Medical SpaToronto, ON
“We were stitching together a booking tool, a client-experience platform, a separate consent app, and a loyalty plugin. Over $1,400 a month just to run the clinic. Delam replaced all of it.
Key metrics
+$4,050
Net new MRR in 90 days
27 memberships across Essentials, Signature, Icon tiers
$912/mo
Recovered subscription spend
Four vendor tools consolidated into one platform
42 calls
Recovered in month one
AI front desk bookings previously lost to voicemail
The full story
Background
The clinic, the team, the starting line.
Aesthetics & Wellness Clinic is a single-location medical spa in Toronto, staffed by a medical director, two injectors, a laser technician, and two front desk coordinators. The clinic offers the full aesthetic stack, neuromodulators, fillers, laser hair removal, Morpheus8, IV therapy, and a small retail shelf of professional skincare.
Like most Canadian medspas of its size, the clinic ran on a Frankenstein of point solutions. Booking lived in one vendor, client notes in another, consent forms in a third, and a loyalty punch card on paper by the front desk. Memberships, when they existed, were a Stripe product billed by hand every month with spreadsheet reconciliation by the owner on weekends.
The Medical Director owned the clinic and the roof: operations, clinical oversight, marketing, accounting. Evenings and Sundays were spent reconciling Stripe, chasing patient deposits, and fixing double-bookings caused by a booking tool that did not talk to the staff calendar.
Challenge
What was breaking before Delam.
Three operational problems showed up first. Vendor sprawl cost the clinic just over fourteen hundred dollars a month in software subscriptions, and staff were switching between four dashboards on every appointment. Memberships were a revenue ambition, not a revenue line, because the billing and redemption flow did not exist. And after-hours calls died in voicemail. Callers who could not reach a human at eight in the evening did not call back; they booked with the clinic up the street.
A harder problem sat underneath: compliance. Before and after photos were stored in a shared Dropbox folder, with consent captured on paper and filed in a binder by the front desk. PIPEDA, PHIPA, and Quebec Law 25 all require that patient photos be encrypted at rest, gated by consent, and revocable. A Dropbox folder with a shared password and no audit log does not clear that bar. CPSO Policy 4-12 and CPSO advertising rules make it worse, any marketing use of a patient photo without documented, revocable, use-specific consent puts the clinic at risk.
The Medical Director had shortlisted Dermis, Boulevard, and a US-headquartered competitor. Each solved part of the problem, but none were built around memberships, and every one of them stored patient data outside Canada by default.
Solution
How the team rolled out Delam.
The clinic moved to Delam in a seven-day rollout. Day one connected Stripe and imported staff. Day two migrated patient records and payment methods from the prior practice management tool. Day three mapped treatment plans to Delam's modality templates with consent language reviewed by the Medical Director. Day four invited providers and ran a thirty-minute SOAP notes training. Day five turned on photo consent with the PhotoConsent foreign key gating every upload. Day six went live. Day seven was the role and audit log review.
Memberships launched in week two. The clinic used Delam's default Silver, Gold, Platinum ladder, renamed to Essentials, Signature, and Icon, with monthly Stripe Subscriptions, rollover credits, and in-app redemption through the branded patient app. Pricing was set at 149, 299, and 499 Canadian dollars per month. A soft launch went out to the clinic's top 300 active patients by email, SMS, and in-app push on the same day.
The AI front desk went on a week later. It picks up calls after hours, during staff breaks, and when all front desk staff are on another line. Every inbound call opens with a plain-language Quebec Law 25 disclosure, reads the live schedule, offers bilingual English and Canadian French support, and hands off to a human the moment the caller asks for one. Staff never see raw patient phone numbers, inbound routing runs through a Twilio business number and only rings staff who are punched in with the calls.receive permission.
Results
Ninety days in.
Ninety days in, the clinic had enrolled 27 members across the three tiers, weighted toward Signature at 299 a month. That is 4,050 Canadian dollars of net new monthly recurring revenue, with a member retention rate of 96% in the first quarter. Rollover credits and the in-app wallet materially reduced cancellation churn, members who banked an unused facial stayed enrolled rather than walk.
Vendor consolidation produced 912 dollars a month in recovered software spend, not counting the hourly cost of the Medical Director's Sunday reconciliation routine, which disappeared. The AI front desk booked 42 appointments in its first 30 days that would previously have gone to voicemail, at an average booking value of 187 dollars, a direct revenue recovery north of seven thousand dollars in month one.
On the compliance side, every before and after photo now sits in a private Supabase bucket behind a one-hour signed URL and a required PhotoConsent foreign key. Audit logging captures every PHI read, write, and export with staff ID, IP, device, and jurisdiction, retained seven years per CPSO Policy 4-12. The shared Dropbox folder was decommissioned and securely wiped.
Customer testimonial
“We were stitching together a booking tool, a client-experience platform, a separate consent app, and a loyalty plugin. Over $1,400 a month just to run the clinic. Delam replaced all of it.
