Your trusted clinical growth and marketing partner

Our deep expertise in both patient care and mental health digital marketing means we help grow your practice with the full picture in sight – from ad strategy to patient data compliance.

A purpose built system for Spravato®, ketamine, and TMS therapy clinics

With over 75 years of combined clinical expertise and a proven track record of scaling 13+ successful clinics, we know what drives growth in mental health care.

By leveraging insights from a nationwide network of clinics, we optimize campaigns, track performance, and maximize ROI—all while ensuring full HIPAA compliance across every system we use.

Want to see how our platform works? Download our HIPAA white paper.

We don’t just help you grow—we help you transform lives. Our purpose-driven approach ensures that your clinic not only thrives financially but also expands access to life-changing treatments for patients who need them most.

Rise4’s Pillars of Patient Acquisition

We know that growing a successful clinic isn’t just about generating leads—it’s about building a sustainable, patient-centered system that connects every part of the healthcare journey.
Internal Referrals
Activating the Power of Your Own Providers
The first step to growth starts within your clinic. Providers—especially those in medication management and therapy—play a critical role in helping patients access the right treatments. By fostering a culture where education and advocacy are built into your practice, you ensure that patients who could benefit from treatment are identified and supported.
External Referrals
Strengthening Community-Based Connections
We show you the systems to build strong relationships with primary care physicians, psychiatrists, therapists, and specialists, creating a trusted referral network that naturally drives more patients to your practice. This community-driven approach ensures that more people have access to life-changing treatments through the power of shared expertise.
Direct-to-Patient
Connecting Patients with the Right Care
Not all patients have a provider guiding them to the right treatment. That’s where strategic digital marketing comes in. By leveraging Google Search and Meta Ads, we put your clinic in front of people actively searching for solutions—ensuring that those in need don’t go unseen.

Trusted by America’s best mental health clinics

OUR TEAM

Supporting you with clinical and mental health marketing expertise

We partner with you every step of the way to deliver clinical, marketing, and operational strategies that are time proven to drive long-term success.

Jake Buchanan

Co-founder, CEO

Justin Gammill

Co-founder, Sales Director

Bryce Gammill

Co-founder, COO

Brittany Gammill

Director of Project Management

Aubrie Richey

CMO

Dr. Thomas Knightly

Strategic Medical Advisor

Lesly Sandoval

Clinical Intake Director

Amanda Smet

Practice Growth Advisor

Clinic success stories

“Rise4’s expertise in TMS marketing has been a game changer. The patient volume, lead quality, and return on investment exceeded our expectations.”

Dr. Ramon Aragon
TMS of Austin
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Leads Generated

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Return on Investment

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Treatments Administered

How Rise4 Helped TMS of Austin Turn a $95K Investment Into Over $560K in Revenue

FAQs

Rise4 specializes exclusively in mental health marketing, with a deep focus on TMS, ketamine, and Spravato clinics. Unlike generalist agencies, we understand the nuances of patient acquisition in mental health, from HIPAA compliance to the patient journey for treatment-resistant depression. Our approach is 100% focused on direct patient acquisition—helping clinics become profitable faster so they can reinvest in other marketing efforts if desired.

While our core expertise is in TMS, Spravato, and ketamine clinics, we also work with psychiatry, psychotherapy, and mental health practices that are looking to grow through direct patient acquisition strategies.

We focus on patient intent, messaging, and automation to filter out unqualified leads. This includes:

  • Precision keyword targeting on Google Ads to reach high-intent patients
  • Compelling creative & messaging on Meta Ads to connect with the right audience
  • Automated patient follow-ups to increase appointment scheduling rates

Generating leads is just the first step. We also help nurture and qualify those leads through:

  • Automated follow-ups via text, email, and phone
  • Patient education sequences to keep leads engaged
  • CRM & intake support to streamline the scheduling process
  • Training for intake teams to improve conversion rates

Most clinics start seeing an increase in lead volume within the first 30 days. However, conversion into scheduled patients typically takes 60-90 days, depending on factors like patient demand, intake efficiency, and ad spend.

We strictly focus on paid media (Google, Meta, TikTok ads, etc.) because it delivers faster, more predictable results for patient acquisition. However, we work with trusted partners who specialize in SEO, website optimization, and content marketing, and we’d be happy to connect you with them.

Our focus is on direct patient acquisition through advertising and automation. While we don’t offer branding, website development, or traditional full-service marketing, we provide proven tools and strategies to optimize your operations and maximize profitability. If you need broader marketing services, we can refer you to credible partners who specialize in that scope.

We believe reporting should be insight-driven rather than one-size-fits-all. Through our CRM and reporting tools, we provide real-time access to key metrics, including:

  • Lead volume & cost per acquisition
  • Conversion rates & appointment bookings
  • Patient treatment start tracking
  • Software utilization metrics
  • Any additional performance insights based on your clinic’s needs

Rather than providing static reports, we focus on custom reporting solutions that help clinics make data-driven decisions.

We use Google Search Ads to capture high-intent patients actively searching for treatments like TMS and Spravato. Meta (Facebook & Instagram) Ads help educate and engage potential patients by delivering compelling creative that resonates with the right audience.

