Video

YouTube and video for a health practice: what works, and the rules that apply

Video is where many patients first hear a practitioner explain something. Here is what YouTube, Google and the accessibility and privacy rules expect before you press record.

By Mariya Di Luzio, Founder and Creative Strategist · Published · 6 min read

The short answer

Short videos that answer the questions patients ask at the front desk work best, hosted on YouTube and embedded on a page of your own site. Most chiropractors, acupuncturists, naturopaths and coaches do not qualify for YouTube’s health source labels, so do not plan around them.1 Caption every video, and get written authorization before a patient appears.57

Key takeaways

  • YouTube’s health source features are open to licensed doctors, nurses, psychologists, marriage and family therapists and clinical social workers, with channel thresholds on top.1
  • YouTube removes content that contradicts local health authority guidance on treatment, including claims of a guaranteed cancer cure outside approved treatment.2
  • Google finds a video on your site when it sits in a standard embed on a page, and a watch page should exist mainly to show one video.3
  • ADA.gov lists videos without captions as a barrier for people with hearing disabilities.4

What kind of video actually helps a practice

Not a brand film. The videos that earn their keep answer one question each, in the words patients use: what happens at a first acupuncture appointment, whether an adjustment should hurt, what a functional medicine intake covers, how long a cleaning takes. Two to four minutes, one practitioner talking to camera, a clear title that repeats the question.

These do three jobs at once. They answer the question on YouTube, which is a search engine in its own right. They sit on the matching page of your website, where a nervous new patient watches them before booking. And they give AI assistants a transcript of your practitioner explaining the practice in plain words.

YouTube’s health features, and who qualifies

YouTube gives approved health channels two features: an information panel that gives health source context, and a place on its health content shelf. To apply, you must be licensed in one of these professions in the country you apply in: doctor, nurse, psychologist, marriage and family therapist, or clinical social worker. The channel must also follow YouTube’s monetization policies, primarily cover health information, have no active Community Guidelines strikes, and have more than 1,500 valid public watch hours in the last 12 months or 1.5 million valid public Shorts views in the past 90 days.1

Chiropractors, dentists, acupuncturists, naturopaths, nutritionists and health coaches are not on that list, and YouTube notes that some professions may not be eligible in certain countries.1 My position: do not build a video plan around a label most of this audience cannot get. Build it around answering patient questions and embedding the answers on your own pages, where you control the context.

What YouTube will take down

YouTube’s medical misinformation policy bans content that poses a serious risk of egregious harm by contradicting local health authority guidance about specific health conditions and substances. It has two categories: prevention misinformation and treatment misinformation.2 Under treatment, the examples include claims of a guaranteed cure for cancer outside of approved treatment and claims that alternative treatments are safer or more effective than approved cancer treatments.2 YouTube does allow some content that would otherwise break the policy when it has educational, documentary, scientific or artistic context.2

For an integrative or functional practice the safe wording is the wording you should be using anyway: describe what you do, what the evidence says and where it is limited, and say plainly when someone needs their physician. A video that makes a claim the practice could not make on its website is still the practice making it. More on that in health claims on a practice website.

Video topics for a practice, checked against the rules
Video ideaWorks?Why
What happens at a first visitYesAnswers a real question and involves no claims
How we decide if you are a good fitYesSets expectations and shows judgment
Practitioner explains a condition, citing guidelinesYes, with careKeep to what the evidence and your license support
Our protocol cures [disease]NoA disease claim; for cancer, YouTube names this in its policy
Patient story filmed in the treatment roomOnly with written authorizationUses the patient’s health information for marketing

Making the video findable on your own site

Google’s video documentation says it can find videos referenced by a standard video, embed, iframe or object element, so a normal YouTube embed works.3 It describes a watch page as a page whose main purpose is to show users a single video, and it asks that any structured data you add stays consistent with the video itself.3

For a practice that means one of two patterns. Either the video supports a service page, where the text still carries the page and the video is a helpful extra, or you build a short page per video, with the video at the top, a written summary, and the full transcript below it. The second pattern gives search engines and AI assistants text they can quote. The markup side is covered in schema markup for a health practice.

