An agreed patient number in 90 days, or we work free until we hit it.
Most agencies guarantee effort. We put a patient number in the agreement, define exactly what counts as a patient for your clinic model, and build the tracking that lets both sides see the same figure.
Volume scales with ad budget
Patients are bought with ad spend, so the guarantee has to be sized to it. Ad spend goes directly to Meta and is never paid to us.
in 90 days
$2,000 / mo ad spend
in 90 days
$4,000 / mo ad spend
in 90 days
$18,000 / mo ad spend
What counts as a patient depends on your model
This is the part that decides whether a guarantee is real. We settle it on the strategy call, before anything is built, and it goes in the agreement.
| Clinic model | Guaranteed unit | Counts when |
|---|---|---|
| In-person clinic | Paying patients | Paid a deposit and booked a consultation. |
| Telehealth, pays first | Paying patients | Paid for medication through the checkout funnel. |
| Telehealth, books first | Consultations | Booked the consultation. Payment happens after, outside our control. |
Said plainly, including the parts that favour us
The clock starts at launch
Ninety days runs from when your main patient ads go live, not from signature. It pauses when ads pause. Onboarding, ad account access, LegitScript status, A2P registration, and provider integrations all come first, and several of those depend on third parties we cannot put on a schedule.
Free work is the sole remedy
If we miss the number, we keep managing your account at no further management cost until we reach it. There is no cash refund once the agreement is signed. You continue paying Meta for ad spend during that period, because ad spend is what buys the patients.
What would void it
Pausing or underfunding ad spend below the agreed level, declining the follow-up automation the guarantee depends on, withholding the ad account or page access we need to operate, or forcing a switch away from the platform the plan was built on. All of these are covered on the call before you sign.
The guarantee, answered
What exactly does ScaleClinics guarantee?
A specific number of patients within 90 days, agreed with your clinic before anything launches and written into the agreement. If we miss that number, we keep working at no further management cost until we reach it. The number is sized to your ad budget and clinic model rather than being a single figure applied to everyone.
How is a paying patient defined?
It depends on your clinic model, and we settle it before launch rather than after. For in-person clinics, a paying patient is someone who has paid a deposit and booked a consultation. For telehealth clinics where the patient pays before speaking to anyone, it is someone who paid for medication through the checkout. For telehealth clinics where the patient books a consultation before paying, the guarantee is denominated in booked consultations instead. Using the wrong unit is the single most common reason patient guarantees end in a dispute.
What are the guarantee tiers?
Guarantee volume scales with ad budget, because patient volume is bought with ad spend. Standard is 60 patients in 90 days on $2,000 per month of ad spend. Growth is 120 patients in 90 days on $4,000 per month. Scale is 390 patients in 90 days on $18,000 per month. Ad spend is paid directly to Meta and is never paid to us.
When does the 90-day clock start?
When your main patient ads go live, not when you sign. Onboarding, ad account access, LegitScript status, A2P registration, and provider integrations all have to be in place first, and none of those are things we can force a third party to complete on a schedule. The clock also pauses if ads pause, whether that is your decision, a budget gap, or a platform restriction.
What happens if you miss the number?
We continue managing your account at no further management cost until the agreed number is reached. That is the sole remedy. There is no cash refund once the agreement is signed, and we say that plainly rather than burying it. You continue paying Meta for ad spend during that period, because that is what buys the patients.
What would void the guarantee?
The realistic causes are all things that stop us running the system as designed: pausing or underfunding ad spend below the agreed level, refusing the follow-up automation the guarantee depends on, withholding the ad account or page access we need, or forcing a switch away from the advertising platform the plan was built on. None of these are gotchas, and all of them are discussed on the strategy call before you sign.
Why do most patient guarantees fail?
Because nobody defined the unit or instrumented the counting before launch. A clinic and an agency will agree on a number of paying patients, then discover 60 days in that the payments happen on a third-party telehealth platform that sends no data back, so neither side can prove what happened. We treat the counting method as a build requirement rather than a contract clause, which is why conversion tracking goes in before the ads do.
Stop chasing leads.
Start booking patients.
15-minute strategy call. We'll look at how you're getting patients now, tell you what we'd change, and give you a guaranteed patient number for your clinic.
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