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Frequently Asked Questions About Direction.com

Everything you need to know about partnering with Direction.com

Your practice deserves honest answers about SEO, not agency spin. These are the questions healthcare providers ask us every day – answered directly, without the fluff or sales pitches.

About Direction.com

Direction is the SEO force that healthcare providers turn to when they need a scalable, predictable patient pipeline. Founded by former U.S. Army Intelligence, NSA & CIA veteran Chris Kirksey, we engineer scalable local visibility systems that connect life-changing healthcare practices with patients who need them most.

Our mission is to lead in scalable, affordable net new customer acquisition.

We operate on three non-negotiable core values:

  • Elite performance
  • Innovation
  • Value creation

When you choose Direction, you’re choosing a veteran-owned company built on honor, integrity, and the American duty of personal excellence. We run on EOS (Entrepreneurial Operating System), ensuring every team member owns specific goals and delivers exceptional results.

Because when your practice thrives and your patients find care, we’ve fulfilled our true purpose: making a difference where it matters most.

SEO is no longer about basic keywords, rankings, or backlinks. It’s AI-driven local insights, patient behavior patterns, search intent mastery, algorithm fluency, and content rooted in psychology and healthcare knowledge.

Search signals change, patient behavior evolves, and AI reshapes discovery. We sit at the intersection of these forces with Mosaic, our AI-powered local landing page system where every page follows proven psychological frameworks designed to engage, persuade, and convert. We make practices visible in both traditional and AI search results.

Our marketing uses real psychology, storytelling, and literary frameworks. The result? We scale visibility faster than anyone else in healthcare.

The numbers don’t lie. Our average healthcare client sees 312% more traffic within 6 months. More importantly: qualified patient inquiries increase 197% in the same timeframe.

This happens because we engineer content for results, not rankings. We’re not your run-of-the-mill generalist SEO agency who will work with anyone. We work on patient conversions. Other agencies promise traffic. We deliver qualified patients ready to book appointments. Your practice deserves more than generic SEO. It deserves precision. It deserves results. It deserves Direction.

We often work with healthcare providers who’ve watched their patient acquisition costs climb while competitors flood their markets with cheaper services. Specifically, we partner with established practices generating $5M+ annually who need predictable patient volume without bleeding money on ads that stop working the moment you turn them off.

Our clients include:

  • Independent practices – From solo practitioners to 30-provider groups
  • Dental and orthodontic offices – General, cosmetic, and specialty practices
  • Medical specialists – Dermatology, orthopedics, ophthalmology, plastic surgery
  • Behavioral health providers – Addiction treatment centers and mental health practices
  • Multi-location organizations – Healthcare networks with 2-50+ locations
  • Cash-pay focused practices – Providers reducing insurance dependence
  • Healthcare lead generation websites
  • Healthcare SaaS platforms
  • Nationwide telehealth providers

If you’re excellent at what you do but invisible online, we should talk.

Healthcare SEO isn’t just our specialty – it’s our passion (see our company story here ). While generalist agencies dabble in medical marketing between e-commerce projects, we live and breathe healthcare search behavior every single day.

Why does this matter?

Healthcare searches are fundamentally different. Patients search with fear, urgency, and specific symptoms. They need trust signals, not sales pitches. Google knows this, which is why medical content faces stricter scrutiny than any other industry.

Since 2016, we’ve analyzed millions of healthcare searches, studied thousands of patient journeys, and tested what actually works for practices like yours. That specialized knowledge is why our healthcare clients consistently outrank competitors using generalist agencies.

Healthcare SEO is our focus. It’s what we’re known for and where our deepest expertise lives. That said, we do maintain relationships with select clients in the legal space, as well as the finance and wealth management space.

Direction.com is based in Austin, Texas and operates as a fully distributed company with team members across the United States. This isn’t about saving on office space – it’s about accessing the best healthcare SEO talent regardless of geography.

