Guide
Email and SMS for Clinics: How They Work With Paid Ads
MedScale doesn't run email or SMS. Your team or a lifecycle partner does. Here is how follow-up and paid ads fit together.
The short answer
MedScale doesn't run email or SMS. Follow-up, reminders, reactivation and refill messages belong to your team or a lifecycle partner on a sender covered by a BAA. We run the paid side: the ads, the landing pages and the tracking. The two meet at one moment, when a paid lead lands in your CRM, and how fast and how carefully that lead hears back decides whether the ad spend turns into a booking.
How they fit together
Who runs what, and where paid helps.
What MedScale runs on the paid side
- Ad landing pages with consent captured on every form
- Lead handoff to your CRM or booking tool
- Server-side tracking from the ad click to the booking
- A Monday report showing bookings by campaign
The services that do this
- Paid AdsThe campaigns that bring the leads your follow-up converts.
- Landing Pages for Healthcare AdsForms that capture consent and hand off to your CRM.
- Paid Media Strategy and ReportingTracking that credits the booking to the ad, whichever message closed it.
The report reads the same whichever services you buy, because all of them run on the same server-side tracking. See how the tiers bundle them.
Next step
Get the paid side planned around the partners you already have.
The free Growth Audit reads your ads, landing pages and tracking and hands back a written 90-day plan for the paid side. You keep it whether or not we work together.
Common questions
What people ask us about this.
Does MedScale run email and SMS?
No. MedScale runs paid acquisition only. Your team or a lifecycle partner runs the sender and the sequences, and MedScale makes sure every paid lead reaches them with consent recorded.
Is texting patients HIPAA compliant?
It can be. Three things have to be true: the sending platform is under a BAA, the message contains no PHI beyond what the patient needs to act on (a booking link, an appointment time), and the patient gave consent to be texted. Your sender and your counsel own those three; MedScale captures consent on the forms it builds.
We already use GoHighLevel or Klaviyo. Does that change anything for ads?
No. MedScale hands leads to whichever CRM or booking tool you use and records the booking from there. What matters for the ads is that the booking is recorded, not which platform sent the reminder.
What counts as PHI in a marketing message?
Anything that ties an identifiable person to a condition, a medication or a treatment. "Your GLP-1 refill is due" in a subject line is PHI. "Your refill is due" with the detail behind a login is not. Segment names follow the same rule, because a leaked audience list is a breach.
Can you text a list from three years ago?
MedScale doesn't send texts. Before your partner does, they should check when consent was captured and what it covered, because the TCPA (the federal law on marketing texts and calls) requires prior express consent.
From the answers library
Related answers.
Is Email and SMS Marketing HIPAA Compliant for a Clinic?
As of October 2026, a clinic can run compliant email and SMS when the sending platform signs a business associate agreement, no message or segment ties a person to a condition or medication beyond what they need to act on, and marketing texts have TCPA written consent. MedScale Health, a paid ads agency for US telehealth brands and clinics, does not run email or SMS; it builds the ad landing-page forms where that text consent is captured. Treatment reminders sit outside HIPAA's marketing definition.
Reviewed October 24, 2026
What Does a Telehealth Growth Audit Include?
As of October 2026, a telehealth growth audit worth reading covers five things: the channels your category can run, every ad and page read against health policy, the patient's conversion path, what your tracking sends to the ad platforms, and a costed 90-day plan. MedScale Health, a paid ads agency for US telehealth brands and clinics, delivers that document in five business days from read-only access. An audit that skips the policy read or the tracking review is a sales call with a PDF attached.
Reviewed October 24, 2026
Growth audit
See where your growth is leaking.
We audit the ads, the landing pages, the tracking and the compliance posture, then hand you the roadmap. The people writing it have run the same funnel from the inside. You keep it whether or not we work together.
- Reviewed
- Funnel, tracking, and compliance posture
- Discussed
- One 30-minute call with the operator on your account
- Delivered
- A written roadmap within 5 business days