How to Create Facebook & Instagram Retargeting for Patient Acquisition

The Facebook & Instagram Strategy That Delivers Consistent ROI for Growing Physiotherapy Clinics

If you’re spending money on Facebook or Instagram ads to attract new patients, chances are you’re leaving a massive portion of your revenue potential on the table.

Here’s the reality: around 97% of people who visit your website won’t book on their first visit. That means if you’re not following up with those people, you’re paying to reach them—only to let them disappear.

This is where retargeting becomes one of the smartest, lowest-cost, and highest-ROI strategies available to physiotherapy clinics aiming to scale.

Done correctly, retargeting ads can give you:

  • Predictable new patient bookings
  • Reduced cost per acquisition
  • Maximum ROI from all your marketing channels

And it works whether the visitor first found you through Google, your website, or word of mouth.

Let’s walk through exactly how to build a retargeting strategy for your clinic—from setup to ad creation to scaling.

Retargeting means showing ads to people who have already interacted with your business. They may have:

  • Visited your website
  • Watched a video on your Facebook page
  • Liked or commented on an Instagram post
  • Clicked a Google ad but didn’t book


These people already know you exist. They’re no longer cold traffic. That makes them:

  • Cheaper to advertise to
  • More likely to convert
  • Closer to making a decision

Without retargeting, you’re constantly paying to reach new people—and ignoring the warmer audience that’s just one or two steps away from booking.

This is your first essential step.

  • The Meta Pixel (formerly Facebook Pixel) tracks visitor activity on your website.
  • It allows you to show ads only to people who have visited certain pages or taken specific actions.

How to do it:

  • Go to Facebook Ads Manager
  • Find the Pixel code and add it to your site (use your web developer or CMS tools)

Without this, you’re flying blind—and missing out on data that powers every other retargeting step.

Create specific lists of people you want to retarget. Examples include:

  • Website visitors from the past 30–90 days
  • People who engaged with your Facebook or Instagram content
  • Your email/patient list (for reactivation campaigns)

Pro tip: You can also create Lookalike Audiences—people who resemble your existing patient list or website visitors. This is a powerful way to scale once your base audiences are performing well.

Each campaign should be highly specific to what the person saw or did.

For example:

  • Someone visits your “Lower Back Pain” page → Show them an ad about resolving back pain
  • A past patient hasn’t visited in 6 months → Show a reactivation ad
  • Someone watched a video but didn’t book → Invite them in for an assessment

Your messaging should match their behaviour. This increases click-through rate (CTR), builds relevance, and boosts bookings.

Start small:

  • $3–$5/day per retargeting campaign is enough to begin
  • Focus on audiences that have already shown intent

Then optimise monthly:

  • A/B test one element at a time: the image, headline, primary text, or call to action
  • Prioritise testing in this order:
    1. Visual asset (image or video)
    2. Headline
    3. Primary text
    4. Call-to-action button

Keep it fresh—old ads fatigue over time. A/B testing helps you find the next winning combination.

Successful ads speak directly to the person’s concern and offer a clear next step. Here’s how to make yours work:

  • “Still struggling with lower back pain?”
  • “Neck pain from desk work won’t go away?”
  • Include reviews or testimonials (carousel ads work well)
  • Use familiar faces or branding from your clinic

Examples:

  • Free 15-min injury screen
  • First session satisfaction guarantee
  • Fast-track appointments for returning patients
  • “Book Online Now”
  • “Claim Your Spot”
  • “Get Started Today”

Your retargeting ads can appear:

  • In the Facebook and Instagram feed
  • In Stories and Reels
  • In Facebook Messenger
  • Across the Meta Audience Network (e.g., banner ads on other websites)

This means you’ll stay visible everywhere your ideal patient scrolls—without needing to chase them manually.

  • ROAS (Return on Ad Spend): Aim for 3x or higher
  • CTR (Click-Through Rate): At least 1.5%

If your ROAS is consistently 3 or above and CTR is healthy, it’s time to scale your budget.

  • Increase budget gradually on winning campaigns
  • Expand your Lookalike Audiences
  • Introduce new custom audiences (e.g., 180-day visitors, past patients)

Also set frequency caps—e.g., max 3 ad views per person per week—to avoid overexposure.

If your clinic already gets traffic but struggles to convert it into consistent bookings, retargeting is the missing piece.

With the right setup, messaging, and budget, you can:

  • Maximise every visitor to your website
  • Lower your cost per new patient
  • Grow faster—without chasing cold leads or relying solely on new traffic

If you’re ready to stop wasting money on unqualified clicks and start attracting warmer, ready-to-book patients…

Consider setting up a full retargeting funnel—or let a team who’s done it for dozens of physio clinics help you implement it.Visit physiomarketing.co to learn more.

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