Our distributed model means you get senior-level expertise without the overhead of a traditional agency (and that’s more bang for your buck with every campaign deliverable).

More importantly, we understand local search dynamics across major market because we have team members living and working in these communities.

Whether your practice is in Miami, Florida or metropolitan DC, we have the local market intelligence to dominate your specific geography.

SEO and AI Expertise

Healthcare SEO is the difference between a thriving practice and an empty waiting room. It’s the system that makes you visible when patients search “dermatologist near me” or “back pain treatment” at 2 AM.

Here’s the reality – 77% of patients search online before booking appointments. If you’re not on page one, you don’t exist. But healthcare SEO goes beyond basic visibility. It’s about appearing trustworthy, accessible, and expert when patients are making health decisions.

The stakes are different in healthcare. A pizza shop just needs to look appetizing. You need to convey expertise, compassion, and credibility in milliseconds. That’s why healthcare SEO requires specialized strategies that generic agencies simply don’t understand.

Google now uses AI to answer 49% of health searches directly – a shift that’s crushing traditional SEO agencies. While they scramble to adapt, we’ve built AI systems that turn this challenge into your competitive advantage.

Here’s what sets us apart. We use AI to create high-impact content that other agencies simply can’t match. We produce more content, better content, at a better cost than anyone else in healthcare marketing. How? Through our proprietary AI content systems that no one else has.

Our AI technology incorporates:

  • Eloquence formulas that tap into patient psychology
  • Literary devices that make content compelling
  • Writing standards that ensure natural, conversational flow
  • Banned patterns that avoid AI detection flags
  • Deep audience psychographics for each medical specialty
  • SEO expertise built into every sentence
  • Detailed profiles on your facility, pedagogy and methodology

The result?

Content that dominates on four critical levels: conversational enough for AI visibility, optimized for Google and Bing rankings, humanized for patient engagement, and accurate for HIPAA compliance.

Human experts review everything, but AI allows us to execute content plans that would take traditional agencies 10 times longer to complete.

Then there’s Mosaic – our AI system specifically designed for local landing pages. This technology helps practices dominate existing markets, expand regionally or nationally, and solidify their authority in their healthcare niche. While competitors create one generic page, we create hundreds of locally-relevant, perfectly optimized pages that patients actually find.

This isn’t about replacing writers with robots. It’s about using AI to multiply human expertise at a scale and quality level that transforms your online presence.

Mosaic is our proprietary SEO system that generates unique, high-quality, persuasive location pages at scale – and it’s the first system in the world built on rhetorical intelligence. Think of it as your secret weapon for dominating local search across every market you want to reach.

Here’s what makes Mosaic revolutionary. While other agencies create generic, template-based location pages that Google ignores, Mosaic uses a custom blend of rhetorical intelligence, tone logic, and search strategy to generate pages that sound human, feel persuasive, and rank faster. Every page is written using the same persuasive principles found in famous speeches, bestselling books, and world-changing ideas.

What Mosaic actually delivers:

  1. Location-Specific Domination – Creates unique pages for every city, region, or neighborhood you serve
  2. Rhetorical Intelligence – Uses proven persuasion formulas that convert visitors into patients
    Scalable Speed – Produces 100+ optimized pages per month (what traditionally takes years)
  3. Human Quality at AI Scale – Each page takes hours instead of days, without sounding robotic
    Expert Review – Every page is reviewed by our SEO experts before publication

The results speak for themselves. We’ve launched dozens of Mosaic campaigns with practices claiming #1 spots in Google’s AI-generated overviews, ChatGPT and Perplexity answers, and organic results.

For a typical campaign, Mosaic can create 600 highly-optimized location pages in 6 months for around $8,000/month. That same scale would cost $50,000+ and take years with traditional methods.

These pages are patient-generating machines that establish your dominance in every market.

Google changes its algorithm 500-600 times per year. Most agencies react to these changes. We anticipate them through relentless research and innovation.

