment. ✅ The New Way: Conversation-Based Automation Conversational AI adapts based on behavior. Instead of sending another generic follow-up, it responds intelligently: Addresses the knee pain concern Explains how it's treated Asks clarifying questions This feels human. It builds trust. It moves people toward booking. Automation in 2026 is no longer about delays. It's about dialogue. 📱 SMS Is a Trust Channel, Not a Sales Channel When someone gives you their phone number, you're entering their pocket. That's intimate. The mistake clinics make is using SMS like a megaphone: "Book now." "Spots available." "Reminder." The better approach is to treat SMS like a helpful front desk admin: Calm Clear Question-driven Focused on reducing friction The goal isn't pressure. It's guidance. 🚀 How Patch Is Using AI SMS The episode outlines three primary use cases: New Lead Follow-Up: Instant conversational responses to website, Google, or Meta leads. New Patient Experience: Asking about their visit and directing happy patients to leave Google reviews. Lost Patient Re-Engagement: Smart, contextual follow-ups to reconnect past patients. This approach solves speed-to-lead without sacrificing trust. ✅ The Big Takeaway Auto SMS is one of the highest-leverage tools in clinic marketing. But: Time-based automation is outdated. It can create legal issues. It damages trust when done poorly. The future is conversational, AI-driven, and context-aware. A system that feels like a real admin, not a robot with a stopwatch. 📩 Want to Learn More? If you want to learn more about the AI SMS tool or become one of the founding clinics using it, reach out directly. 👉 Email: [email protected] Mention that you heard the podcast or watched the YouTube episode. Patch is taking on a small group to install this the right way.

CrossFit Open Campaign: How Clinics Add $20K–$30K in Just 3 Weeks Every year, there's a predictable window in February and March where physical therapy clinics can generate $20,000–$30,000 in additional top-line revenue. No new service. No complex funnel. No long nurture sequence. Just timing, a clear offer, and smart follow-up built around one event CrossFitters care deeply about: the CrossFit Open. In this episode, the speaker breaks down the exact CrossFit Open campaign Patch has run for clinics over the last few years and why it works so consistently. If you act now, you can still run it for the 2026 CrossFit Open. 📌 Episode Topics Why the CrossFit Open creates a predictable demand spike The simple "6-pack" offer that converts How to time emails before the chaos starts Why localization matters more than fancy copy The role a CRM plays in hitting $20K+ 🧠 Why CrossFitters Convert So Well Most clinics already treat CrossFitters or "active adults" who quietly become CrossFit patients every March. CrossFit athletes don't want pain relief. They want to: Stay on the gym floor Perform better Survive all three weeks without getting hurt 🎯 The Offer: 6 Sessions, 26% Off 6 sessions total 26% off (tied to the 2026 Open) Positioned as performance support, not generic PT 📈 The Revenue Math Selling just 10 packages often generates $3,000–$6,000. With manual outreach and gym presence, clinics regularly stack $20K–$50K during Open season. ⏱️ Timing Is Everything The money is made before the Open starts. Email 1: Two weeks before the first workout Email 2: One week before Email 3: Monday of Open week 🧩 Why a CRM Is Non-Negotiable This campaign only works if emails go to CrossFit-specific leads, not your entire list. Segmentation protects your list and drives higher conversions. 📲 Manual Outreach Multiplies Results Direct messages and personal check-ins tied to the Open dramatically increase package sales. ✅ The Playbook Create a clear Open-specific offer Start marketing two weeks early Keep copy simple and community-based Localize every message Segment CrossFit leads in your CRM Layer in manual outreach 📞 Want This Built for You? If you want the exact CrossFit Open campaign that's helped clinics generate $20K–$30K during Open season, the Patch team can build and customize it for you. 👉 Book a free demo

