Dr. StaceyPractice operations & follow-up
Working ads still need someone doing the work.
Dr. Stacey’s ads were already working. She wanted the testing handled, the numbers clear and more of the work off her plate.
Hear what made the difference ↗The strategy behind patient growthBeing seen isn’t
Being seen isn’t
being chosen.
Relevancy. Omnipresence. Intimacy. Give people a reason to notice your practice, get to know you and take the next step.
The psychology. The creative. The work that connects them.
Speak to the life they invest in
Explore five connected campaign examples.
For chiropractors
Relevancy. Omnipresence. Intimacy. Working together.
500+ CLINICS.10+ YEARS.FORGED THROUGH CHIROPRACTIC.
500+ CLINICS.10+ YEARS.FORGED THROUGH CHIROPRACTIC.
Life Chiropractic College West
CloseForChiro
Chiro One Wellness Centers
The method, explained by HaydenWatch the R.O.I. Method
Watch the R.O.I. Method
in action.
“Referral-like” describes the experience the method is designed to create: someone arrives with a sense of who you are, what you do and how you approach your work.
Your approach. The person behind it. What a first visit involves. Each encounter can add understanding before someone arrives. Follow that connection below, then explore the original lessons.
18 minutes with Hayden PowerOpen video ↗
The R.O.I. Method for Chiropractors · Original principles. Current expression.Open the original R.O.I. guide ↗
The work. The people. What happened next.What the work meant
What the work meant
to the practice.
The principles matter because of what happens in the practice. These doctors connect the marketing to bookings, care decisions and the work of running a practice.
Dr. JeffAcquisition & the next practice
Follow the person all the way into care.
In about five and a half weeks, Dr. Jeff reported:
69Opt-ins
31Scheduled
19Attended
19Chose care
His account also describes the confidence of opening another clinic while his other practices continued receiving new patients.
Follow the journey into care ↗Dr. KyleGrowth & practice capacity
More response needs somewhere to go.
Dr. Kyle’s response outpaced the practice’s follow-up. Growth needed staffing and available appointments in the same conversation.
Bring the campaign and the clinic into the same plan.
See why capacity matters ↗Self-reported client experiences, with each period and stage shown. Results vary by practice, market and follow-through.
FOR CHIROPRACTORSR.O.I. in action.
Your philosophy.
Their reason to choose you.
Speak to what they’re feeling.
Back pain. Neck pain. Headaches. And the moments they interrupt.Explore symptom-specific creative
RelevancyStart with what
Start with what
matters to them.
Create a compelling marketing message that resonates with the people your practice is best equipped to serve.
Click to load the YouTube playerWatch on YouTube ↗
The first encounter gives your practice a meaning. Make it about more than a price.
Relevancy connects your message, offer and destination to the person seeing them. What are they experiencing? What do they want to understand? What would make the next step feel worthwhile? An effective campaign answers those questions in the language of the community you serve.
- Offer
What are you inviting someone to do? Make the next step clear and useful. Explain what the person can expect, what it involves and why it matters to their situation.
- Positioning
Why this practice? Show your approach, the practitioner behind it and what makes the experience distinctive. Give people a reason to choose you beyond the introductory offer.
- Messaging
How do you communicate that value? Meet people where they are: some are discovering chiropractic, others are comparing practices, and some are ready to book.
An introductory offer can open the door. Your story, approach and useful information give the invitation substance. The ad and the page it leads to should feel like the same conversation.
RELEVANCY / MADE VISIBLE
Give the message a life to speak to.
A family recipe. Work someone takes pride in. Music that feels like part of them. A specific detail gives the creative something meaningful to say.
Merritt
The keeper of the recipe
The dumplings are only part of the moment. The deeper story is time together and a tradition being passed on.
Fictional practice concept
Brightside
The person with something to contribute
The developer has ideas to build and long screen days to navigate. The message connects that purpose with a recognisable working-day concern.
Fictional practice concept
Coda
The musician in her element
The soundcheck, the band and the shared glance make the scene feel lived in. Her creative identity shapes the invitation.
Fictional practice conceptOmnipresenceStay familiar.
Stay familiar.
Stay worth their time.
Show up consistently with different, useful reasons for your community to get to know you.
Click to load the YouTube playerWatch on YouTube ↗
One person is ready today. Another is still getting to know your practice.