Our approach is different. Instead of chasing algorithms, we focus on what never changes – Google’s core mission to deliver helpful, trustworthy content to searchers. By aligning with this mission and using AI to execute flawlessly, we stay ahead of updates that devastate others.

Here’s how we actually stay ahead. We’re constantly researching, testing, and documenting what works across our healthcare client base. We don’t just adapt to changes – we lead the conversation through educational articles that share our real-world experiences and insights. When something works, our entire client base benefits immediately.

More importantly, we’re pioneering the AI search evolution. While others scramble to understand how AI overviews work, we’ve already developed strategies that get our clients featured in these prime positions. We’re not following trends – we’re creating them.

Every 6 months, we conduct comprehensive strategy reviews for each client. We aggregate performance data, monitor competitor movements, and study how both traditional search engines and generative AI engines are evolving. This systematic approach keeps our clients competitive, fresh, and innovative – not just surviving algorithm updates, but thriving through them.

The proof? Our clients consistently gain rankings during updates that crush their competitors. That’s the difference between reactive SEO and the predictive, research-driven approach we’ve perfected.

Services and Deliverables

Direction.com offers a comprehensive suite of healthcare marketing services designed to dominate both traditional and AI-driven search results. Here’s what we provide:

Healthcare SEO Services:
Our core offering is comprehensive SEO campaigns built specifically for medical practices. This is a complete patient acquisition system that includes technical optimization, content strategy, link building, and conversion optimization. Every campaign is designed to reduce your dependence on referrals and insurance networks.

Local SEO Campaigns:

We help practices dominate their local markets with specialized local search strategies. This includes Google Business Profile optimization, local citation management across 100+ directories, geo-targeted content creation, and local link building. Our local SEO campaigns typically deliver results within 6 months with ROI compounding significantly thereafter.

AI SEO Services:

We’re pioneers in AI search optimization, using proprietary AI systems to create content that ranks in both traditional Google results and AI-generated overviews. Our AI technology produces more content, better content, at a better cost than any other agency – all while maintaining HIPAA compliance and avoiding AI detection.

Mosaic Location Landing Pages:

Mosaic is our game-changing programmatic SEO system that creates hundreds of high-quality, persuasive location pages at scale. Using rhetorical intelligence and AI, we can produce 100+ optimized pages per month – what traditionally takes years. These aren’t template pages – they’re unique, conversion-focused content that dominates local searches across every market you serve.

Healthcare Web Design & WordPress SEO:

We build websites from scratch and transform existing WordPress sites into patient-generating machines. This includes technical optimization, mobile responsiveness, CRM integration, and comprehensive service pages. We focus on user experience that converts visitors into booked appointments.

Everything we do is healthcare-specific, results-driven, and designed to work together as an integrated system – not a menu of disconnected services. We’re not trying to be everything to everyone. We’re the healthcare SEO experts who deliver measurable patient growth.

No – and that’s exactly why our clients see 300-500% ROI instead of mediocre results across multiple channels.

Here’s the truth about healthcare marketing budgets. When you spread $10,000 across PPC, social media, email, and SEO, you get weak results everywhere. But when you invest that same $10,000 into comprehensive SEO, you build something powerful – owned virtual real estate that generates patients month after month, year after year.

Think about it differently. PPC is like renting billboard space – the moment you stop paying, your visibility vanishes. Social media and email are complementary tactics that support your main strategy, not patient acquisition engines. But SEO? That’s buying prime real estate on the internet that appreciates in value every single month.

We’ve analyzed thousands of healthcare marketing campaigns, and the data is crystal clear. SEO delivers the highest ROI and most predictable cost-per-acquisition for new patients. While your competitors burn through PPC budgets chasing temporary visibility, our clients build permanent authority that compounds over time.

Our philosophy is simple – master one thing instead of being mediocre at five things. Unless you’re a massive enterprise with unlimited budgets, trying to do everything means succeeding at nothing. We chose to become the absolute best at healthcare SEO because it’s the most honest, sustainable form of marketing that actually builds long-term practice value.

