Industry Guide · 15 of 15 chapters published
A vet practice hears from a worried owner at midnight, a new puppy owner planning shots and a longtime client saying goodbye, often on the same day. These fifteen chapters build a Google Ads account for all three in the order that works, using real searches, websites and owner reviews from one example market, Denver. The method works for practices anywhere in the US.
Five steps in the order we build a vet account. Local numbers come from our example market, Denver; yours will differ, but the method carries over.
New clients arrive four ways, and most accounts count one. Count every door:
Refill, pharmacy and portal clicks belong to clients you already have. Then price the client by the years, not the first visit: dog owners spent about $598 a year on vet care in the AVMA's 2025 survey, so a client who stays four years can carry about $240 in ad cost at 10%.
In vet search, the bottom of the funnel is the biggest part: “vet near me” draws more than 13 times the searches of every symptom search combined. Those searches launch in what we call the Isolation campaign: exact match, one service per ad group, each on a page that answers the owner's question, down to the spay price.
Twelve competitor websites returned 25,285 keywords, including 1,733 searches for other practices by name. Cut carefully, because “humane society spay” is a real care search. The ads promise what owners praise most: an estimate before treatment.
A new campaign shows ads all day, every day. Match the schedule to when someone can actually help, and after hours switch off the phone number rather than the ad, so owners can still book. Set the location to Presence, because owners choose a vet close to home. Vets skip the health settings human medicine needs, so the client list stays available for later campaigns.
An Exploration campaign (also our name) takes the long tail to broad match once Isolation books about 30 new clients a month, usually in months two or three and sooner for bigger accounts. Performance Max follows around months six or seven, with your client list as a signal and euthanasia pages kept out. Demand Gen wins back lapsed clients, leaving out owners whose pet has died. Local Services Ads rank partly on whether you pick up, and they and AI Max come later, if at all.
In one campaign, emergency spends the budget first, so emergency and wellness get separate campaigns, hours, bids and goals, and the emergency ad answers three questions: open now, how close, what it will cost. End-of-life care is cheap to buy and the most sensitive: Google treats bereavement as a sensitive category and bars ads that use death to stir up guilt. It gets its own campaign, written by a person, with the price and what it includes.
Starting fresh? Read from Chapter 1. Each chapter picks up where the last one ends.
Count every call, booking and walk-in, and know what a client is worth
Win the searches that book exams, then the long tail
Settings that match your hours and your neighborhood
More reach, once the account knows what a real client looks like
Emergency care, and care at the end of a pet's life
The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.
Exact match on the searches most likely to book an exam, plus your practice and doctor names.
Broad match with a target CPA, once booked visits reach about 30 a month.
Only after months of clean data, with your client list as a signal and end-of-life pages kept out.
Video and display that bring back clients who skipped a year.
Pay-per-lead ads that reward a phone someone answers, and Google's newest automation, fenced in.
Read in order. Tracking and budget come before the first keyword.
Chapter 01 →Check tracking and settings first. Uncounted calls and ads running after hours are where most budgets leak.
Chapter 09 →Examples come from Denver practices, described as we found them. Run the same steps in your own market.
Chapter 05 →Google Ads for Veterinarians
We've run paid ads for 25+ years and seen just about every way a budget goes sideways. Get on the phone with someone who does this every day. Bring your questions, your numbers and your skepticism. You'll hang up knowing what we'd do, whether you hire us or not.
Or see how our Google Ads management works.