HubSpot vs. GoHighLevel: Which CRM Is Right for Your Physical Therapy Clinic? If you're a clinic owner, you need a CRM. That part isn't up for debate. The real question most clinic owners ask isn't if they need one, but which CRM they should use. In today's episode, Jeremy breaks down the two platforms almost every clinic owner ends up choosing between: HubSpot and GoHighLevel. This isn't theory or opinion. Jeremy has used both platforms extensively, running his own clinic on each, and now building CRMs for hundreds of clinics through Patch. The answer isn't flashy, but it's honest: the right CRM depends on where your clinic is right now. 📌 Episode Topics Why every clinic needs a CRM regardless of size The real differences between HubSpot and GoHighLevel How revenue stage should drive software decisions The hidden risk of CRM ownership most clinics overlook Why reporting quality matters more as you scale 🧠 Why This Decision Matters CRMs are not just software. They are systems. They control your follow-up, your data, your automation, and ultimately how predictable your revenue is. Choosing the wrong CRM for your stage either slows growth or creates unnecessary complexity. There is no "best" CRM. There is only the right CRM for your current stage of business. ⚖️ The Core Difference: Stage of Growth Jeremy makes one thing very clear: solo clinic owners and multi-clinic operators both need CRMs, but they should not be using the same one. Different stages require: Different levels of structure Different reporting depth Different tolerance for complexity and risk 🚀 GoHighLevel: Best for Clinics Under $20K/Month If your clinic is consistently doing under $20,000 per month, GoHighLevel is usually the right starting point. Why? Low monthly cost (around $100/month) Strong basic automations Centralized lead and patient tracking Email and SMS follow-up built in At this stage, you need leverage, not perfection. GoHighLevel gives you everything you need to follow up properly without overbuilding your systems. ⚠️ Important Note on Ownership Most GoHighLevel accounts live under an agency umbrella, meaning the agency technically owns the CRM. For early-stage clinics, this risk is usually acceptable. You're moving fast, testing systems, and focused on growth. Once revenue increases, this becomes a problem. 🏗️ HubSpot: Best for Clinics Over $20K/Month Once your clinic crosses $20,000 per month, the equation changes. At this level, HubSpot becomes a competitive advantage because: You own the CRM outright Reporting answers why things happen, not just what happened Systems scale without breaking Staff adoption is significantly easier HubSpot is not just software. It becomes an asset. Jeremy shares that owning his HubSpot account was a major factor in the valuation and multiple when he sold his clinic. Buyers don't just buy revenue. They buy systems. 📊 Reporting: The Real Divider This is where the platforms truly separate. GoHighLevel reporting answers: What happened in the funnel? HubSpot reporting answers: Why did it happen? What should we do next? If you're spending real money on ads and trying to scale, surface-level reporting is not enough. Strategic decisions require strategic data. ⚙️ Automation: More Similar Than You Think For about 90% of clinics, automation capabilities are similar across both platforms. Both can: Send automated emails Trigger follow-ups Move leads through pipelines The difference isn't automation volume. It's automation stability. HubSpot handles complexity without duct tape. GoHighLevel excels with simple systems. 🧑‍💻 Usability for Owners and Staff GoHighLevel is easier to jump into but easier to break. HubSpot is harder to learn but much harder to mess up. For solo owners, this may not matter. For growing teams, it matters a lot. Across hundreds of clinic onboardings, staff adoption is consistently smoother in HubSpot once systems are built correctly. ✅ The Simple Rule Under $20K/month: Use GoHighLevel. Save money. Build habits. Invest in growth. Over $20K/month: Use HubSpot. Own your data. Scale safely. Build real systems. The biggest mistake clinic owners make is choosing software based on how it feels in week one instead of how it behaves in year two. 📞 Want Help Choosing or Building the Right CRM? The Patch team builds CRMs in both HubSpot and GoHighLevel. There's no bias toward either platform. Strategy calls are run by clinic owners who actively use these systems, one on HubSpot and one on GoHighLevel. 👉 Book a free

