Updated 2026-02-01

Best Email Marketing Tools for Chiropractors

Keep your adjustment tables busy and patients on track with their care plans using the right email marketing platform.

Running a chiropractic practice means balancing patient care with business growth. Email marketing helps you keep patients on their treatment schedules, reduce no-shows, and educate them about ongoing wellness care. But most email tools are built for retail or tech companies. Here are 13 platforms that actually work for chiropractic practices, ranked by ease of use, automation features, and value for money.

Why Chiropractors Need Email Marketing

Keep Patients on Their Care Plans

Patients often start strong then skip appointments. Automated reminder sequences keep them committed to their treatment plans and seeing better results.

Reduce No-Shows and Last-Minute Cancellations

Appointment reminders sent 24-48 hours before visits can cut no-shows by 25-35%. That means fewer gaps in your schedule.

Educate Patients Between Visits

Send stretching tips, posture advice, and wellness content that reinforces the value of chiropractic care and positions you as their trusted health partner.

Reactivate Lapsed Patients

Many patients drop off after their initial pain resolves. A well-timed reactivation sequence brings them back for maintenance care.

13 Best Email Marketing Tools for Chiropractors

Our Top Pick for Chiropractors
#1
Sequenzy

AI-powered email marketing built for service businesses. Creates patient sequences automatically.

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Best for
Chiropractic practices wanting automated patient communication without complexity
Pricing
$29/month for 50,000 emails

Pros

  • AI writes care plan reminders and reactivation sequences for you
  • Simple interface that staff can actually use
  • Pay for emails sent, not contacts stored
  • Direct support from the founders

Cons

  • Launched in 2025, so less track record than older platforms
  • No built-in SMS (email only)
  • Fewer templates than established competitors
#2
Mailchimp

The most popular email marketing platform. Solid features but can get expensive.

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Best for
Practices wanting a well-known platform with extensive integrations
Pricing
Free up to 500 contacts, then $13-350/month based on list size

Pros

  • Extensive template library
  • Integrates with most practice management software
  • Strong deliverability reputation
  • Good analytics and reporting

Cons

  • Gets expensive fast as your patient list grows
  • Interface can be overwhelming
  • Support quality has declined
  • Not designed for healthcare specifically
#3
Constant Contact

Long-standing email platform popular with small businesses and healthcare.

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Best for
Traditional practices wanting simple, reliable email marketing with phone support
Pricing
From $12/month for 500 contacts

Pros

  • Very easy to use
  • Excellent phone support
  • Event management features for workshops
  • Social media integration

Cons

  • Limited automation capabilities
  • Templates feel dated
  • Higher prices than newer competitors
  • Basic segmentation options
#4
ActiveCampaign

Powerful automation platform with a learning curve.

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Best for
Tech-savvy practices or those with dedicated marketing staff
Pricing
From $29/month for 1,000 contacts

Pros

  • Excellent automation builder
  • CRM included
  • Great deliverability
  • Detailed contact scoring

Cons

  • Steep learning curve
  • Can be overkill for small practices
  • Interface feels complex
  • Pricing jumps with advanced features
#5
Brevo

Formerly Sendinblue. Good value with transactional email included.

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Best for
Budget-conscious practices needing email and SMS in one platform
Pricing
Free up to 300 emails/day, then from $25/month

Pros

  • SMS marketing included
  • Generous free tier
  • Transactional emails included
  • Good automation features for the price

Cons

  • Daily sending limits on free plan
  • Support can be slow
  • Limited integrations
  • Branding on free tier emails
#6
MailerLite

Clean, simple email marketing with good automation.

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Best for
Small practices wanting simplicity and affordability
Pricing
Free up to 1,000 subscribers, then from $10/month

Pros

  • Very affordable
  • Clean, modern interface
  • Good landing page builder
  • Generous free tier

Cons

  • Strict approval process
  • Limited advanced features
  • Basic reporting
  • Healthcare accounts sometimes flagged
#7
Drip

E-commerce focused but works for service businesses with online booking.

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Best for
Practices with strong online booking who think like e-commerce
Pricing
From $39/month for 2,500 contacts

Pros

  • Strong automation workflows
  • Good for multi-location practices
  • Detailed analytics
  • Revenue attribution tracking

Cons

  • Built for e-commerce, not healthcare
  • Expensive for basic needs
  • Overkill for simple email needs
  • Learning curve to adapt
#8
GetResponse

All-in-one marketing platform with webinars and landing pages.

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Best for
Practices running patient education webinars or workshops
Pricing
From $19/month for 1,000 contacts

Pros

  • Webinar hosting included
  • Good landing page builder
  • Automation templates
  • Competitive pricing

Cons

  • Interface feels busy
  • Email editor could be better
  • Support response varies
  • Some features feel bolted on
#9
AWeber

One of the original email platforms. Simple and reliable.

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Best for
Practices wanting no-frills reliability over modern features
Pricing
Free up to 500 subscribers, then from $15/month

Pros

  • Very reliable deliverability
  • Simple to use
  • Good customer support
  • Long track record

Cons

  • Feels dated compared to modern tools
  • Limited automation
  • Basic templates
  • Not much innovation
#10
ConvertKit

Built for creators but works for practices with strong content.

