You Probably Don’t Need All Five of These
Three agencies have probably told you that you need a full digital strategy. Most practices need one of the five services below, not all of them. The table under this section takes about two minutes and points at the one to start with, before you talk to anyone, including us.
A reader who leaves this page knowing what to fix first is a win, even if that answer is not us.
Free. No card. About 40 seconds.
What’s Actually Wrong, and Where to Start
Find the row closest to your situation. The right-hand column is where that specific problem gets fixed — not a menu of everything we offer.
| What you’re seeing | Where to start |
|---|---|
| Patients find us but book somewhere else | Start with reputation management |
| We don't appear when patients ask an AI tool | Start with AI visibility |
| Our site is five years old and slow | Start with website design |
| We rank fine but the phone doesn't ring | Start with the booking path |
| We have almost no reviews | Fix that first, before hiring anyone |
| We're invisible for the procedures we actually make money on | Start with healthcare SEO |
Under 20 reviews is already on our own qualification list, below. We would rather tell you to fix that first than take a retainer we know won’t show results yet.
Once You Know What’s Wrong, Here’s the Page for It
AI Visibility & GEO
Entity consistency, structured data, and the third-party mentions that get a practice named inside an AI-generated answer.
For practices with something worth citing whose own site doesn't say so consistently.
See how AI visibility worksHealthcare SEO
Technical foundations, specialty-specific content, and local visibility — the base layer AI systems read before recommending anyone.
For practices invisible for the specific procedures that pay the bills.
See our healthcare SEO approachReputation Management
A safe reply process and consistent listings across every platform patients actually check before booking.
For practices with real review volume and no process for replying to any of it.
See our reputation management approachSocial Media Management
A verification presence, not an acquisition channel — kept current, HIPAA-aware, and nothing more.
For cosmetic and elective practices whose patients check social media before booking.
See our social media approachWebsite Design
A rebuilt technical foundation: page speed, a short booking path, and real accessibility.
For practices whose site measurably fails on speed, booking, or accessibility, not just looks dated.
See our website design approach
The Work Differs by Buyer, Not Just by Service
The five services above stay the same. Who is searching, how urgently, and what they compare before booking does not.
Dental
An emergency patient searches differently than one comparing Invisalign providers, and both differ from someone reading reviews before a first cleaning. All three need to find the same practice, through different content.
See our dental marketing approachDermatology
A medical dermatology visit is often insurance-driven and time-sensitive. A cosmetic visit involves more comparison, more spend, and a patient checking social proof first. The same five services get pointed at each buyer differently.
See our dermatology marketing approachTwo Kinds of Work, Priced Differently
Ongoing work: a monthly retainer
AI visibility, healthcare SEO, reputation management, and social media management are ongoing — measured and reported monthly, in three tiers: Visibility, Growth, and Market Leader.
Website builds: a fixed-scope project
Medical website design is not a monthly service. It has a defined scope and a defined end, so it is quoted on its own — not folded into any retainer tier.
Full tier pricing for the ongoing services is on our pricing page. A website build gets quoted after we know what the current site can keep.
What We Will Not Do
Naming what we refuse is the cheapest real credibility a new agency can buy.
Ad Spend
Paid budgets are paid directly to Google or Meta, never through us. We don't mark up media.
Website Rebuilds
We optimise what you have. A full rebuild is quoted separately.
Photography and Video
We'll tell you what you need and can recommend someone.
Patient Data
We work exclusively with public data — your site, listings and reviews. We never touch patient records, intake forms, call recordings or CRM data.
Who This Isn’t For
We turn down more practices than we take on.
- 01
Fewer Than 20 Reviews
You aren't ready unless you're willing to fix reputation first.
- 02
Need Results in 30 Days
AI citations can move in 30–60 days, but meaningful patient-volume change takes a quarter.
- 03
Won't Change the Website
Some of this work requires changing your pages.
- 04
Looking for the Cheapest Option
There are agencies at $500 a month. They aren't doing this work.
Choosing and Sequencing, Answered
Two rows in the diagnostic table both seem to apply. What do we do?
Take the one your patients would notice first. A slow site and a thin review profile are both real, but a patient decides from reviews before they ever load the site. Start there.
Can we run more than one service at the same time?
Yes, and most practices on our Growth or Market Leader tier do. The diagnostic table is about what to start with, not a limit on what runs concurrently once you're underway.
Do we need a new website before AI visibility or SEO work can start?
Usually no. AI visibility and SEO work on the site you already have unless it's genuinely broken — see the diagnostic table above. A website rebuild is a separate, fixed-scope project, not a prerequisite.
We don't know what's wrong, only that something is. What then?
Run the free AI visibility check below. It won't diagnose your website speed or your review count, but it tells you exactly how you show up in a live AI answer today, which rules out or confirms one row on the table.
What if we're not ready to hire anyone yet?
Then use the diagnostic table and the free checker and fix what you can yourself. A reader who leaves this page knowing what to fix first is a win for us even if it isn't a client today.
How is choosing a service different from just picking the cheapest one?
The cheapest option treats every practice the same. We turn down work that doesn't match what a practice actually needs — see who this isn't for, above — because the wrong service for your situation doesn't get cheaper by being first.
See What AI Says About Your Practice
We send three real patient questions to a live AI answer engine and show you the exact answers it gives back — who gets named, and who does not. No call required, and the report is yours either way.
Free. No card. About 40 seconds.
Still not sure where to start? Go back to the diagnostic table, or read more on how we work.