The 4 Foundational Automations Every Physical Therapy Clinic Needs If your clinic is doing manual follow-up, tracking leads in spreadsheets, or relying on memory to move people forward, you are making this harder than it needs to be. In this episode, Jeremy breaks down the four foundational automations every physical therapy clinic needs, whether you're seeing a few patients on the side or running a multi-location operation. These are not advanced funnels or flashy tools. These are the automations that consistently turn more leads into patients and make clinic life significantly easier. 📌 Episode Topics The four automations every clinic needs regardless of size Why speed-to-lead is the biggest conversion lever How to educate patients before they ever walk in the door Where AI fits into modern clinic automation Why generic CRM templates fail clinics 🧠 Why Automation Is No Longer Optional Automation software is cheaper, easier, and more flexible than ever. There is no reason clinic owners should still be doing manual follow-up or letting leads sit untouched for hours or days. The ROI on automation is massive because it: Reduces response time Improves conversion rates Removes repetitive admin work Creates consistency regardless of workload Whether you're solo, part-time, or managing a large team, these four automations form the foundation of a scalable clinic. ⚡ Automation #1: New Lead Follow-Up This is the most important automation in your entire system. Any time someone fills out a form, clicks an ad, or inquires about services, follow-up must happen immediately. Speed-to-lead is the single biggest factor in turning inquiries into patients. This automation should include: An immediate email response confirming the inquiry A clear next step (usually booking a discovery call) Conversational SMS follow-up, not spammy blasts Waiting hours or days to respond makes scaling nearly impossible. Automation ensures every lead is contacted fast, even when you're busy. 🎯 Automation #2: Opportunity Email Drip An opportunity is any lead that has taken a real step forward, typically by booking a discovery call. Between booking that call and deciding to move forward, patients have questions. This automation exists to answer them before they ever show up. The opportunity drip typically runs for about 14 days and should: Explain how your clinic is different Address common objections (cost, insurance, time) Educate patients on why your model works This is especially critical for cash-based clinics where education is required before commitment. 🩺 Automation #3: New Patient Automation Once someone becomes a patient, automation should continue. This automation typically runs for 90 days and supports the entire initial plan of care. Its goals are to improve retention, generate referrals, and prepare patients for continuity. This sequence often includes: A welcome email setting expectations Mid-plan check-ins Referral requests Google review prompts Education around ongoing care options The key is to start talking about continuity before the last session, not during it. 🔁 Automation #4: Lost Patient Follow-Up Every clinic has lost leads and lost patients. Most clinics ignore them. Any lead or patient who doesn't move forward should be enrolled in a lost patient automation. This can be as simple or advanced as your clinic allows. At a minimum, this should include: Monthly check-in emails Automated reminders for manual follow-up Basic objection-based education When done well, this alone can reactivate multiple patients per month without spending more on ads. 🤖 Where AI Fits (and Where It Doesn't) Jeremy explains why traditional "set it and forget it" SMS automation is losing effectiveness. Text messaging is personal. Poor automation feels robotic and annoying. The future is conversational AI that: Responds naturally to replies Adjusts follow-up timing Feels human, not scripted This approach improves engagement without burning your list. ⚠️ Why Templates Don't Work The biggest mistake clinics make is using generic CRM templates. Every automation in this system must be customized to: Your services Your pricing model Your patient demographics Your clinical philosophy A templated CRM is barely better than no CRM at all. 📞 Want These Automations Built for You? If you want help setting up these four automations or learning how they apply to your clinic, the Patch team walks through this on a free strategy call. 👉 Book a free strategy call with Patch The goal isn't more software. It's a system that runs your follow-up so you don't have to. 🏁 Final Takeaway If you want a clinic that scales without burning you out, automation is not optional. Start with these four. Everything else builds on top.