The results speak for themselves. Our average client sees more patient growth from focused SEO investment than practices spending twice as much across scattered channels. That’s not an accident – it’s what happens when you commit to excellence in the channel that matters most.

Our healthcare SEO campaigns aren’t a collection of random tactics – they’re comprehensive patient acquisition systems designed to dominate your market. Here’s everything included:

Technical SEO Foundation

  • Complete site audit and crawlability fixes
  • Site speed optimization (because slow sites lose patients)
  • Mobile responsiveness improvements
  • Schema markup implementation for rich snippets
  • SSL security and HIPAA-compliant configurations
  • XML sitemap creation and optimization

Content Strategy & Creation

  • In-depth keyword research targeting high-intent patient searches
  • Service page optimization for every treatment you offer
  • Medical blog content that builds authority
  • FAQ development addressing actual patient questions
  • Content silos that boost overall domain authority
  • AI-optimized content structured for featured snippets

Local Search Domination

  • Google Business Profile complete optimization
  • Citation management across 100+ directories
  • Geo-targeted landing pages for every service area
  • Local link building with community partners
  • Local schema markup for enhanced visibility

Authority Building & Link Strategy

  • Healthcare-specific backlink acquisition
  • Guest posting on medical publications
  • Local partnership link building
  • Competitor link gap analysis
  • Toxic link cleanup and disavow

Conversion Optimization

  • Call tracking setup and analysis
  • Landing page optimization for appointments
  • A/B testing of key conversion elements
  • User experience improvements
  • Speed and performance optimization

Ongoing Strategy & Reporting

  • Bi-weekly progress updates
  • Monthly comprehensive reports with ROI metrics
  • 24/7 dashboard access
  • Quarterly strategy reviews
  • Competitive analysis and adjustments
  • Algorithm update monitoring and adaptation

Everything works together as one integrated system, managed by your dedicated healthcare SEO team.

Mosaic is our revolutionary local landing page SEO system that creates hundreds of high-converting location pages using rhetorical intelligence. Here’s what you get:

Rapid Page Generation

  • Dozens of completely unique location pages per month
  • Each page individually crafted (not templated)
  • Persuasive content that converts visitors to patients
  • 600% faster than traditional page creation

Location-Specific Optimization

  • Unique content for every city, region, or neighborhood
  • Local keywords and search intent targeting
  • Geographic schema markup
  • Location-based XML sitemaps
  • Dynamic local statistics and resources

Conversion-Focused Design

  • Mobile-responsive page layouts
  • Clear calls-to-action for appointments
  • Trust signals and social proof
  • Fast-loading, optimized code
  • HIPAA-compliant contact forms

Strategic Implementation

  • Internal linking architecture
  • Authority distribution across all pages
  • Competitive market analysis
  • Custom content for each service + location combo
  • Multi-state scaling capabilities

Expert Review Process

  • Human review of every page before publication
  • Brand consistency verification
  • Medical accuracy checking
  • SEO optimization validation
  • Quality assurance testing

Ongoing Management

  • Performance tracking for each location
  • Continuous optimization based on data
  • New page creation as you expand
  • Competitive monitoring by market

With Mosaic, you’re not just creating pages – you’re building an empire of local search dominance.

Our AI SEO services represent the future of healthcare marketing – using artificial intelligence to create content that dominates both traditional search and AI-generated answers. Here’s what’s included:

AI Content Generation System

  • Proprietary eloquence formulas that tap into patient psychology
  • Literary devices that make content compelling and human
  • Writing standards ensuring natural, conversational flow
  • Banned pattern detection to avoid AI flags
  • Deep audience psychographics for each medical specialty
  • HIPAA-compliant content generation

AI Answer Optimization

  • Content structured specifically for AI extraction
  • Featured snippet optimization
  • Question-based content architecture
  • Direct answer formatting for voice search
  • Semantic medical mapping for AI comprehension