Omnipresence is the experience of encountering a recognisable practice often enough to build familiarity. It works through useful variety: introduce the doctor, explain the first visit, answer a concern, show the practice and make the next step clear.
- Timing
Be present as readiness changes. Consistency gives people more opportunities to encounter your practice when the message becomes relevant to them.
- Frequency
Give each encounter a job. Repeat the identity of the practice, while varying the question, story or useful information. Familiarity should not depend on endlessly repeating the same interruption.
- Platform
Choose the places that fit your audience and purpose. Facebook, Instagram, YouTube and email can play different roles. The message should make sense in the place someone encounters it.
The goal is a connected body of content, rather than isolated promotions. Judge the sequence by what people learn about the practice and whether they have a useful next step. Channel choice and spending should reflect your audience, capacity and actual results.
IntimacyShow the doctor.
Show the doctor.
Start the relationship.
Build a real connection with the practitioner, the practice and the people behind the message.
Click to load the YouTube playerWatch on YouTube ↗
A person asks a real question. Someone notices and responds. That moment matters.
Intimacy is about creating relationships. Technology can support the conversation, but people still want to know who they are dealing with, whether they will be heard and what kind of experience to expect.
- Connection
Show the real practitioner and the real practice. Explain what you believe, how you approach your work and what matters to you. Be honest about what someone can expect.
- Conversation
Reply to questions, comments and appropriate messages. Listen to the concern behind the inquiry. Make ownership clear so an interested person is not left waiting between the campaign and the front desk.
- Community
Connect the relationships that already exist around the practice with the way you show up online. Create space for useful discussion, familiarity and participation.
The recognisable voice of the practice should carry through the ad, website, reply and first appointment. Automation is most useful when it supports that continuity and makes the handoff to a person clear.
Where the principles meetThe overlaps are
The overlaps are
where it gets interesting.
Relevancy, Omnipresence and Intimacy each have a role. The original method goes further: it shows how they work together to shape perceived value, connection and patient fit. Here is what each overlap means in practice.
The perfect priceGive them more
Give them more
than a price to compare.
Click to load the YouTube playerWatch on YouTube ↗
RELEVANCY + OMNIPRESENCE
The offer starts the conversation. It should not become your whole identity.
If someone only sees a price, that is what they have to compare. Relevancy gives the practice a meaning; Omnipresence gives you repeated opportunities to demonstrate it. Together, they can help people understand why your approach matters before a fee becomes the entire discussion.
Explain the first visit clearly. Show the doctor’s thinking. Answer the questions people bring to the decision. Over time, that body of useful information can establish a more informed basis for choosing the practice.
The original method calls this overlap the “perfect price.” It describes the role of perceived value and authority. It is not a promise that marketing alone determines fees, removes every objection or produces a particular financial return.
The perfect connection
Be recognised. Be understood. Be approachable.
OMNIPRESENCE + INTIMACY
A relationship takes shape through the encounters that come before the appointment.
You have probably met someone who arrived knowing little about your practice or what to expect. The opening conversation has to do all the work. Now consider a person who has already seen the doctor explain the approach, toured the office online and received a thoughtful answer to a question.
Omnipresence creates more opportunities to become familiar. Intimacy makes those encounters personal and recognisable. A real voice, useful replies and consistent follow-through give people something more substantial to connect with.
The original method calls this the “perfect connection.” The aim is understanding and familiarity before arrival, followed by a genuine conversation in the office. The relationship still has to be earned.
The perfect patientHelp them choose you.
Help them choose you.
For the right reasons.
INTIMACY + RELEVANCY
Show people who you are, what you do and how you approach care.
When the message is vague, expectations can drift. When it is specific, people have more information to decide whether the practice and the next step make sense for them.
Relevancy connects the message to a person’s situation. Intimacy shows the practitioner’s values, approach and personality. Together, they make the invitation more recognisable to people who connect with what the practice stands for.
“Perfect patient” is the original method’s name for that overlap. The useful goal is an informed inquiry and a clearer starting point for the clinical conversation. Suitability for care is determined through the practice’s assessment, not by an advertisement.
The Nuclear Effect
Bring all three together.
A relevant message. A familiar practice. A real connection. Each makes the others more useful.
