Guide
What counts as a new client, practice by practice
A new client is a person who signed with your firm or paid to start, counted once from your own records.
Medical malpractice · Ads, search and social
Search ads for malpractice firms: tight keywords, screening in the ad and on the call, and health data kept off the platforms. Judged by signed clients.
A malpractice ad has two jobs: reach the few people with a real claim, and discourage the many without one. We run Google and Microsoft search ads in your firm’s own accounts, with tight keywords, screening built into the copy, and no health data sent to any platform. Every channel is judged by signed clients, counted in your own records.
Key facts
Because working up a claim is expensive and slow. A broad ad fills the phone with complaints your team cannot take. We write keyword groups by specialty and injury type, and add screening words to the ad itself, such as the kind of injury and the stage. The goal is fewer calls and more accepted matters.
| Channel | What it does for a malpractice firm | How we judge it |
|---|---|---|
| Google search, non-brand | Reaches people searching by injury type or specialty | Accepted matters and signed clients, by specialty |
| Google search, brand | Catches searches for your firm by name | Its own line, with a test to see what it adds |
| Local Services Ads | A small test where the malpractice category fits | Signed clients, plus billed calls that never became cases |
| Microsoft search | Bing and partner searches Google never sees | Its own line |
| Meta and YouTube | Calm explainers on how a claim works, if tested | A fair test by area, counted in signed clients |
For a malpractice firm, search ads do most of the work and every other channel is a small test.
It can never suggest that a named doctor, hospital or clinic was at fault, and it can never imply that the viewer was harmed. It cannot promise an outcome or an amount. Your attorney approves every ad, and your state may add conditions on testimonials, past results and required words. See lawyer advertising rules by state. This is not legal advice.
They change who we can target and what we can send. Personal health content is a sensitive interest category. Google’s definition includes disabilities and invasive medical procedures. Ads that fall in it can’t use advertiser-curated audiences. So there is no remarketing to people who read injury pages and no Customer Match lists. On Meta, Without Meta’s prior written permission, lead ad forms can’t ask about criminal or arrest history, bankruptcy or debt, health or disabilities, insurance details, or government ID numbers such as Social Security numbers. So a screening form asks nothing about health. Screening happens on your call.
Block the searches that cannot become clients before they spend money. We apply a shared negative list on day one, read the search-terms report every week for the first month, and keep adding. A term that led to a signed client is never blocked.
| Theme | Example phrases | Why it is blocked |
|---|---|---|
| Job seekers | nurse jobs; malpractice insurance salary; paralegal medical malpractice course | The searcher wants work or school |
| Do it yourself and forms | sue a doctor myself; malpractice complaint template | The searcher plans to act alone |
| Free legal aid | free medical malpractice legal aid; pro bono malpractice | Not a fit for a contingency firm |
| The other side | malpractice insurance for doctors; defense attorney for physicians | A provider, not a patient |
| Wrong matter | car accident lawyer; hospital bill dispute; request my medical records | A problem your firm does not take |
| Wrong place | states where you do not take matters | Outside your area |
| Research | medical negligence definition; malpractice case law; malpractice statute pdf | Study, not hiring |
Where Local Services Ads are offered, they are usually the first test for local consumer matters, but malpractice is a narrow field. Google’s US list has 17 lawyer categories: bankruptcy, business, contract, criminal, disability, DUI, estate, family, immigration, IP, labor, litigation, malpractice, personal injury, real estate, traffic, and a general ‘Lawyers’ category. So a category exists, and we test it small. Search does most of the work, because it controls the message and the keywords. Specific injury types, specialties and Spanish go to search first.
Local Services rank on responsiveness: Google says missed calls may negatively affect your responsiveness. Billed calls that never became cases are disputed every week. See Local Services Ads.
Google has no separate legal policy, and Meta limits what an ad may say about the viewer. Google Ads has no policy written just for lawyers. Law-firm ads follow the general policies, and Google expects you to follow the law in every place your ads show, which includes your state bar’s ad rules. On Meta, Meta ads can’t assert or imply that the viewer has a personal attribute, including a health condition, disability, vulnerable financial status or criminal record. So an ad never says “was your surgery a mistake?” It describes how a claim works.
It means we report three signals in order. First, screened cases: calls your team cleared at first review. Second, accepted matters. Third, signed clients. Fees come years later, so we never use them to judge a month of ads. Bids learn from the stage names we send, never from health facts. See cost per signed case.
Many states limit what a lawyer may take as a fee. In California the statute caps the fee at 25% of a settlement reached before a suit or demand is filed, or 33% after. A limit like this lowers what one signed case can be worth, so we work back from your own fee history. See attorney fee caps by state.
The monthly report shows each paid channel by specialty: spend, calls, screened cases, accepted matters, signed clients and cost per signed client once a line has enough signed clients to read. The organic side is on medical malpractice SEO and AI search. The overview is on medical malpractice. Channel detail: Google search ads, Local Services Ads, intake monitoring, and our standard.
Start with a free video review of your current ads.
Local search, your Google Business Profile, pages in English and Spanish, and getting named in ChatGPT, Gemini and Google’s AI Overviews.
Because each call costs your team time, and most callers will not have a case. Narrow keywords by specialty and injury reach people closer to a real claim. Broad terms such as 'doctor' or 'hospital' bring mostly complaints, record requests and insurance questions.
No. An ad must never suggest that a named provider was at fault, and it must not imply that the viewer was harmed. Ads describe your legal help in general terms, such as 'Birth injury lawyers, free case review.' Your attorney approves every ad, and your state may add conditions.
Longer than in most practices. A call is reviewed, records are gathered and an expert may look before your firm accepts. So early signals are screened cases and accepted matters, and the final count is signed clients, which can lag the ad spend by weeks or months.
Google's list has a malpractice category, so a listing may be possible. But callers there usually compare carefully, and the pay-per-lead model can bill for calls that never become cases. We test a small budget first and judge it on signed clients.
Free
Send us your firm’s website. Probative Growth records a 90-second video of what clients see when they look you up, and emails it with a one-page summary within 2 business days. No logins, no call needed.
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