Captions are not optional

The Justice Department’s web guidance lists "no captions on videos" as an example of a barrier, because people with hearing disabilities may not be able to understand information communicated in a video without them.4 The WCAG standard that accessibility audits use makes captions for prerecorded video a Level A requirement, the most basic level, and says captions include who is speaking and meaningful sounds as well as dialogue.5

YouTube generates automatic captions, but its own help page says they "might misrepresent the spoken content due to mispronunciations, accents, dialects, or background noise" and that you should always review and edit them.6 Clinical words are exactly where that happens. Read every caption file before publishing. The wider rules are in website accessibility for health practices.

Filming patients

The HIPAA Privacy Rule requires an individual’s written authorization before their protected health information is used or disclosed for marketing, with limited exceptions.7 A video in which a recognisable patient is shown receiving care at your practice, or talks about their condition, is that information, and a promotional video is marketing. Get a signed HIPAA authorization that names the video and where it will appear, separate from any general photo release, and keep other patients out of the frame and out of earshot.

If you want a video plan built around your patients’ real questions, with pages and captions done properly, that is part of a technical and compliance rebuild. This post explains the published policies. It is not legal advice, and a practice filming patients should have its authorization form reviewed by a healthcare attorney.

Questions practice owners ask

Can a chiropractor get the YouTube health source label?

Not under the current list. YouTube’s health features accept licensed doctors, nurses, psychologists, marriage and family therapists and clinical social workers, and notes that some professions may not be eligible in certain countries. Chiropractors can still publish helpful videos and embed them on their own site.

Are YouTube’s automatic captions good enough?

YouTube says automatic captions might misrepresent spoken content because of mispronunciations, accents, dialects or background noise, and that you should always review and edit them. Clinical terms are often mistranscribed, so read every caption before publishing.

Do we need permission to film a patient for social media?

Yes. The HIPAA Privacy Rule requires a patient’s written authorization before their health information is used for marketing, with limited exceptions. Use a signed authorization that names the video and where it will appear.

Should videos live on YouTube or on our website?

Both. Host on YouTube so the video can be found there, and embed it on a relevant page of your site with a written summary and transcript. Google can find videos in standard embeds, and the text gives search engines and AI assistants something to quote.


Sources, and how much weight each one carries

  1. YouTube, "Apply to be a source in YouTube health features", YouTube Help.
    Platform’s own eligibility rules for health source labels and shelves. Applies in the listed countries only.
  2. YouTube, "Medical misinformation policy", YouTube Help.
    Platform’s own content policy. Binding on YouTube uploads, not a law.
  3. Google Search Central, "Video SEO best practices".
    Platform’s own technical documentation on how Google finds and indexes video.
  4. U.S. Department of Justice, Civil Rights Division, "Guidance on Web Accessibility and the ADA", ADA.gov, March 18, 2022.
    Official federal guidance. Explains how the ADA applies to websites of businesses open to the public; guidance, not a regulation.
  5. W3C Web Accessibility Initiative, "Understanding Success Criterion 1.2.2: Captions (Prerecorded)", WCAG 2.2.
    International standards body. The technical standard accessibility audits measure against.
  6. YouTube, "Use automatic captioning", YouTube Help.
    Platform’s own documentation, including its statement on the limits of automatic captions.
  7. U.S. Department of Health and Human Services, Office for Civil Rights, "Marketing", HIPAA Privacy Rule guidance.
    Official regulator guidance on when the Privacy Rule requires a patient’s authorization for marketing.

This article is about marketing, website and compliance practice. It is not medical or legal advice, and nothing in it is intended to diagnose, treat, cure or prevent any disease. For a decision about your own practice, speak with a qualified attorney or the relevant regulator.

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