Google AdWords

To begin your AdWords campaign, please complete the following information. Once received, VHA Business Services will research your settings and provide you with the estimated traffic volume for your ads and the keywords we have selected. Once approved, we will begin to develop and create target ads specific to your practice and your goals.

Your AdWords campaign performance will be monitored each month, and updated or adjusted as necessary. You will receive a performance report each month detailing the click through rate, conversion rate, cost per click, ad position and total cost.

If your campaign includes a premium discount for visitors to your site (such as a certificate for discounted initial exam or special savings on dental procedures) we ask that you provide us with internal data each month regarding the number of certificates redeemed, total amount spent by new clients, etc. With this information we can measure the real world success of your campaign and the return on your investment.

There is an $89 set up fee required for all campaigns in addition to the monthly administration fee.

  1. Select Your Campaign (Select One)(*)


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  2. Clinic Name(*)
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  3. First Name(*)
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  4. Last Name(*)
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  5. Clinic Street Address(*)
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  6. Clinic City(*)
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  7. Clinic State(*)
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  8. Clinic Zip Code(*)
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  9. Clinic Phone Number(*)
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  10. Email(*)
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  11. Daily Budget (Select One)(*)





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  12. Other Amount
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  13. Display Range(*)



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  14. List all the counties you would like included. Please separate counties with a comma.
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  15. List all the zip codes you would like included. Please separate zip codes with a comma.
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  16. List all the cities you would like included. Please separate zip codes with a comma.
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  17. Limit my ad to searches conducted within a __ mile radius of my clinic. (Choose One)









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  18. The goal of my campaign will be to build these specific areas of my business (Select all that apply)(*)











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  19. CAPTCHA
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