The growth agency for consumer telehealth
Scale telehealth.
Profitably.
We build patient acquisition engines for consumer health brands, combining performance media, high-velocity creative, conversion optimization and growth strategy to acquire more profitable patients at scale.
A two-week audit and a written point of view come before any retainer conversation.
Measured in patient economics.
Every engagement reports against the same six numbers. If a channel, creative or funnel change does not move one of them, it does not ship.
- Customer acquisition costCAC
Fully loaded, blended across channels, tracked to the prescription.
- Visitor-to-patient conversionCVR
From landing page through intake and clinical visit.
- Lifetime valueLTV
Modelled on refills, retention curves and cross-sell.
- Efficiency ratioLTV:CAC
The number that decides how hard you can push spend.
- CAC payback periodPAYBACK
Days until an acquired patient has paid for themselves.
- Contribution marginCM
After media, clinical, pharmacy and fulfilment costs.
From first impression to first prescription.
Generalist agencies stop at the click. We own every stage from attention to retention, because CAC is decided at intake and clinical visit as much as in the ad account.
- 01
Attention
Creative concepts built for the platform and the claim rules.
- 02
Click
Media buying that answers to payback and LTV.
- 03
Landing page
Offer, pricing and proof tested weekly.
- 04
Intake
Shorter forms, smarter eligibility, fewer drop-offs.
- 05
Clinical visit
Scheduling and show-rate optimization.
- 06
Prescription
Checkout and first-fill conversion.
- 07
Retention
Lifecycle, refills, win-back and reactivation.
Four capabilities. One connected operating system.
Media, creative, conversion and strategy run as one engine with one objective: acquire patients more efficiently without letting growth costs outrun unit economics.
- 01
Growth Strategy
The plan that connects spend to patient economics.
- Market intelligence
- Offer architecture
- Channel strategy
- Forecasting
- Unit-economics analysis
- Testing roadmaps
- 02
Performance Media
Scalable acquisition channels, bought against LTV.
- Paid social
- Paid search
- YouTube
- TikTok
- Native
- Retargeting
- 03
Creative Lab
A high-velocity creative testing pipeline.
- Creative strategy
- UGC
- Doctor-led creative
- VSLs & founder ads
- Statics & advertorials
- Testimonials
- 04
Conversion Lab
Every step from click to first prescription, optimized.
- Landing pages & funnels
- Intake flows
- Pricing presentation
- Consultation booking
- Checkout & upsells
- CRO
Lifecycle
Email, SMS, retention, win-back, cross-sell and patient reactivation extend the engine once acquisition is compounding.
Creative that ships every week and earns its budget.
Every week the Creative Lab ships new concepts across formats, scores them on patient economics, and feeds the winners back into the roadmap.
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Board-certified urologist
Online visit, prescription if appropriate, delivered to your door.
$99/mo. No insurance. Cancel anytime.
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Skip the waiting room
12:41Why an online intake beats a waiting room.
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Bloom ClinicWe built the care we couldn't find.
Maya Ortiz, co-founder
Our story
Clinic visit vs. ten-minute intake.
Everything your program needs, in one monthly plan.
Labs, prescription, delivery. One subscription.
Generalist agencies optimize campaigns. We optimize the economics of patient acquisition.
Generalist agency
- Optimizes media metrics
- Stops at the click or lead
- Channel-first thinking
- Reports campaign performance
- Creative as a monthly deliverable
- Learns the category on your budget
Sand
- Optimizes patient economics
- Owns the path from impression to patient
- Business-model-first thinking
- Connects acquisition to LTV, margin and retention
- Creative as a continuous testing system
- Arrives fluent in telehealth funnels and claim rules
Fluent in the categories where recurring care is won.
Each vertical has its own claim rules, consideration cycle and retention curve. We arrive already knowing them, so your budget buys growth instead of our education.
- GLP
GLP-1 & medical weight loss
High-intent demand, compounding subscription economics, heavy creative regulation.
