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Ichelon Consulting US · Med spa marketing answer

How do you switch med spa marketing agencies safely?

To switch med spa marketing agencies safely, secure owner-level access to every account before you give notice, then plan a short overlap so campaigns never go dark. Confirm you control the domain, website, Google Business Profile, ad accounts, social accounts, tracking numbers and client lists. Export creative and consented photos, close out the Business Associate Agreement properly, and brief the new agency before the old one stops.

Part of: Med Spa Marketing Agency USA

Guide for US practice owners · Published October 15, 2026

TL;DR
  • Access before notice: confirm owner-level control of every account while the relationship is still friendly.
  • Med spa assets are wider than a website: Instagram, before-and-after photo consents, ad pixels, SMS lists and review links all count.
  • Overlap, do not gap: keep campaigns running until the new agency has taken them over.
  • Close the BAA in writing, with confirmation that client data the old agency holds is returned or destroyed.
  • Every practice welcome — retainers from $499/mo, Goals-Driven engagements, Performance-Linked Payout Models available.
Ichelon Consulting US
  • Dallas, Texas LLC
  • US client team · Central Time (CST)
  • 25+ US healthcare clients
  • BAA signed with every client
  • HIPAA compliance training across client and delivery teams
  • Contracts and invoices in USD
How we work with US practices →
Trusted by US practices · case studies → 25+ US clients · 8 shown · TX · CA · VA · nationwide telehealth
Dr. Rajan Kohli
Owner, Lakewood Primary Care & Wellness · North Dallas, TX
Client video · Practice website build
“They were able to get all my ideas and work with me over a period of three to four months and create this amazing website. It's super customized, very modern, and it incorporates all the elements that I had wanted — the patient portal, nice pictures, a very interactive website, patient reviews. I would highly recommend their company to anyone who wants to make an excellent website.”
Dr. Rajan Kohli Owner, Lakewood Primary Care & Wellness · North Dallas, TX
Before you resign

What should a med spa do before telling its agency it is leaving?

Before giving notice, make sure the med spa itself holds owner or admin access to every marketing account, and read the contract's notice period and ownership terms. This is easier while the relationship is cordial. Once notice is given, requests for access can slow down or turn into disputes about who owns what.

  1. Read the contract: notice period, termination fees, who owns the website, creative and ad accounts, and what happens to data.
  2. List every account: use the inventory in the next section.
  3. Request owner access quietly: frame it as routine housekeeping, which it should be.
  4. Export reports: download at least a year of campaign and website data while you still have easy access.
  5. Line up the new agency: have them review the accounts before the old agency's last day.

If you are still deciding whether to switch, our guide to med spa marketing agency red flags helps separate fixable problems from reasons to leave.

Asset inventory

Which marketing assets does a med spa need to take back?

A med spa's marketing assets go well beyond the website. Social accounts, the Google profile, ad accounts, tracking numbers, photo libraries and client contact lists all carry value that took years to build. Check each one, confirm who owns it today, and decide what you need before the handover starts.

AssetWhat to confirmRisk if missed
Domain and DNSRegistered in the spa's name, with your loginSite and email can be held hostage
Website and hostingAdmin login, a full backup, and who owns the design and codeRebuilding from scratch; lost pages and rankings
Google Business ProfileSpa is primary owner; agency is a managerLosing control of reviews, photos and map listing
Google Ads and Meta ad accountsAccounts belong to the spa's business manager, billed to the spaLosing campaign history and audiences
Instagram, Facebook, TikTokSpa holds admin rights and recovery emailLosing followers and the content library
Analytics and tag managerSpa owns the properties; agency has user accessLosing historic data and conversion setup
Call tracking numbersNumbers can be ported or kept, and where they appearDisconnected numbers in ads and listings
Photos, video, before-and-aftersOriginal files plus the client consent forms for eachContent you cannot legally reuse
Email and SMS listsExports with consent dates and opt-out statusMessaging people who opted out

Easy-to-miss med spa items

Check the links that quietly connect your marketing to your booking system. Review-request links, online booking widgets embedded on the site, chat tools, membership sign-up pages and promo codes may all sit in an agency-controlled account. List each one, note where it lives, and test it after the handover. A broken booking widget can cost more bookings than any campaign change.

Ask for the brand assets too: logo files, fonts, color codes, ad copy that performed well, and any audience lists the platform rules let you keep.

Continuity

How do you keep bookings steady during the switch?

Plan an overlap rather than a hard stop. The old agency keeps campaigns running while the new agency reviews accounts, rebuilds tracking where needed and takes over one channel at a time. Paid campaigns that pause can lose learning and momentum, and booking volume can dip while they recover.

A practical order

  1. Tracking first: the new agency checks that calls, forms and bookings are recorded correctly before changing anything else.
  2. Paid search next: it carries the most direct booking intent, so take it over carefully, without rebuilding from zero unless the account is broken.
  3. Paid social: keep winning ads live, then test new creative.
  4. Website and SEO: any move or redesign should keep existing treatment page addresses or redirect them properly.
  5. Content and social posting: hand over the calendar and brand guidelines last.

Tell your front desk about the switch. They should know which phone numbers might change and to log how each new client heard about you during the transition.

How to give notice

Keep the notice short, professional and written. State the final date, the handover order, and the list of accounts and files you expect to receive. Thank the team for its work. Agencies that part on good terms tend to hand over cleanly, and you may need to ask them questions later about how a campaign was set up.

Website moves

What happens to a med spa's search rankings when it changes agencies?

Rankings usually hold if the website stays where it is and nothing breaks. They tend to drop when a switch includes a new site with changed page addresses, removed treatment pages or lost content. The risk comes from the migration, not from the change of agency itself.