The Patient Automation Map Every Clinic Needs to Stop Leaking Revenue If your clinic is getting leads but revenue still feels inconsistent, the problem isn't marketing. It's follow-up. In this solo episode, Jeremy walks through the exact patient automation roadmap used inside Patch to automate the entire patient journey inside a physical therapy clinic. This isn't theory. It's the system that handles every touchpoint from the first ad click or form fill all the way through booking, care continuity, reactivation, and referrals. And if this map doesn't exist inside your CRM, you are bleeding revenue you already paid for. 📌 Episode Topics Why a CRM is not just a contact list The full patient journey from lead to long-term continuity Where automation should replace manual follow-up How clinics add $10k–$20k/month just by fixing follow-up Why lost leads matter more than new leads 🧠 The Big Misconception About CRMs Most clinics think they need more leads. What they actually need is a system that stops leads from falling through the cracks. A CRM doesn't magically generate more leads. It patches the holes in your business by: Capturing every lead automatically Running consistent follow-up without relying on memory Nurturing undecided prospects over time Reactivating lost leads months later If you're still tracking leads in Google Sheets or relying on your front desk to remember who needs follow-up, you are losing deals you already paid for. 🗺 The Patient Automation Roadmap In this episode, Jeremy breaks down the full automation map your CRM should be built around. This includes both the successful path and the far more common unsuccessful paths that most clinics ignore. The roadmap covers: Consideration stage: ads, Google search, referrals, DMs, local events Awareness stage: automated follow-up, email drips, AI SMS, manual touchpoints Acquisition stage: discovery calls, evaluations, packages Service & continuity: package completion, ongoing care, referrals Reactivation: no-shows, stalled leads, lost patients, unfinished plans of care The key insight: most revenue lives in the paths where people don't immediately book. If those paths aren't automated, they're forgotten. 📞 Why Follow-Up Must Be Automated Jeremy explains why every lead should receive multiple touchpoints within the first 72 hours, across: Phone calls Voicemails Text messages Email From there, automation takes over. Not spammy blasts, but intelligent follow-up based on how each lead actually interacts with your clinic. This is how clinics consistently reactivate 6–8 patients per month without spending another dollar on ads. 🔁 Successful vs. Unsuccessful Funnels The most important part of the automation map is not the perfect patient journey. It's what happens when things don't go perfectly. The roadmap accounts for: Leads that never book a discovery call No-shows and cancellations Patients who don't buy a package Patients who don't finish care Patients who finish but don't continue Each scenario has a different follow-up sequence. This is where most CRMs fail when they rely on generic templates instead of custom automation. 🤖 Where AI Fits In (and Where It Doesn't) Jeremy also explains how AI fits into modern CRMs, especially for: Natural-feeling SMS conversations Lead follow-up that feels human Reducing front desk workload without sounding robotic The goal isn't more messages. It's better timing, better context, and fewer missed opportunities. 📥 How to Get the Patient Automation Map The patient automation roadmap discussed in this episode is not a generic worksheet or public download. To access it, you'll need to book a free strategy call with the Patch team. During that call, they'll: Walk you through the full automation map Explain how it applies to your specific clinic Show where revenue is currently leaking 👉 Book your free strategy call here This map only works when it's customized. The value comes from seeing how it's built for your clinic, not from a one-size-fits-al

Why Every PT Clinic Needs a CRM in 2026 If you own a physical therapy clinic and you are still running your business from your inbox, spreadsheets, and sticky notes, you are leaking money and you probably have no idea where it is going. Most clinic owners think the problem is marketing, ads, location, or not having enough leads. In reality most clinics already have plenty of leads. The real issue is that there is no system to capture them, follow up with them, or learn from them. That is where a CRM becomes one of the most important systems in your entire business. In this solo episode Jeremy breaks down what a CRM actually is, why it matters for cash based and hybrid clinics, and how it helped him grow and sell his own seven figure practice. 📌 Episode Topics What a CRM really is in simple terms Why most clinics have a "bucket problem" not a lead problem The four core jobs a CRM should do for your clinic How a CRM turns growth into a math problem instead of a guessing game Why building your own CRM system usually becomes a second full time job How Patch was built to solve this for clinic owners 🧠 What a CRM Actually Is Forget the jargon. A CRM is simply the place where every lead and patient interaction lives in one system. That means: Every form fill Every phone call and voicemail Every text and email Every booked evaluation or missed follow up Instead of this stuff living in your email, in your head, on paper, or in random spreadsheets, it all lives in one central source of truth. That is where the clarity and leverage start. 