How an engagement actually runs, start to finish.
No sales deck, no sixty-slide proposal, and no design work begins until you've approved exactly what's being built, in what order, and why.
Every dollar spent on design before the strategy is settled is a dollar spent guessing.
Strategy first. Design is what strategy looks like once it's decided.
Most agencies open a conversation about your practice with a conversation about design — colors, layouts, maybe a competitor's site you liked. We open with the business decisions that make design correct or incorrect: which cases you actually want more of, who's currently winning them in your market, and what your existing site is quietly doing to prevent it.
Design made before those decisions is a guess wearing good typography. Design made after them is the visible expression of a strategy someone actually thought through.
If a design decision can't be traced back to a specific patient behavior or business goal, it doesn't get made — no matter how it would look in a portfolio.
Eight decisions that shape everything else.
Made before a single page is designed. Get these wrong and the rest of the project works against you instead of for you.
Highest-value treatments
Not every procedure you offer carries equal weight. We identify the two to four treatments the entire system should be built around, based on margin, demand and your actual clinical interest — not a list of everything you do.
Ideal patient profiles
The full-arch patient researching for six weeks and the emergency patient calling in pain are not the same person, and they don't respond to the same page. We define exactly who the system is built to move.
Local market
Who's currently winning the searches you want, what they're doing well, and where the real opening is in your specific market — not a generic competitive-landscape slide.
Competitive positioning
A specific, defensible reason a patient should choose you for the cases that matter, stated in a sentence — not a paragraph buried on an About page.
Existing website
An honest, page-by-page audit of what your current site is quietly doing to prevent the outcome you want.
Conversion opportunities
Where a real, interested patient currently gets stuck, confused, or is given no clear next step.
Search visibility
What you actually rank for today versus what your highest-value patients are actually searching for — the gap is usually the whole story.
Practice differentiation
What's true about how you practice that a patient would actually care about, surfaced and stated plainly instead of left implicit.
Five phases, in this order.
Skipping ahead to design before the earlier phases are settled is the single most common reason agency projects underperform.
Diagnose
The growth review — a real audit of your site, market and competitors, delivered whether or not it turns into further work.
Scope & agreement
If a system makes sense, you get a written scope: what's being built, in what order, and what it costs — confirmed before any design or development begins.
Build
Strategy, then architecture, then design, then development — in that order, with your review at each major stage, not only at the end.
Launch
A measured launch with tracking in place from day one, not added later once someone asks where the leads are coming from.
Measure & iterate
The system is reviewed against real consultation data on a regular cadence and improved on evidence — not rebuilt from scratch every few years.
Inside the growth review.
The same four steps every time, done properly.
We do the work before we ever speak
Before the call, we review your site, your local market, and the practices currently ranking and converting for the treatments you want more of — so the conversation starts from evidence, not a discovery questionnaire.
A 45-minute conversation, mostly us asking
About the practice, the cases you actually want, what's currently getting in the way, and what a realistic next step looks like. We're not pitching during this call — we're diagnosing.
Written findings, not a recap email
Specific pages where high-value patients are leaving, content that doesn't exist yet, positioning gaps, and the order we'd address them in — a real document, not a summary.
You decide, with the findings either way
If a system makes sense, we scope it in writing. If it doesn't — timing, budget, fit — we'll say so plainly, and you keep the findings regardless.
Not thirty meetings. Three decisions and one content session.
Approve positioning & scope
One decision, after the growth review, confirming direction and investment in writing before anything is built.
Review design direction
One focused review of the design approach before development begins — not an open-ended series of revision rounds.
Final review before launch
One pass to confirm everything is clinically and factually accurate before it goes live.
One content session
Photos, credentials, case details and anything else real that we can't invent for you — gathered once, not requested piecemeal for months.
What practices ask before they start.
It depends on scope — a focused conversion project moves faster than a full growth system with multiple treatment-specific builds. Timelines are confirmed in writing after the growth review, once the actual scope is known, not estimated beforehand.
Mainly existing content and credentials — practice photos, clinician bios, any case documentation you're comfortable sharing, and access to your current site and analytics. You'll get an exact list once scope is set, not an ongoing surprise list.
You keep the findings either way. If you take them to another agency or your in-house team and they act on them, the patient still ends up in your chair — that's a better outcome than a system nobody built.
No. You're needed for a small number of specific decisions — approving positioning and scope, reviewing design direction, and a final review before launch — not ongoing project management.
Against consultations for the treatments the system was built around, not raw traffic or generic rankings. What gets measured is agreed on during scoping, so there's no ambiguity later about what success looks like.
Ready to see where your
website is losing patients?
The first step is the growth review — 45 minutes, no obligation.
Written findings either way. No proposal unless you ask for one.