  • Keep the same domain.
  • Map every old page to a new one and set permanent redirects for anything that moves.
  • Keep treatment pages, provider pages and FAQs that already attract visits.
  • Move tracking and conversion settings across before launch, not after.
  • Leave the Google Business Profile's website link pointing to live pages.

Some agencies build sites on their own proprietary platforms and keep the site when a client leaves. Check this before signing with any new agency, and make sure you can take the site with you next time.

Our research · State of Med Spa Google Presence 2026

What we found when we studied 555 US med spas on Google

Patients praise the care almost without exception. The one area where complaints outnumber praise is booking and communication, and that is where most med spas can win.

4.87★
average Google rating. Near-perfect ratings are table stakes.
5.83
median new reviews per month. Most profiles grow slowly.
~54%
of booking and communication reviews are negative, the one weak theme.

Full study · 555 US med spas across 20 metros · roughly ±4% nationally · review velocity and themes from a 115-spa subsample · verified against raw data.

Privacy

How should a med spa close out the Business Associate Agreement?

When the agency held client information under a Business Associate Agreement, close it out in writing. HIPAA requires these contracts to provide for return or destruction of protected health information at termination, where feasible. Ask the agency to confirm this in writing.

  • Remove the agency's user access from every account on the agreed final day.
  • Rotate shared passwords and remove the agency from booking, CRM, email and SMS tools.
  • Ask for written confirmation that client lists, form data and call recordings were returned or destroyed.
  • Keep a record of the close-out with your compliance files.
  • Sign a new BAA with the incoming agency before it touches client data.

The HIPAA offboarding checklist lists the steps for any departing vendor. Confirm details with your counsel.

Choosing next

What should a med spa require from its new agency?

Require the things that make the next switch easy, even if you never need it. The spa owns every account, the agency has user access, reporting shows booked clients rather than clicks, and the contract states that creative, data and the website belong to you. A good agency will accept these terms without argument.

  • Spa-owned accounts and a domain in your name.
  • A signed Business Associate Agreement before any access to client data.
  • Clear monthly goals tied to bookings, with regular reporting.
  • Reasonable notice terms and no fees to release your own assets.
  • A written handover plan for the first month.

Ask the new agency what it will look at in its first two weeks, and what it will leave alone. A sensible answer starts with tracking and account health, not a full rebuild. Be wary of anyone who wants to tear down working campaigns or replace the website before reviewing your data.

Ichelon Consulting US runs med spa marketing on these terms. We sign a BAA with every US client, keep accounts in the client's name, and report on agreed goals every Monday. To plan a switch without losing bookings, book a call with the US team.

Keep reading

Related pages from the US team

Med Spa Marketing Agency USA

How Ichelon Consulting US takes over and runs med spa marketing.

Med spa agency red flags

Warning signs that it may be time to change agencies.

How to choose a med spa agency

Questions to ask before you sign with the next one.

HIPAA offboarding checklist

Close out access and data when a vendor leaves.

How we work

Every practice welcome — Goals-Driven engagements from $499/mo

We benchmark your last 90 days, agree monthly goals with you, and track them live on Ichelon Agency OS with a report every Monday. Performance-Linked Payout Models are available. Our US leadership is based in Dallas, and strategy calls run in US business hours.

Read the full engagement model →

FAQ

Common questions

Who owns a med spa's Google Ads and Meta ad accounts?

It depends on how the accounts were set up and what the contract says. Ideally the med spa owns the accounts in its own business manager, pays the platforms directly, and gives the agency user access. If the agency created and owns them, ask for ownership transfer before giving notice, because campaign history and audiences can be lost if you have to start new accounts.

Will my med spa lose its Google rankings if I change agencies?

Not if the website stays on the same domain and nothing important breaks. Rankings are at risk when a switch includes a website rebuild that changes page addresses, deletes treatment pages or loses tracking. Map every old page to a new one, set permanent redirects, and keep the content that already attracts visits.

How long should the overlap between old and new agencies be?

Long enough for the new agency to review every account, confirm tracking and take over the paid campaigns without pausing them. For most med spas that means a planned handover across the old agency's notice period, rather than a single cut-off day. Agree the order of handover in writing so both agencies know who owns each channel on each date.

Can I keep my before-and-after photos when I leave an agency?

You can usually keep photos of your own clients, but you also need the signed consent forms that allow marketing use. Ask the agency for the original files and confirm your contract does not give it ownership of the images. Store consent records with the photos, so any future agency or staff member can confirm what may be published.

What should happen to client data when a med spa ends an agency contract?

If the agency held client information under a Business Associate Agreement, that data should be returned or destroyed at the end of the contract, where feasible, and the agency should confirm this in writing. Remove its access to every account and tool, rotate shared passwords, and file the confirmation with your compliance records. Confirm specifics with counsel.

A note on this guide: it explains marketing practice, not legal advice. Rules on privacy, advertising and insurance change and vary by state, so confirm anything compliance-related with your own counsel.

Thinking about changing your med spa's agency?

A 30-minute call with the US team. We'll check who owns your accounts today and outline a handover plan that keeps bookings coming in.

The nine-stage patient journey

We cover every stage, from first search to repeat visit

  1. 0Foundations
  2. 1Demand gen
  3. 2Capture
  4. 3Lead quality
  5. 4Lead mgmt
  6. 5Scheduling
  7. 6Show-up
  8. 7Conversion
  9. 8Retention

We work across all nine stages, from foundations to past patients, and fix the stage that leaks first. Our own software runs the work, and every stage is reported against a monthly target on Ichelon Agency OS.

See all nine stages and the tool behind each one →
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Ichelon Agency OSEvery service line shows its monthly target, what is delivered and whether it is on pace.Goals portfolio · clients shown as Client A to G
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