🪣 Your Business Is a Bucket Jeremy uses a simple picture. Your business is a bucket. Leads are the water you pour into the top. Most clinics do not have a lead problem. They have a bucket problem. Without a CRM the bucket is full of holes: No consistent follow up No nurture emails No sequences for past leads No data on what is working and what is not The result is predictable. Leads drip out the side of the bucket. People inquire once and never hear from you again. Workshop attendees never get a follow up offer. Ad leads vanish after one missed call. A CRM does not magically pour more water into the bucket. It patches the holes so you keep what you already worked hard to earn. 🧩 The Four Core Jobs of a CRM 1. Store everything in one place All leads, all patients, all conversations, all in a single system. Not: Some names on paper from a workshop Some leads in your EMR Newsletters in Mailchimp or MailerLite Other people hidden in a Google Sheet A good CRM becomes the central nervous system of your business so you always know who is a new lead, who is active, who is cold, and who needs contact. 2. Make follow up automatic A strong CRM triggers follow up without you having to remember it: New lead fills out a form and gets an automatic email and text sequence Event attendees get a post workshop nurture and offer New patients get set expectations, reminders, and education on what comes next Follow up becomes a system not a hope. 3. Nurture leads over time A CRM should also be your email marketing engine. From the same place you can: Send weekly or biweekly newsletters Run quarterly campaigns and promos Enroll new leads into drips that explain cash PT, out of network, and continuity Ask for Google reviews and referrals automatically Over time this builds trust and makes it much easier for someone to say yes when they are ready. 4. Give you real data and insight This is where growth turns from guessing into math. With a CRM you can see: Where each lead came from Which sources actually convert into patients Which campaigns and keywords make money and which do not Where leads stall and drop off in your funnel Once you have this clarity it becomes much easier to decide what to stop, what to double down on, and which levers actually move revenue. 📊 From Guessing to Knowing When Jeremy was running his clinic he went deep into their CRM. He knew: The exact ROI on each ad group Which keywords people searched before booking Which leads had opened five emails in a row but never booked That allowed him to step in with personal follow up only where it mattered. It did not feel weird to the lead because he was simply responding to behavior they had already shown. This level of clarity is what helped him scale to seven figures, hire seven PTs, step out of day to day care, and sell the clinic in under three years. ⚙️ Why Most Owners Should Not Build This Alone A real CRM setup is not just software. It is: Marketing strategy Sales psychology Patient behavior Operations and workflow A lot of trial and error Most clinic owners are capable of figuring it out but that does not mean it is the best use of their time. Your highest leverage is usually: Leading the team Refining your offer Building partnerships and marketing channels This is exactly why Patch exists. Jeremy took what worked at his clinic and built it into a ready to use CRM system designed specifically for cash based and hybrid PT clinics so

How to Turn Dry Needling Google Ads Leads Into High-Value Patients Dry needling leads are some of the hardest leads for clinics to convert if you treat them like every other Google Ads lead. But when you understand how these people think and what they actually want they become one of the highest ROI ad groups you can run. Over the last month Jeremy has helped multiple clinic owners completely shift how they view dry needling callers and once they made this mindset change they unlocked the ability to scale their ads profitably instead of shutting them off. If you want your Google Ads to work especially for dry needling you must sell these leads differently. Today Jeremy breaks down exactly how to do it. 📌 Episode Topics Why dry needling leads are uniquely valuable The mindset shift needed to convert these callers The call script that consistently books dry needling leads How to position the evaluation as the natural first step Why the real conversion happens in the evaluation not on the phone The common mistakes clinics make that kill these leads instantly 🧠 Why Dry Needling Leads Are a Goldmine Most clinic owners think dry needling leads are "bad leads" because callers often believe they only want one thing. But this belief is what makes them perfect for a cash based clinic. These people: Are already expecting to pay out of pocket Don't trust traditional PT or have already tried it Are actively searching for a progressive non traditional approach Want fast relief and something different In other words they are already searching for you. They just don't know how your model works yet. Once you learn how to communicate with them you can scale your Google Ads dramatically. 🔄 The Mindset Shift You Must Make The biggest mistake clinics make is trying to correct these leads. If you tell a dry needling caller "dry needling isn't enough" or "you actually need full PT" you lose them instantly. That is the exact clinical tone they are trying to avoid. The mindset shift is simple: You must lead with yes. You align with what they already believe before you teach them anything new. You meet them where they are instead of fighting them. 🗣 The Call Framework That Books Dry Needling Leads 1. Lead with yes "Yes we absolutely do dry needling. It is part of almost every session here." This immediately lowers resistance. They feel heard. They feel like they're in the right place. 