We offer full-stack email & SMS retention marketing specifically for telehealth and DTC health brands. Every engagement is custom-built around your business model, patient journey, and retention goals. Whether you're scaling a subscription-based telehealth platform, launching a new DTC health product, or fixing broken patient retention systems, we design a strategy and execution plan tailored to your specific needs. Our services include HIPAA-compliant automation, patient lifecycle optimization, domain reputation management, reactivation campaigns, and full-service email/SMS management that treats retention as your primary growth lever.

We've worked with telehealth brands struggling with poor email deliverability—meaning their patient communications land in spam folders and receive low open rates due to damaged domain reputation. If your telehealth brand is experiencing this issue, our domain healing package includes everything you need to restore your domain reputation, fix your open rates, and unlock the full revenue potential of your patient email and SMS channels. This is especially critical for prescription refill reminders, appointment follow-ups, and reactivation campaigns.

Simply put, we see email and SMS as what they really are for telehealth: your patient retention engine. While most agencies focus on improving email performance metrics in a silo, we use email & SMS as strategic tools to increase patient lifetime value and reduce churn holistically. From improving patient onboarding and compliance, collecting zero-party health data for better personalization, optimizing prescription refill flows, and building reactivation sequences that bring patients back, we understand that retention is the growth lever for telehealth businesses—and we craft your communication strategy to support these core business metrics. Plus, we specialize in HIPAA-compliant marketing automation—ensuring your patient data stays protected while your retention revenue scales.

We've generated over $60,000,000 in patient retention revenue for telehealth and health brands across multiple verticals including sexual health, mental wellness, chronic care management, and prescription services. We have detailed case studies and both written and video testimonials from our clients in the telehealth space, some of which you can find on this page. We're happy to share additional results and references personally if you'd like to see more.

Yes. While most of our telehealth clients are US-based, we also work with telehealth companies in the EU, UK, and Nordic countries. We're familiar with GDPR, HIPAA, and other healthcare data regulations across different markets.

We've worked extensively with: - Sexual & reproductive health (ED, birth control, fertility) - Mental health & therapy platforms (anxiety, depression, ADHD) - Chronic disease management (diabetes, hypertension, weight loss) - Dermatology & skincare (acne, anti-aging, prescription treatments) - Hormone health (TRT, menopause, thyroid) - Prescription delivery services If your vertical isn't listed, reach out—we likely have relevant experience or frameworks that translate.

We work exclusively with HIPAA-compliant marketing platforms (Klaviyo with BAA, Customer.io, Twilio) and follow strict protocols for Protected Health Information (PHI). We'll sign a Business Associate Agreement (BAA), implement proper data handling procedures, and ensure all patient communications meet regulatory standards. Compliance isn't a checkbox for us—it's built into every workflow we create.

While email and SMS are our core channels, we take a holistic approach to patient retention. We often advise on: - Patient onboarding optimization - Pricing and subscription model design - Customer support workflows that reduce churn - Product experience improvements that increase LTV - Data collection strategies for better segmentation If retention is your bottleneck, we'll help you fix it—even if that means working outside the inbox.

Most telehealth clients see measurable improvements within: 30 days: Deliverability fixes, quick wins in existing flows 60 days: Reactivation campaigns driving returning patients 90 days: Full retention system operational with compounding LTV growth

We're happy to audit your current setup and provide strategic recommendations—even if you're working with another agency. Many clients come to us after realizing their current partner doesn't understand telehealth economics or HIPAA compliance. We can also collaborate with your existing team if you just need specialized telehealth retention expertise.

Book a free telehealth retention audit using the link above. We'll review your current patient communication strategy, identify your biggest retention leaks, and show you exactly how we'd increase your patient LTV. No pressure. No generic pitch deck. Just actionable insights you can use whether you work with us or not.