If your clinic books through Jane and runs Google Ads, you've probably had the same frustrating experience we did. Google Ads shows clicks and a cost per click. Jane shows a full schedule. Nothing connects the two, so you can't tell which ads are booking patients and which are just spending money.

That has changed. Jane now sends booking data directly to Google Ads and Google Analytics 4. This guide explains what the new integration does, what data it shares, what it changes about running ads for a clinic, and the mistakes to avoid when you turn it on. For the click-by-click setup, see our companion guide on how to connect Jane to Google Ads.

What Jane's Google integration actually does

Jane calls it the Google Tag Manager integration. You'll find it under Settings, then Integrations, in your Jane account. It has two parts:

A Google Ads tracker. When a patient clicks your ad and books online, Jane reports that booking back to Google Ads as a conversion.
A Google Analytics 4 tracker. Jane sends booking and revenue data into GA4, so you can see which channels produce bookings: ads, organic search, your Google Business Profile, social or direct visits.

The important detail is how the data travels. According to Jane, the booking data is sent from Jane's side, not from a script in the patient's browser. It includes the transaction value, the service booked, the clinic location and the marketing channel. Jane says this captures a fuller picture of conversions than browser-based tracking, which relies on the patient accepting cookies.

Jane lists the integration for its Legacy and Thrive plans, and the Account Owner has to set it up.

Why this is a big deal for clinic ads

For years, Jane clinics have had a tracking gap that most never noticed. A patient searches "chiropractor near me", clicks your ad, lands on your website, then clicks Book Now and finishes on your Jane booking site. That hand-off between two websites is where Google Ads usually lost the trail.

The common workarounds all had problems:

Counting Book Now clicks. Easy to set up, but a click isn't a booking. Many patients click, browse times and leave.
GA4 cross-domain tracking. Better, but fiddly to set up, easy to break, and dependent on the patient accepting cookies.
Guessing from the schedule. Comparing a busy month to ad spend tells you almost nothing about which campaign did the work.

In accounts we review, it's common to find a clinic whose main conversion is a button click rather than a booking. When Google's automated bidding is fed the wrong signal, it gets very good at buying the wrong thing.

With Jane reporting the booking itself, the conversion in Google Ads finally means what clinic owners assumed it meant all along: a patient booked.

What data Jane sends, and what it doesn't

This is the first question most clinicians ask, and it's the right one.

What Google gets: that a booking or purchase happened, the service or item, its value, the location, and the ad click or channel it came from.
What Google doesn't get: patient names, contact details or health information. Jane says it strips personal and health information from patient data before anything is sent to Google (source).
Consent still matters. Jane notes that in regions that require cookie consent, some event data depends on the patient agreeing to tracking.

As a practising chiropractor, I'd still suggest checking your privacy policy mentions that you use Google advertising and analytics tools. That's good practice under Canadian privacy law whatever booking system you use. Your college may also have advertising standards worth a read, but the integration itself doesn't change what your ads can say.

What you'll see in Google Ads and GA4

Once it's connected, Jane says data can take 24 to 48 hours to appear in Google.

In Google Ads, booked appointments appear as conversions next to your clicks and costs. You can see:

Cost per booked patient by campaign, ad group and keyword
Conversion value and return on ad spend, using the booking values Jane sends
Which search terms lead to bookings, not just clicks

In GA4, Jane's guide lists several reports that fill in:

Traffic acquisition: bookings and revenue by channel
Ecommerce purchases: revenue by service, by category (appointments, packages, gift cards) and by location
Sales overview: total revenue, transactions and average booking value

For multi-location clinics, the location breakdown is the hidden gem. You can finally see which clinic your ads are actually filling.

What it changes about running your ads

Better data is only useful if you act on it. Here's what we change in an account once Jane tracking is live.

Switch bidding to real bookings. Strategies like Maximize Conversions and Target CPA learn from your conversion data. Once that data is real bookings, bidding gets noticeably smarter over the following weeks.
Cut keywords that click but don't book. Some terms look great on click-through rate and never produce a patient. Your search terms report becomes far more useful when it shows bookings.
Judge landing pages by bookings. Sending ads straight to your Jane booking page versus a dedicated landing page is now a question you can answer with data.
Set budgets by cost per patient. Instead of "we spend $1,000 a month", you can say "we pay this much per new patient" and decide whether to spend more.

At our own clinic, Saanichton Chiropractic, this is how we judge our ads now: which campaigns, keywords and services book patients, not which ones get clicks. Every clinic's numbers differ month to month, but the decisions get much easier when the data is real.

Common mistakes when turning it on

Most setup problems we see are small decisions that skew the numbers.

Leaving old conversions as primary. If your Book Now click goal is still a primary conversion, Google counts the click and the booking. Set Jane's booking conversion as primary and demote the rest.
Expecting every booking to show. Only online bookings tied to an ad click are reported. Phone bookings need call tracking separately.
Forgetting the website hand-off. If your ads land on your website before Jane, Jane recommends setting up cross-domain measurement in GA4 so the visit and booking stay connected.
Linking the wrong conversion. Jane allows one Google Ads conversion action at a time. Make it the one your bidding uses.
Panicking at "Inactive". A new conversion action shows Inactive until the first ad click turns into a booking. That's normal.
Changing bidding on day one. Give it a few weeks of booking data before making big bidding changes.

We cover each of these in more detail in our list of common healthcare Google Ads mistakes.

Should you set it up now?

If you book through Jane and spend money on Google Ads, yes. It costs nothing extra in Jane, there's no add-on, and every week without it is a week of bidding on incomplete data.

It matters most for:

Clinics using Smart Bidding that have been optimizing toward clicks or page views
Multi-location clinics that want to know which location the ads are filling
Clinics with several services (chiro, physio, massage, counselling) that want to see which ones the ads book
Owners deciding whether ads are worth it who need a real cost per patient

If you don't run ads yet, it's still worth connecting the GA4 tracker. You'll see which channels already bring in bookings, including your Google Business Profile.

Frequently Asked Questions

Does Jane integrate with Google Ads?

Yes. Jane's Google Tag Manager integration connects to Google Ads and GA4 and sends booking conversions to both. It's set up by the Account Owner under Settings and Integrations.

Is Jane's Google Ads tracking free?

Jane lists it for Legacy and Thrive plans with no add-on required. Google Ads and GA4 are free to connect.

Does Google see patient information?

No. Jane says personal and health information is stripped before data is sent. Google sees that a booking happened, the service, its value and the channel.

Do I still need GA4 on my clinic website?

Yes. Your website tracking shows how people find and browse your site. Jane's tracker reports the booking. If ads land on your site first, set up cross-domain measurement so the two connect.

How long until it starts working?

Jane says data appears in Google within 24 to 48 hours. Your conversion action becomes Active after the first booking from an ad click.

Get it set up properly

SEO Medics manages Google Ads for Canadian clinics, and we run Jane at our own clinic. We set up Jane's booking tracking for every Jane clinic we work with, included in our flat $199/month fee. If you'd like a second opinion on your current tracking, book a free call. We'll tell you honestly what's working and what isn't. Learn more about Google Ads for Jane App clinics.

Sources: Jane: Google Tag Manager hub · Jane: Google Analytics vs Google Tag Manager · Jane: What you'll see in GA4 · Jane: What you'll see in Google Ads