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Best for
Chiropractors who blog, create videos, or run educational newsletters
Pricing
Free up to 1,000 subscribers, then from $29/month

Pros

  • Excellent for newsletters and content
  • Clean subscriber management
  • Good tag-based automation
  • Creator-focused features

Cons

  • Not designed for healthcare
  • Limited design options
  • No landing pages on free tier
  • Gets expensive at scale
#11
HubSpot

Enterprise marketing platform with email included.

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Best for
Large multi-location chiropractic groups with marketing staff
Pricing
Free basic email, paid from $50/month (realistically $200+ for useful features)

Pros

  • Full CRM included
  • Excellent for large teams
  • Great reporting
  • Many integrations

Cons

  • Overkill for solo practices
  • Expensive paid tiers
  • Complex setup
  • Requires ecosystem commitment
#12
Moosend

Budget email marketing with solid features.

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Best for
Very price-conscious practices wanting more than basics
Pricing
From $9/month for 500 subscribers

Pros

  • Very affordable
  • Good automation for the price
  • Responsive support
  • Landing pages included

Cons

  • Less known brand
  • Limited integrations
  • Smaller template library
  • Fewer advanced features
#13
Campaign Monitor

Professional email marketing with beautiful templates.

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Best for
Practices prioritizing email design and brand aesthetics
Pricing
From $9/month for 500 contacts

Pros

  • Beautiful email templates
  • Professional branded emails
  • Reliable deliverability
  • Link review feature

Cons

  • Pricing based on contacts
  • Limited automation
  • Gets expensive as list grows
  • Not healthcare-specific

Feature Comparison

FeatureSequenzyMailchimpConstant ContactActiveCampaign
Appointment reminders
Care plan sequences
AI content generation
Drag-and-drop editor
Automation workflows
Basic
SMS marketing
Free tier available
HIPAA compliant option
Coming soon
Add-on

Email Sequences Every Chiropractor Needs

These are the essential automated email sequences that will help you grow your business and keep clients coming back.

Appointment Reminder Sequence

Trigger: When appointment is booked

Reduce no-shows with timely reminders. This sequence confirms the appointment, reminds patients 2 days before, and sends a final reminder the morning of.

Immediately
Your chiropractic appointment is confirmed

Confirms date, time, location. Includes what to wear and any prep instructions.

2 days before
Quick reminder about your adjustment on {{date}}

Friendly reminder with parking info and what to expect.

Morning of
See you today at {{time}}!

Final reminder with office address and contact number.

Care Plan Adherence Sequence

Trigger: When patient starts a treatment plan

Keep patients committed to their care plan. This sequence encourages consistency and explains why the full treatment matters.

Day 3
How are you feeling after your first adjustment?

Check in on initial experience. Set expectations for the healing process.

Day 7
Why sticking to your care plan matters

Educational content about cumulative benefits of consistent chiropractic care.

Day 14
You are making great progress, {{first_name}}

Encouragement email with tips for maximizing results between visits.

Patient Reactivation Sequence

Trigger: 90 days since last visit

Bring back patients who have dropped off. Most stopped because life got busy, not because they do not value the care.

Day 0
We have not seen you in a while, {{first_name}}

Friendly check-in acknowledging it has been some time. No guilt, just genuine care.

Day 7
A quick spinal health check might be overdue

Educational content about preventive care benefits. Easy booking link.

Day 21
Special offer for returning patients

Optional incentive for booking. Works well with a re-exam special.

New Patient Welcome Sequence

Trigger: After first visit

Make a great first impression and build the relationship. This sequence thanks them, explains the practice philosophy, and encourages their next visit.

Same day
Welcome to our chiropractic family, {{first_name}}

Thank you message, recap of findings, and what to expect going forward.

Day 2
What to expect as you begin care

Educational content about the adjustment process and healing timeline.

Day 7
How was your first week?

Check-in with request for feedback. Happy patients directed to leave a review.

How to Choose the Right Email Tool for Your Chiropractic Practice

The best email marketing tool for your practice depends on a few key factors:

Practice size matters. Solo chiropractors can use simpler tools like MailerLite or Sequenzy. Multi-location groups need platforms like ActiveCampaign or HubSpot that handle complexity well.

Technical comfort varies. If you or your staff are not technical, prioritize ease of use over features. A tool you actually use beats a powerful one collecting dust.

Budget is real. Chiropractic practices operate on tight margins. Calculate the cost at your expected patient list size, not the starting price. A tool costing $10/month for 500 contacts might cost $200/month with 5,000 patients in your database.

What Actually Works for Chiropractic Practices

After talking to many chiropractors about their email marketing, here is what separates practices that see real results:

They automate the basics. Every practice should have automated appointment reminders and care plan adherence sequences running. Practices that automate these see 20-30% fewer no-shows and better treatment plan completion.

They keep it simple. The practices trying to build 10-email sequences rarely finish setting them up. Start with 3 sequences: appointment reminders, care plan support, and patient reactivation. Add more later.