2. Ask context questions "Have you had dry needling before? What was your experience like?" Gets them talking Reveals their real motivation Shows you what problem they are trying to solve 3. Establish authority without correcting them Explain the truth in a way that aligns with what they already believe. "Dry needling works best when it's used the right way at the right time and on the right part of the muscle. We use it as part of a bigger plan so the relief actually sticks instead of coming back a week later." This positions you as the expert without sounding condescending. 4. Pivot to the evaluation "The first step is an evaluation where we figure out exactly where you need to be needled and why that area keeps tightening up. And yes we dry needle you in that first session so you get exactly what you're looking for." You remove the commitment fear. You give them the outcome they want. You make the next step simple and logical. 🏥 Why the Evaluation Is Where the Sale Actually Happens Your job on the phone is not to sell a package. It is to get them into the evaluation. The PT's job is to: Over deliver Perform the dry needling they expected Show the full value of your approach Connect the dots between short term relief and long term fixes Once they experience how different you are from traditional PT they are far more open to plans of care and packages. ❌ What Not to Do With Dry Needling Leads Do not correct them on the phone Do not explain long clinical reasoning Do not debate whether dry needling works Do not redirect like an insurance question Do not say "just come in and we'll talk about it" Instead: Align with them Validate what they want Position yourself as the authority Lead them into the evaluation 🎯 Why This Unlocks Google Ads Scale Dry needling keywords have: High search volume Low competition Strong intent Clinics that master selling these leads can scale to three to five thousand dollars a month in ad spend sustainably and profitably. Clinics that don't make this shift usually shut their ads off and assume Google Ads "don't work." 🤝 Want Help Scaling Dry Needling Ads? If you want us to run your Google Ads or help you convert dry needling leads more effectively book a strategy call: https://thepatchsystem.com/demo-schedule Try Patch AI tools here: https://thepatchsystem.ai/ If you can master selling dry needling leads you can scale your clinic faster than almost any other ad group. The demand is there. The intent is strong. You just need the right conversation.

Are You Building a Business or Just Treating Inside One? Most clinic owners don't fail. They just wake up five years later realizing they built a job they can't escape from. In this solo episode, Jeremy breaks down the uncomfortable truth behind why so many owners feel capped and exhausted and why the real issue isn't marketing or insurance or staffing but misalignment between the life they want and the decisions they make every day. This episode is about clarity. If you want a clinic that gives you freedom, you have to act like an entrepreneur, not a clinician who happens to own a business. 📌 Episode Topics Why owning a clinic doesn't automatically make you an entrepreneur The difference between building leverage and providing relief How busy schedules hide deeper decision avoidance Why burnout happens when you try to do both roles at once The seven day test that reveals your true path 🧠 The Core Idea: Entrepreneurship Is a Behavior, Not a Title Jeremy explains why most clinic owners unintentionally stay clinicians while expecting business owner outcomes. They treat too much. They delay hiring. They avoid sales. They do work that feels familiar instead of work that creates freedom. And then they wonder why the clinic depends entirely on them. Entrepreneurs build systems. Clinicians create relief. Both are valuable, but they are not the same job. And the space between the two is where burnout lives. ⚠️ Default vs Designed Clinics Most clinics grow by default. More patients. More hours. More stress. No real strategy. Just inertia. Designed clinics grow on purpose through: Clear decisions Delegation Hiring before you feel ready Learning sales Spending money on advertising Building systems that eventually replace you If your clinic collapses without you, it isn't a business. It's a dependency. And that is what traps most owners for years. 🔍 The Seven Day Test Look back at your last seven days and ask yourself: How much time did I spend treating How much time did I spend building How much time did I spend thinking strategically If you repeat that same week for the next three years, where does your clinic end up? That answer tells you whether you are behaving like an entrepreneur or a clinician. 🎯 The One Question to Answer Before 2026 Do your daily actions match the future you say you want? If you want leverage, freedom, time back, and long term scale you must adopt entrepreneurial behaviors even if you still enjoy treating. Hiring before you are comfortable. Building systems. Spending money on ads. Delegating things you are good at. Selling confidently. These are the behaviors that separate clinic owners who grow from clinic owners who grind. The mistake isn't choosing to be a clinician. The mistake is saying you want entrepreneurial outcomes while behaving like a full time provider. 🤝 Want Help Becoming the Entrepreneur Your Clinic Needs? If you heard this episode and thought yes I want a clinic that works without depending on me Jeremy wants to talk to you. Email him directly: [email protected] Or book a strategy call with the Patch team: https://thepatchsystem.com/demo-schedule Try the PatchSystem AI tools: https://thepatchsystem.ai/ Your clinic will either be built by default or by design. The only difference is whether you choose which path you're actually on.