Scalable Content Production

  • 10x more content than traditional methods
  • Faster turnaround without sacrificing quality
  • Multi-location content variations
  • Service-specific page creation at scale
  • Blog content that builds topical authority

Human Oversight & Quality Control

  • Expert medical review of all AI-generated content
  • Fact-checking and accuracy verification
  • Brand voice consistency checks
  • Final optimization by SEO specialists
  • Compliance review for healthcare regulations

Performance Tracking

  • AI visibility monitoring across platforms
  • Traditional ranking tracking
  • Engagement metrics and user behavior
  • Conversion tracking from AI-sourced traffic
  • Competitive AI presence analysis

The result? Content that ranks everywhere – Google, Bing, ChatGPT, Claude, and whatever comes next.

Local SEO is where most healthcare practices win or lose. Our local campaigns include everything needed to dominate your geographic market:

  • Google Business Profile Mastery – Complete optimization, post scheduling, review response
  • Citation Cleanup & Building – Consistent NAP across 100+ directories
  • Geo-Targeted Content – Locally relevant educational content and location-specific service pages that convert
  • Local Link Building – Partnerships with community organizations and local media
  • Review Generation System – Ethical strategies to increase positive reviews
  • Mobile Optimization – Because 61% of local searches happen on phones
  • Local Schema Markup – Structured data that Google loves

We don’t just list your practice – we make you the obvious choice in your area.

We create stunning, high-converting healthcare websites from scratch or completely redesign existing sites to maximize patient acquisition. Here’s what’s included:

Custom WordPress Development

  • Mobile-first responsive design
  • HIPAA-compliant architecture
  • Fast-loading, optimized code
  • Secure hosting recommendations
  • ADA accessibility compliance

Strategic Design Elements

  • Custom designs reflecting your brand identity
  • User experience focused on patient conversion
  • Intuitive navigation structure
  • Professional medical imagery
  • Trust-building design elements

SEO-Optimized Foundation

  • Technical SEO built in from day one
  • Optimized URL structure
  • Schema markup implementation
  • Site speed optimization
  • Mobile responsiveness

Content & Service Pages

  • Comprehensive service page creation
  • Location-specific landing pages
  • About Us and provider profiles
  • Patient resource sections
  • FAQ and educational content

Conversion Features

  • Online appointment scheduling integration
  • Click-to-call functionality
  • Contact forms with tracking
  • Live chat capabilities
  • Patient portal integration

CRM & Marketing Integration

  • Practice management system connections
  • Email marketing platform setup
  • Call tracking implementation
  • Analytics and conversion tracking
  • Review platform integration

Launch & Support

  • Professional content migration
  • 301 redirect mapping
  • Launch checklist and testing
  • 30-day post-launch support
  • Training for your team

Whether building from scratch or redesigning, we create websites that don’t just look professional – they generate predictable patient growth month after month.

Results and ROI

Most practices see initial improvements within 30-60 days, meaningful traffic increases by month 3, and dramatic transformations by month 6. But here’s what actually happens in each phase:

Days 1-30: Technical fixes create quick wins – faster site speed, mobile improvements, Google Business Profile optimization. Some clients see calls increase immediately.

Days 31-90: Content starts ranking, local visibility improves, and you’ll notice more website visits from actual patients, not just traffic.

Days 91-180: This is where the magic happens. Rankings solidify, AI features your content, and patient inquiries multiply. Most practices see 200-300% traffic increases by month 6.

Anyone promising overnight results is lying. But our use of AI technology definitely accelerates the timeline compared to traditional SEO.

You’ll know because your phone rings more and your schedule fills up. But we also provide complete transparency through multiple channels:

  • Reporting Dashboard Access – Real-time metrics you can check anytime
  • Monthly Reports – Detailed analysis of what’s working and what’s next discussed over video call or in-person
  • Call Tracking – Know exactly how many calls come from SEO
  • Ranking Reports – See your position for hundreds of valuable keywords
  • Competitor Analysis – Watch yourself climb past the competition
  • ROI Calculations – Clear data on revenue generated from SEO

No vanity metrics or confusing reports. Just clear proof your investment is working.