- TRT
TRT & men's health
Recurring labs and refills where retention decides the CAC you can afford.
- HRT
HRT & women's health
Long consideration cycles that reward education-led creative and patient trust.
- HAIR
Hair loss
Commoditized offers where landing page and pricing presentation win the margin.
- SEX
Sexual health
Platform-sensitive claims that demand compliance-literate creative testing.
- DERM
Dermatology
Visual-first categories where before/after storytelling has to stay compliant.
- LONG
Longevity & wellness
Premium cash-pay programs that sell on outcomes and hold their price.
- CASH
Cash-pay care
Any recurring, direct-to-patient program with real unit economics.
The four ideas the brand owns.
Every hire, case study and client relationship reinforces one thing: this company understands how consumer telehealth businesses grow.
- 01
Telehealth specialization
Built specifically for consumer telehealth, with fluency in the patient journey, growth economics, compliance-sensitive creative and recurring-care business models.
- 02
Full-funnel growth
We work across the entire acquisition system instead of treating media buying as an isolated function.
- 03
Performance economics
Success is measured in CAC, LTV, contribution margin, payback period and patient growth.
- 04
High-velocity experimentation
Creative and conversion testing are continuous operating functions. We win by increasing the speed and quality of learning.
Audit, build, test, scale.
A diagnosis in two weeks, a working engine by week six, then a standing cadence of creative and conversion sprints with budget following payback.
- 01Weeks 1–2
Growth audit
We rebuild your funnel and unit economics from the data up: CAC by channel, intake drop-off, payback, creative fatigue, compliance exposure.
- 02Weeks 3–6
Build the engine
Tracking to the prescription, landing pages and intake flows, a creative pipeline, and a media structure that can be scaled without breaking.
- 03Ongoing
Test at velocity
Weekly creative and conversion sprints. Every test is scored on patient economics and fed back into the roadmap.
- 04Ongoing
Scale what pays back
Budget follows payback. Winning offers, channels and creatives get capital; the rest gets cut.
Built for operators who already have patients.
Sand works with growth-stage and scaled consumer telehealth brands: companies already delivering care that want a partner capable of thinking beyond ad spend.
- Meaningful monthly acquisition spend
- Recurring, cash-pay patient economics
- A real care-delivery operation behind the funnel
- An internal team that values rigorous growth strategy
Credible for emerging operators. Relevant to companies on the path to Hims, Ro or MedVi scale.
Questions operators ask first.
Something else? scale@scalewithsand.com
Who is Sand built for?
Consumer-facing telehealth companies where patient acquisition, recurring revenue and unit economics determine growth: GLP-1, TRT, HRT, hair loss, sexual health, dermatology, longevity and other cash-pay programs. Most clients are growth-stage or scaled operators with meaningful monthly acquisition spend.
How is this different from a paid media agency?
A media agency optimizes the channel. We optimize the economics of patient acquisition across the whole journey, from creative and media through landing page, intake, clinical visit, prescription and retention, and we report in CAC, LTV, payback and contribution margin.
What does an engagement look like?
It starts with a two-week growth audit of your funnel and unit economics. From there we build or rebuild the acquisition engine, then run continuous creative and conversion testing sprints, scaling spend as payback allows.
How do you handle compliance-sensitive creative?
Claims, platform policies and clinical review are built into the creative process from the first concept. We work alongside your clinical and legal teams and design tests that stay inside the rules.
Which channels do you run?
Paid social, paid search, YouTube, TikTok, native and retargeting, chosen by where your patients convert profitably rather than by a default channel mix.
How is pricing structured?
Engagements are scoped around the parts of the growth system you need, typically a monthly retainer with performance-linked components. Book a growth audit and we will propose a structure after seeing your numbers.
Build a stronger, more profitable patient acquisition engine.
Tell us about your program and current numbers. We will come back with a point of view on where the growth is.
