What is the difference between this and a retainer with a normal agency?
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Sequence and ownership. Most retainers sell a bundle of activities billed monthly, so the work that shows up in a report gets prioritised over the work that changes patient volume. The campaign runs in a fixed order because the order is load-bearing: content cannot rank on a site crawlers cannot read, and a map pack cannot move while your name, address, and phone disagree across three systems. You also own every asset from day one, and the engagement is month to month, so we have to keep earning it.
Do I have to take the whole campaign?
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No. The diagnostic comes first for everybody, and it frequently shows that one or two phases carry almost all of the available gain for a given practice. A practice with a fast, well-built site and a neglected Google Business Profile does not need a rebuild. We tell you that rather than selling you the full sequence.
How long before we see something?
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The build and the profile corrections are visible within weeks because they are things we ship rather than things we wait for. Local and AI surfaces typically start moving in the second or third month, and content authority compounds over six to twelve. Those are directional ranges from how this work behaves, not a guarantee, and anyone who guarantees you a ranking is telling you something they cannot control.
Why does a marketing agency lead with compliance?
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Because in this industry compliance decides which marketing is available to you. An advertising pixel on an appointment page is a privacy claim waiting to happen. An unqualified guarantee is a state board matter. An inaccessible booking form is a demand letter. We would rather build inside the rules than build something you have to unwind, and the constraint costs almost nothing when it is designed in from the start rather than retrofitted.
Who actually does the work?
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The people you meet. We work only with health and wellness practices, which is the reason we already know what a Boulevard integration or a state board disclosure requirement involves rather than learning it on your budget. If a specialist is brought in for something, you are told who and why.
What do you need from us?
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Approvals, access, and the clinical review. Access to your domain, analytics, Google Business Profile, and practice management system. Approvals on direction and copy. A clinician to review anything clinical before it publishes, which is not optional and is the part we cannot do for you.