They track what matters. Open rates and click rates are nice, but appointments booked from email is the metric that counts. Track that monthly and adjust your approach based on results.

Getting Started

Pick a tool from this list. Any of them will work better than not doing email marketing at all. Then:

  1. Import your patient list
  2. Set up appointment reminder emails
  3. Create a reactivation sequence for lapsed patients
  4. Send a monthly wellness newsletter

That is it. You can get fancy later. The important thing is to start.

Frequently Asked Questions

General email marketing can be HIPAA compliant if you follow best practices. Avoid including specific health information like diagnoses or treatment details in marketing emails. For appointment reminders and newsletters about general wellness, most platforms work fine. If you need to send protected health information, look for platforms offering Business Associate Agreements.

Most successful chiropractic practices send 2-4 emails per month. This includes automated appointment reminders, a monthly wellness newsletter, and occasional promotions. The key is consistency without overwhelming patients. They should remember you exist but not feel spammed.

The most effective reactivation emails are personal and non-judgmental. Acknowledge it has been a while, express genuine concern for their wellbeing, and make rebooking easy. Avoid guilt trips. A subject line like 'Checking in on you, {{first_name}}' with a friendly tone works better than 'You missed your appointments.'

Both work well together. Email is great for appointment confirmations with detailed information about what to bring and expect. Text works better for day-before and same-day reminders when you need quick confirmation. If choosing one, text has higher open rates for time-sensitive reminders.

Start with existing patients by asking for email during intake. Add a signup form on your website offering a free resource like a posture guide or stretching tips PDF. Ask satisfied patients for referrals. Run community workshops and collect emails from attendees. Never buy email lists as they hurt deliverability.

Focus on open rate (aim for 25%+), click rate (3-5%), and unsubscribe rate (under 0.5%). But the metric that matters most is appointments booked from email. Track how many reactivations and new bookings come from your sequences. That is your real return on investment.

You can send educational content about conditions in general terms. For example, a newsletter about 'common causes of lower back pain' is fine. What you should avoid is mentioning a specific patient's condition. Keep marketing emails educational and general, not personalized to their health history.

Keep them short (under 50 characters), personal (use their name), and relevant. Avoid spam triggers like ALL CAPS, excessive punctuation, or words like 'free' and 'urgent.' Subject lines like 'Quick tip for your posture, {{first_name}}' or 'Time for your wellness check' perform well.

Respect unsubscribe requests immediately as required by law. You can still send transactional emails like appointment confirmations to unsubscribed patients since those are not marketing. Consider adding an option to reduce email frequency instead of fully unsubscribing.

Yes, segmentation improves results significantly. At minimum, segment by active patients versus lapsed patients. You can also segment by condition focus, treatment type, or how long they have been a patient. Sending relevant content to each group increases engagement and reduces unsubscribes.

Ready to grow your chiropractor practice?

Start your free trial today. Set up your first email sequence in minutes with AI-powered content generation.

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Sequenzy - Complete Pricing Guide

Pricing Model

Sequenzy uses subscriber-based pricing. You only pay for subscribers active in sequences (automations). Inactive subscribers are free to store.

All Pricing Tiers

  • 0-100 subscribers: Free (Free annually) - 2k emails/month
  • 101-1,000 subscribers: $19/month ($205/year annually) - 15k emails/month
  • 1,001-5,000 subscribers: $29/month ($313/year annually) - 60k emails/month
  • 5,001-10,000 subscribers: $49/month ($529/year annually) - 120k emails/month
  • 10,001-25,000 subscribers: $99/month ($1069/year annually) - 300k emails/month
  • 25,001-50,000 subscribers: $199/month ($2149/year annually) - 600k emails/month
  • 50,001-100,000 subscribers: $349/month ($3769/year annually) - 1.2M emails/month
  • 100,000+ subscribers: Custom pricing (Custom annually) - Unlimited emails/month

Yearly billing: All plans offer a 10% discount when billed annually.

Free Plan Features (0-100 subscribers)

  • Visual automation builder
  • Transactional email API
  • Reply tracking & team inbox
  • Goal tracking & revenue attribution
  • Dynamic segments
  • Payment integrations
  • Full REST API access
  • Custom sending domain

Paid Plan Features (1,000 - 100,000 subscribers)

  • Visual automation builder
  • Transactional email API
  • Reply tracking & team inbox
  • Goal tracking & revenue attribution
  • Dynamic segments
  • Payment integrations (Stripe, Paddle, Lemon Squeezy)
  • Full REST API access
  • Custom sending domain

Enterprise Plan Features (100,000+ subscribers)

  • Visual automation builder
  • Transactional email API
  • Reply tracking & team inbox
  • Goal tracking & revenue attribution
  • Dynamic segments
  • Payment integrations
  • Full REST API access
  • Custom sending domain

Important Pricing Notes

  • You only pay for subscribers who are active in automations/sequences
  • Storing inactive subscribers is free
  • No hidden fees - all features included in the price
  • No credit card required for free tier

Contact

  • Pricing Page: https://sequenzy.com/pricing
  • Sales: hello@sequenzy.com