Click to load the YouTube playerWatch on YouTube ↗
The original guide calls the intersection the Nuclear Effect: the combined potential of the message, audience and relationship.
An engaged audience.
Useful content gives people reasons to pay attention, understand the practice and stay connected. A larger audience is valuable when the right people recognise the practice and know what to do next.
A more informed care conversation.
People can arrive with more context about the practitioner and the first visit. That creates a clearer starting point for the practice’s own assessment, explanation and care recommendations.
Deeper relationships.
Thoughtful conversations can continue beyond the first inquiry. The method connects how the practice becomes known with how it earns trust and stays present in its community.
These are the method’s intended effects, not guarantees of growth, revenue, patient volume or care outcomes.
Connect the method to the whole patient journey
FIND→TRUST→BOOK→SHOW→START→STAY→REFER / REACTIVATE
From the method to the workThe method matters.
The method matters.
The work makes it real.
You see the finished creative. We carry the decisions behind it: who we’re speaking to, what each encounter needs to do, how the handoffs connect and what improves next.
Ads & original content
We turn your expertise and the questions people ask into campaigns with a point of view. The practitioner’s story, original creative and distribution give your community more reasons to understand the practice.
Pages & booking
We carry the promise into the page, explain the first visit and connect the booking route. The person should know whether they have requested a time or confirmed one, and what happens before they arrive.
Follow-up & practice support
We connect inquiries, responses, reminders and handoffs around your team. Education, follow-up and appropriate reconnection carry the relationship beyond the first appointment. PowerPANEL keeps the conversation and next action together.
Reporting & improvement
We review inquiries, bookings, attendance and care starts alongside your team’s feedback. The question is what to improve next: the message, the page, the response or the level of demand the practice can support.
FOLLOW THE PERSON. UNDERSTAND THE BUSINESS.Make the numbers
Make the numbers
lead to a decision.
A low cost per inquiry tells you only part of the story. Actual collections, acquisition costs and the time and capacity needed to serve people help you judge whether growth is worthwhile.
Lots of inquiries but few bookings? Inspect the response and booking experience. Bookings without attendance? Look at expectations and preparation. Demand beyond the team’s capacity? Bring the campaign and the appointment book into the same plan.
Managed marketing, creative and technology. Month to month. Memberships start at USD $369/month, with the work and responsibilities confirmed for your selected membership. Paid media and onboarding are separate. Explore the memberships.
A few good questionsFrom understanding.
From understanding.
To putting it to work.
The method gives the work a direction. Your practice gives it a context.
Read the method in practiceDoes R.O.I. mean return on investment?
Here, R.O.I. means Relevancy, Omnipresence and Intimacy. Those principles guide how your practice becomes understood and chosen. The business results still matter: inquiries, bookings, attendance and decisions to begin care.
Is this only about Facebook advertising?
An ad can make the introduction. Your website, useful content, the doctor’s voice and a thoughtful reply help carry it forward. The method connects those encounters around one recognisable practice.
Do we need to replace everything?
Start with the part of the journey that needs attention. We look at what you already have, what should stay and what needs to connect—then agree on the work that fits your practice.
Who does the work behind the method?
PowerSURGE brings the strategy, creative, implementation and ongoing campaign decisions. Your team brings its knowledge of the community and the care. PowerPANEL can connect the conversations and next steps between them.
A note from the founderBuilt on experience.
Built on experience.
Always improving.
“We believe people deserve to feel great and live their best life: Chiropractic helps!”
The method starts with the person. What do they want to do, protect or get back to? What would help them understand your approach and feel ready for a conversation?
We’ve spent more than a decade refining that connection with chiropractors. Today’s creative tools, AI and automation give us more ways to carry it through. The standard stays the same: make the work relevant, make every encounter useful and keep improving.
Co-founded by Hayden and Jessica Power, PowerSURGE brings the disciplines of a full marketing department into one coordinated growth system: strategy, creative, paid media, websites, automation and follow-through.
Hayden Power
Founder & Head of Growth · PowerSURGE Marketing
Founder & Head of Growth · PowerSURGE Marketing
Your practice. Your next chapter.Give them a reason
Give them a reason
to choose you.
Let’s turn your approach into a message people recognize—and a clear path to your practice.
Let’s Talk About My PracticeExplore the fit before deciding on an engagement.