Our targeting approach is driven by data aggregation and real patient outcomes, rather than traditional demographic or behavioral targeting. Key elements include:

  • Google keyword targeting to capture high-intent search traffic
  • Creative & messaging optimization on Meta to connect with the right audience
  • Data feedback loops: When a patient starts treatment, that data is communicated back to ad platforms (in a HIPAA-compliant way) to help find more patients like them
  • Geo-targeting: Since most patients only travel about 15 miles for treatment, we ensure ads are served in the most effective geographic radius
  • Search Ads (Google): Targets patients actively searching for TMS, Spravato, ketamine, or depression treatments.
  • Social Media Ads (Meta, TikTok, Instagram): Builds awareness and interest by educating potential patients who may not know about these treatments.

We track ROI by measuring:

  • Cost per lead & cost per scheduled patient
  • Conversion rates from leads to scheduled appointments
  • Patient lifetime value (LTV) compared to acquisition costs
  • Offline event tracking (patients starting treatment)

If leads aren’t converting, we analyze:

  • Lead quality & targeting adjustments
  • Intake team follow-up processes
  • Automated nurturing sequences
  • Scheduling & CRM workflows

The most effective way to increase internal patient referrals is by identifying existing patients who may be a good fit for interventional psychiatric treatments like TMS or Spravato. This involves:

  • Training internal providers to recognize ideal candidates for these treatments
  • Implementing internal processes that help identify potential patients during routine visits

We provide structured training and processes to help clinics implement this effectively.

Our proven strategic approach focuses on leveraging patient outcomes to create new external referring providers. This includes:

  • Sharing real patient success stories with potential referral sources
  • Educating providers on treatment outcomes and how they benefit their patients
  • Implementing referral tracking systems to optimize communication and follow-ups

Additionally, we offer templates and marketing materials to support outreach efforts.

No, we don’t build these relationships for you, as this is most effective when done internally by your clinic. However, we provide a step-by-step strategy to guide your team on how to do this effectively. Our training includes:

  • Best practices for engaging with local providers
  • How to leverage patient outcomes to drive referrals
  • Templates for outreach and educational materials

We recommend starting with digital marketing, as it provides direct ROI and immediate patient acquisition, which can fund other marketing and sales efforts.

A balanced approach works best, with roughly 33% of patient acquisition efforts coming from each pillar:

  • Internal referrals (existing patients within the clinic)
  • External referrals (local providers)
  • Digital marketing (paid media campaigns)

If one pillar is underperforming, the others should be scaled accordingly to maintain steady patient flow.

For a new clinic, the most effective strategy involves:
1. Identifying internal referrals → The fastest route to ROI is recognizing existing patients already visiting the clinic who are candidates for interventional psychiatric treatments.
2. Launching digital marketing campaigns → Paid media drives direct patient acquisition and generates demand based on ad spend.
3. Developing an external referral system → Establishing new relationships with local providers to create a steady flow of external referrals.
This three-pillar approach ensures both short-term patient acquisition and long-term practice growth.

Our onboarding process is designed to ensure a smooth launch while setting your clinic up for long-term success. Here’s what to expect:

1. Kick-Off Call → Our teams meet to discuss goals, strategy, and alignment to ensure we are working toward the same vision.
2. Campaign & CRM Setup → We build out your ad campaigns, set up your CRM, and ensure all systems are properly integrated.
3. Training & Best Practices → We provide CRM training, lead conversion training, and administrative best practices to help your team maximize efficiency.
4. Launch → Once everything is in place, we officially launch your marketing campaigns and patient acquisition systems.
5. Optimization & Refinement → We closely monitor early performance and make necessary refinements to ensure everything is moving in the right direction.
6. Ongoing Performance Tracking & Optimization → We provide continuous insights, reporting, and adjustments to maximize your ROI and improve patient acquisition over time.

Yes. Our minimum contract length is 12 months, as we are committed to long-term relationships and sustainable growth. However, in some cases, we can offer a six-month, zero-dollar opt-out, effectively making it a six-month agreement.
We only work with clinics that are fully committed to growth, as long-term collaboration leads to the best patient acquisition outcomes.

Our pricing depends on the services you need. We offer Essentials, Advanced, and Master tiers, with pricing starting at $1,995 per month.

We believe in a highly collaborative approach—our most successful clients are the ones who engage proactively with us.
Your team’s involvement includes:
• Collaboration on strategy and refinement of processes
• Active participation in training sessions and optimizations
• Commitment to improving intake and conversion rates
Without active collaboration, we cannot guarantee success. Our role is not just to drive leads but to help optimize the full patient journey, and that requires a strong partnership.

Yes, we can integrate with your existing intake team and provide:
• Training and active monitoring to improve efficiency
• Unlimited one-on-one training sessions for your entire team
• Additional intake coverage from our own team, if your staff has capacity issues
We ensure that your intake team is fully equipped to handle and convert leads effectively.

We provide a comprehensive training and optimization program to help clinics convert more leads into scheduled patients. This includes:
• On-demand courses covering intake best practices and patient engagement
• Best practices for handling leads and improving scheduling rates
• Templates and resources to support patient follow-ups and clinical operations
• Automated text messaging and drip campaigns to maintain engagement when the intake team is unavailable
Our approach ensures that no patient falls through the cracks, and your team is always equipped with the right tools to maximize conversions.

Let us help you improve ROI and consistently attract more patients