Our healthcare clients consistently see transformative results. While every practice is unique, here’s what’s typical:

  • Traffic Increases – 200-500% more organic visitors within 6-12 months
  • Lead Generation – 25-75 new patient inquiries per month
  • Local Domination – Top 3 rankings for primary services
  • ROI Performance – Average 312% return on investment
  • AI Visibility – Featured in Google’s AI overviews for key searches

Specific examples include dental practices adding 50+ new patients monthly, medical cannabis license providers tripling their renewal rates, and specialists reducing marketing costs by 60% while growing revenue. See the results first hand in our work portfolio.

Lead volume depends on your specialty, location, and competition. A plastic surgeon in Beverly Hills faces different dynamics than a family practice in Boise. That said, our healthcare clients in competitive markets typically see:

  • General Dentistry – 20-40 new patient inquiries monthly
  • Medical Specialists – 10-30 qualified consultations monthly
  • Cosmetic Practices – 25-50 high-intent leads monthly
  • Mental Health – 40-80 new client inquiries monthly
  • Multi-location – 15-30 leads per location monthly

More importantly, SEO leads convert better because patients find you while actively searching for your services.

Process and Client Experience

We’ve refined our process through hundreds of successful campaigns to eliminate guesswork and accelerate results. Here’s exactly what happens:

Month 0 – Foundation & Discovery (First 4 Weeks)

Week 1-2: You’ll meet directly with your dedicated account manager for a deep-dive discovery session. We complete comprehensive intake forms, gather access to your digital assets, and firmly establish your KPIs. This isn’t generic goal-setting – we’re identifying exactly how many patients you need and where they’ll come from.

Week 2-3: While you’re running your practice, three teams attack simultaneously:

  • Technical SEO team audits your entire website, fixing critical issues, checking sitemap indexing, and improving site health.
  • On-page team optimizes user experience across core pages, improving navigation, CTAs, and conversion funnels. They also target quick wins – optimizing pages ranking in positions 10-20 for immediate visibility boosts.

Week 3-4: Your project manager conducts intensive market research, competitor analysis, and keyword research. We’re not guessing what works – we’re analyzing exactly what’s winning in your market. This culminates in your custom roadmap for content, technical improvements, and link building.

Week 4: Kickoff call where we present our findings and strategy. You’ll see exactly how we’ll dominate your market, backed by data and competitive intelligence. Your dedicated account manager will also present your reporting dashboard where you can track key metrics and campaign progression in real time.

Months 1-6 – Execution & Momentum

With your approval, we execute monthly deliverables with military precision. You’ll receive regular reporting calls showing exactly how your investment is performing. Throughout the campaign, we continuously monitor site health and handle “action items” – opportunities outside the standard scope that can accelerate results.

Month 5 – Strategic Evolution

We analyze five months of data to inform a fresh 6-month roadmap. This ensures we’re capitalizing on what’s working, pivoting from what isn’t, and staying ahead of your competition.

This systematic approach is why our clients see results while others are still “planning.”

You don’t just get an account manager – you get a dedicated healthcare marketing strategist who becomes an extension of your practice. This isn’t a rotating cast of junior associates reading from scripts.

Your strategist learns your practice inside and out. They understand your specialty, your patient demographics, your competition, and most importantly – your goals. They serve as your single point of contact, but behind them stands an entire team of specialists:

  • Technical SEO experts
  • Content strategists
  • Local search specialists
  • Link building professionals
  • AI optimization experts

Think of it this way – you have one trusted advisor who coordinates a team of specialists, just like how you might coordinate with other healthcare providers for comprehensive patient care. Your strategist is available by phone, email, and scheduled video calls whenever you need them.

