Facebook Ads Audit for Clinics: The 25-Point Checklist

A Facebook ads audit for a clinic takes about 30 minutes and usually finds money leaking in the same places. Most clinic ad accounts we review have the same handful of problems: ads that now break the NMC guidelines of 6 October 2026, tracking that stopped working, broad targeting, and leads that wait hours for a reply. Use this 25-point checklist to audit your own Facebook and Instagram ads in about 30 minutes. Mark each point pass or fail, then fix the failures in the order of the sections.
Section 1: Compliance (points 1 to 6)
- No patient testimonials in any active ad, boosted post or landing page (NMC guidelines).
- No before-and-after photos in ads.
- No "best", "No.1", "guaranteed", "permanent" or "100%" claims.
- No discount, coupon, cashback or "free procedure" hooks that push people toward unnecessary treatment.
- Posts that name a doctor show name, qualifications and registration number (The South First).
- Meta rules: 18+ targeting for cosmetic procedures and IVF; no "cure, heal or eliminate" claims; no statements attacking appearance (Meta).
Section 2: Account and tracking (points 7 to 11)
- The clinic owns the ad account, page and Business Manager; the agency is a partner.
- Ad spend is charged to the clinic's own card.
- Pixel or Conversions API is installed and the Events Manager shows no health-data warnings you have ignored. Meta limits lower-funnel optimisation for many health advertisers, so check what is still available (Accelerated Digital Media).
- Landing page URLs do not contain sensitive health details (condition names in URLs can trigger restrictions).
- Every lead is recorded in one place: a CRM or a shared sheet.
Section 3: Targeting and budget (points 12 to 16)
- Location radius matches how far patients really travel (often 5 to 15 km for a clinic).
- Age settings follow the treatment and Meta's rules.
- Budget is enough to learn: one campaign with a few ad sets beats ten tiny ones.
- Campaign objective matches the goal: leads or messages, not traffic or reach, for bookings.
- Seasonality is planned: for example, Google Trends shows "hospital marketing" peaking in early December and hair transplant interest in Tamil Nadu peaking in December (Google Trends).
Section 4: Creative and lead forms (points 17 to 21)
- At least three active creatives, refreshed every two to four weeks.
- Creative leads with facts: doctor qualifications, technology, timings, location and fees.
- Video under 30 seconds with captions, since many people watch without sound.
- Lead form asks two or three qualifying questions (treatment, preferred time, area).
- Thank-you screen offers a next step: WhatsApp chat or a booking link.
Section 5: Follow-up and reporting (points 22 to 25)
- Every enquiry gets a reply within five minutes in clinic hours.
- Staff use a short, compliant WhatsApp script with fees and available slots.
- Each lead is marked: contacted, booked, arrived, treated.
- A weekly report shows spend, enquiries, cost per enquiry, booked and arrived visits.
| Score | What it means | Next step |
|---|---|---|
| 22 to 25 | Healthy account | Test new creative and scale budget slowly |
| 15 to 21 | Leaking enquiries or risk | Fix compliance, then follow-up speed |
| Under 15 | Rebuild needed | Pause risky ads and restart with a simple, compliant campaign |
How to run this audit in 30 minutes
- Minutes 1 to 10: open Ads Manager, filter to active ads, and read every ad and its landing page against points 1 to 6.
- Minutes 10 to 15: check Business Settings and Events Manager for points 7 to 11.
- Minutes 15 to 22: review each ad set's location, age, budget and objective (points 12 to 16).
- Minutes 22 to 26: preview your lead form on a phone (points 17 to 21).
- Minutes 26 to 30: send a test enquiry and time how long the clinic takes to reply (points 22 to 25).
The test enquiry is the most revealing step. Many clinics discover that a weekend lead waits until Monday.
Common problems we find in clinic ad accounts
- Old boosted posts with testimonials still running months later.
- Leads sent to an email inbox nobody checks on weekends.
- Traffic campaigns sending people to a home page with no fees or booking option.
- Ten ad sets of Rs.100 a day each, none of which ever exits learning.
For more, read why clinic Facebook ads don't get patients and our NMC guidelines explainer.
Book a free audit with Upsky Media
If you would rather have it checked for you, Upsky Media runs this audit on your account in a free 20-minute call. You get your score, the three fixes that matter most and a plan for your specialty. Message us on WhatsApp or call +91 90437 59174.
Sources
- Medical Dialogues: NMC issues ethical advertising and public communication guidelines
- The South First: NMC says no to patient testimonials, paid ads, AI promotions and guaranteed claims
- Meta Transparency Center: Health and Wellness ad standards
- Accelerated Digital Media: Health advertisers and Meta policy changes
- Google Trends (India and Tamil Nadu, past 12 months), pulled 14 and 15 Oct 2026
Search volumes are Google Keyword Planner buckets (India, Oct 2025 to Sep 2026). Figures marked as estimates are our own guidance, not quotes. This article is general information, not legal advice.
