The questions, answered.

Simple: one call. We’ll spend 30 minutes learning about your practice, current marketing, and goals. If there’s a fit, we come back with a written proposal within a week. If there isn’t, we’ll say so — and point you toward someone who might be a better match.

Two weeks, roughly. Week one: kickoff call, credential and access handoff, brand and voice mapping. Week two: technical audit, baseline metrics, and initial strategy document. By the end of week two, you have a written plan and we start executing.

Depends on the service. Ad optimization moves in weeks. SEO in months. AI workflows are live in 30 days but compound over time. We publish realistic timelines up front — no promises of overnight results because none of this actually happens overnight.

Most of our clients are single-location practices with 2–8 providers, but we work with everything from solo practitioners to 20-location groups. What matters more than size is that you are serious about growth and have someone internal we can partner with.

Marketing: SEO, content, ads, reputation, website design, patient acquisition. AI and automation: HIPAA-compliant PRM, workflow automation, patient chatbots, predictive analytics, ad optimization. Most clients start with one or two services and expand over time.

Depends entirely on scope. A focused SEO engagement starts around $2,500/month. Full AI + marketing programs run $10–25K/month. We always give you a written estimate before you commit — no bait-and-switch, no surprise line items, no monthly retainer creep.

No — because every practice’s situation is different and we don’t believe in one-size-fits-all pricing. But we will always share numbers on the first call, and we will never quote a project without breaking down exactly what is included.

Absolutely. Most clients do. We’d rather earn the right to expand than lock you into a package you don’t need. Common starting points: local SEO, reputation management, or a single AI workflow.

Yes, after an initial 3–6 month commitment. The first 90 days is genuine work — audits, strategy, foundational build — that doesn’t make sense at less than that timeline. After that, we are month-to-month with 30 days notice.

Yes. For any service that touches PHI or patient data — PRM, chatbots, workflow automation, patient acquisition — we sign a Business Associate Agreement before work begins. It is non-negotiable, on both sides.

Marketing campaigns don’t touch PHI. All targeting is done on non-PHI audiences (demographic, geographic, behavioral). If any service does involve patient data (like PRM), it is isolated in HIPAA-compliant infrastructure with strict access controls and audit logs.

Yes, when they handle patient data. Our PRM, patient chatbots, and workflow automation run on infrastructure with signed BAAs. We do not route PHI through consumer AI tools (ChatGPT, general Claude, etc.). Our internal use of AI for content and analysis is on data-isolated instances.

No. Never. Patient data is not used for training, fine-tuning, or any model improvement. Every AI system we deploy uses your data only to serve your practice. If a vendor’s terms allow otherwise, we don’t use that vendor.

HIPAA-compliant patient relationship management (PRM), workflow automation across systems (like PMS + calendar + SMS), patient-facing chatbots, ad bid optimization, and predictive analytics. We integrate with your existing tools rather than replacing them.

Every AI system we deploy has manual override, error alerting, and confidence thresholds that route uncertain decisions to humans. When something goes wrong (and eventually something will), you see it, and you decide. We don’t do fully autonomous.

You do. Any custom model or workflow we build using your data is yours, exportable, and portable. If you leave, you take it with you. This is written into every contract — no proprietary lock-in.

No. AI replaces the tasks your staff shouldn’t be doing — form entry, appointment reminders, insurance verification, review response. Your team gets more time for what actually requires them: patient care and relationship building. Every practice we work with has kept their staff.

You do — code, content, design, everything. On the day you sign, you own it. We build on standard tech (WordPress, Webflow, custom) that your team or any other agency can maintain. No proprietary CMS you can’t leave.

Absolutely. Every piece of data we collect on your behalf — patient interactions, analytics, ad performance, AI model outputs — is yours. Exportable in standard formats at any time, for any reason, without asking permission.

30 days notice, and we hand over everything: accounts, credentials, documentation, data exports, model files. No "transfer fees," no "shutdown penalties." We’d rather you leave gracefully than never come back.

No. If you want to work with another agency for a specific service, or hire an in-house marketer, that is fine. We won’t try to lock you into being our only vendor. Some of our best client relationships have started this way.

One person, always. Usually a strategist who is involved in your account week-to-week. You get their direct phone and email — not a general agency inbox. For technical issues, we route to the specialist, but your main relationship is one person.

Under 4 business hours for normal requests. Under 1 hour for anything urgent (ad account issue, site down, compliance question). We publish this and we track ourselves against it — our current 30-day median is 47 minutes.

Yes — a monthly written report with the actual numbers, honest interpretation, and what we’re changing next month. Not a dashboard PDF with 60 charts. A real document you can read in 10 minutes and understand what happened.

Depending on what makes sense for your practice: continued monthly work, transitioning to a lighter maintenance retainer, or a full handoff to your internal team. We help you get to the right ownership structure, not the one that keeps you dependent on us.