They stay with you throughout our entire partnership. No handoffs, no starting over with someone new, no explaining your practice repeatedly. Just consistent, knowledgeable support focused on your growth

Transparency isn’t just policy – it’s how we’ve built trust with hundreds of healthcare practices. Here’s our communication rhythm:

Email Updates:

Let’s just say, when something needs your attention, you’ll know it

  • Major wins achieved
  • Work completed
  • What’s happening next
  • Any issues or opportunities identified

Monthly Comprehensive Reports Detailed analysis including:

  • Traffic growth and source breakdown
  • Ranking improvements for target keywords
  • Lead generation and conversion metrics
  • ROI calculations
  • Competitive positioning updates

24/7 Dashboard Access Log in anytime to see:

  • Real-time performance metrics
  • Keyword rankings
  • Traffic analytics
  • Conversion tracking
  • Competitor comparisons

Quarterly Strategy Calls Deep-dive sessions to:

  • Review comprehensive performance
  • Identify new opportunities
  • Adjust strategy based on data
  • Plan upcoming initiatives

Instant Alerts We notify you immediately for:

  • Significant ranking changes
  • Major algorithm updates
  • Competitive threats
  • New opportunities

No black box. No mystery. You’ll always know exactly what we’re doing and why it’s working.

Absolutely. Most practices come to us because they’re fed up with their current SEO firm – tired of vague reports, generalist strategies, and promises that never materialize. Our comprehensive audit reveals not just why competitors outrank you, but whether your current agency is actually helping or hurting your practice.

We’ll show you exactly:

  • Where your SEO budget is actually going (and what’s being wasted)
  • Whether your agency is doing real work or just sending pretty reports
  • If their “healthcare expertise” is genuine or just keywords on a landing page
  • Why you’re not seeing the results they promised

Our audit examines:

  • Technical Health Analysis
  • Content Gap Investigation
  • Local Presence Evaluation
  • Authority Assessment
  • AI Readiness Report

Current Agency Performance Review

  • Are they using outdated tactics that hurt more than help?
  • Is their reporting honest or hiding poor performance?
  • Are they delivering healthcare-specific strategies or generic templates?
  • Should you fire them immediately or transition strategically?

This isn’t about bad-mouthing other agencies – it’s about giving you the transparency you deserve. Even if you don’t hire us, you’ll finally understand what’s really happening with your SEO investment.

If your current agency delivered results, you wouldn’t be reading this. We transition practices from underperforming agencies every week – here’s how we’re different:

Complete Transparency

  • Full access to all your accounts (no black box tactics)
  • You own everything we create
  • Clear explanations of what we’re doing and why
  • Real metrics tied to patient acquisition

Healthcare Specialization

  • We speak medical, not marketing jargon
  • HIPAA-compliant strategies
  • Understanding of patient psychology
  • Proven healthcare-specific tactics

Smooth Transition Process

  • Review your current contract for exit terms
  • Audit existing work to preserve what’s working
  • Fix damage from outdated tactics
  • Prioritize a zero ranking drop migration
  • Complete transition in 2-3 weeks

The difference is immediate. Within 30 days, you’ll understand more about your online presence than you learned in years with your current agency. Within 90 days, you’ll see why practices rarely leave Direction.com once they experience what real healthcare SEO looks like.

We’ll even help recover from common agency mistakes like toxic backlinks, keyword stuffing, or duplicate content issues that might be actively hurting your rankings.

Working with Direction.com

We’re selective about partnerships because your success is our reputation. We’re not in the business of signing new clients to “win” new business. We’re here to make you money by perfecting your patient acquisition pipeline. If we can’t do that, we’ll be upfront about it. 

It’s imperative that we meet over a discovery call to determine if your business growth objectives align with what we can deliver for you. That’s our first step, and it’s a non-negotiable.

