Campaigns built around urgency and services
We separate emergency and after-hours intent ('emergency vet', 'vet open now', 'pet poisoning', 'animal hospital near me') from planned services (wellness exams, vaccines, spay and neuter, dental cleaning, surgery, grooming and boarding). Emergency campaigns run call-only with aggressive bids and hour-of-day scheduling; planned services run on Search plus Performance Max with booking forms.
Radius bidding is narrow — most owners choose a clinic within 15 minutes — and negative keyword lists block 'free vet', 'vet school', 'vet tech jobs', 'pet insurance' and product searches that never convert into appointments.