Open THIS provides
done-for-you handwritten note
campaigns for health clinics
Build loyalty fast. Get booked SOLID.

Open THIS
Boost repeat visits and referrals with our handwritten notes
Open THIS is a boutique marketing agency that provides done-for-you handwritten note campaigns for health clinics and practitioners, helping them build patient loyalty, drive repeat visits, and generate referrals.
Built for clinics and practices like yours
Open THIS supports health clinics in Durham Region and the Greater Toronto Area (GTA), Ontario, from solo practices to multi-disciplinary teams, who value their patient relationships but cannot maintain consistent outreach on their own.
This includes: Dentists, Chiropractors, Physiotherapists, Naturopaths, Osteopaths, Optometrists, and others who believe patients are worth keeping and nurturing.
Why We Exist
Closing the gap for health clinics
Most clinics know they should be staying in touch with their patients. Few actually do it consistently.
Not because they don't care.
Because there aren't enough hours in the day.
Open THIS closes that gap. We handle the entire handwritten note campaign: writing, addressing, stamping, and sending. We even design and print our own note cards, with your clinic's information on the back, because impressions matter.
These campaigns build patient loyalty, drive repeat visits, and generate referrals, so practitioners can stop worrying about marketing and focus on their patients.


Meet Marla
The person who started it
Marla McAlpine (known as Marla Mac) spent 22 years in marketing and communications for service businesses where relationships drove revenue, followed by 10 years running her own business.
As a former Marketing Director for a Bay Street law firm and a mid-size accounting firm, she learned one thing above all else: the clients who feel remembered are the ones who come back.
Seeing health clinics relying on bulk emails and generic flyers to grow their practices, she started asking questions.
What she heard from practitioners confirmed it: they would love to send handwritten notes, but simply could not make it happen.
So they worked twice as hard chasing new patients instead of nurturing the ones they already had.
Handwritten notes are not a nice to have. When done properly, they deepen patient relationships while growing the practice. Open THIS was built to deliver exactly that.
Marla holds an MBA and a B.A. in Communications, and brings every bit of that experience to the clinics she serves. When she is not building campaigns, you will find her on two wheels or advocating for animals.
Giving Back
Building a better community matters as much as building a better business.
A portion of our proceeds goes to support local animal rescues and Girls Inc.
Be Memorable
Emails stay unopened.
Postcards are ignored.
Flyers get tossed.
Stamped and mailed handwritten notes get RESULTS.
Build loyalty, repeat visits, and referrals through trust and relationships.
Let's Be Social
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Open THIS - boutique marketing agency
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© Communikations (dba. Open THIS) 2026-present