That said, in most cases, we’re a perfect fit if you check these boxes:

You’re an established healthcare provider who:

  • Has excellent clinical skills but weak online visibility
  • Watches inferior competitors dominate search results
  • Wants sustainable growth, not quick tricks
  • Values data-driven decisions over gut feelings
  • Is ready to invest in becoming the dominant practice in your market

You understand that:

  • SEO is an investment, not an expense
  • Real growth takes 3-6 months to materialize
  • Consistency beats sporadic efforts
  • Quality costs more than shortcuts

We’re NOT a fit if you:

  • Want the cheapest option regardless of results
  • Expect overnight miracles
  • Aren’t committed to being #1 in your market
  • Prefer agencies that overpromise and underdeliver
  • Think marketing is “beneath” healthcare providers

The clearest indicator? If you’re thinking “I’m excellent at what I do, but nobody can find me online” – you’re exactly who we built Direction.com to serve.

Our healthcare SEO campaigns range from $5,000 to $20,000 monthly, depending on:

  1. Competition level in your market
  2. Geographic coverage needed
  3. Number of services/specialties
  4. Current online presence
  5. Growth goals and timeline

Here’s the ROI perspective that matters. The average patient lifetime value ranges from $1,500 (general practice) to $50,000+ (specialized surgery).

Our typical client gains 30-60 new patients inquiries monthly within 12 months. Do that math – the investment pays for itself with just 2-3 new patients.

Typical Investment Ranges:

  • Single location practice: $5,000-$8,000/month
  • Multi-location or competitive markets: $5,000-$12,000/month
  • Regional domination or multi-state: $8,000-$15,000/month
  • Mosaic location pages: Starting at $8,000/month

We provide exact pricing after understanding your specific situation. No hidden fees, no surprise charges, no “premium” upsells. Just transparent investment aligned with predictable patient growth.

We require a 6-month initial commitment, then it’s month-to-month. The practices seeing massive growth? They’ve been with us 2-5+ years, watching their investment turn into market domination.

Why 6 Months?

SEO isn’t magic – it’s systematic improvement that compounds over time. Practices that jump between agencies every 60 days never see real growth. The first 3 months lay foundation, months 4-6 show dramatic acceleration. Quitting at month 2 is like stopping antibiotics halfway through – you waste the investment without seeing results.

Our Confidence Guarantee

If we don’t deliver measurable improvements within 6 months, we’ll exit the contract without penalty. That’s how confident we are. But here’s what actually happens – most clients stay for years because results keep compounding. Your year 2 results dwarf year 1, and year 3 makes year 2 look small.

No Lock-In Games

After 6 months, continue month-to-month as long as you’re happy. No annual contracts no holding your website hostage. We only require that if you do wish to stop SEO, that you provide a one month notice as we plan all of our work in advance and invest resources ahead of time to execute on a timely schedule for you.

Getting started is simple and pressure-free. Here’s the exact process:

Step 1: Initial Consultation

Fill out our consultation form or call us directly. Our initial discovery takes 30 minutes and helps us understand your current challenges, marketing objectives, budget, and whether we’re the right partner to help you achieve success.

Step 2: Decision Maker Meeting

If we’re a good fit, we’ll schedule a follow-up with all decision makers in your organization. This is where we talk budget in detail and ensure everyone’s aligned on the investment. 

Step 3: Final Details

We meet one final time to review:

  • Contract terms (straightforward, no fine print)
  • Specific deliverables and timelines
  • Monthly budget allocation
  • Clear, measurable KPIs

Step 4: Onboarding

Once you approve, we start immediately:

  • Week 1: Access and discovery
  • Week 2: Technical audit begins
  • Week 3: Strategy development
  • Week 4: Kickoff call and execution

No lengthy contracts to review, no setup fees, no waiting months to begin. From first contact to active campaign: 7-14 days.

According to Grok, Direction.com is highly regarded in the medical and healthcare SEO space, with a strong reputation backed by over 100 five-star reviews and claims of unlocking over $804 million in revenue for clients. They specialize in patient acquisition systems, offering tailored SEO strategies that include local SEO, keyword research, content creation, and link building, all designed to boost online visibility and drive patient leads.

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