The proof
What we refuse to promise
Medicine runs on evidence. So do we. A studio cannot control what Google shows or what patients decide, so we will not sell you a number we cannot stand behind. We promise the system, the work, and the measurement.
We will not promise
- Traffic.
- Rankings.
- Revenue.
Each one is refused for a reason, and each one has something we measure in its place.
The refusal set
No number we cannot stand behind.
Three things every agency offers to promise. Here is why we will not, and what we put on the report instead.
Traffic.
Search demand belongs to patients and the season, not to a studio. We build every surface patients check, then count what actually arrives.
Measured instead
Inquiries, clicks, and bookings, tracked to their source
Rankings.
Google takes no instructions from agencies. A guaranteed position is a guess with your name on it.
Measured instead
Where you appear, checked live on the call
Revenue.
Revenue is made in the exam room by medicine, payers, and capacity. We claim the pipeline, not your practice.
Measured instead
Cost per booked appointment, in plain arithmetic
PulseTrack methodology
Every number carries its method
- Metric
- Booked appointments
- Cohort
- New patients
- Timeframe
- Last 30 days
The headline number
Booked appointments lead the page, with the cohort and timeframe printed beside them. Never a raw traffic curve pretending to be an outcome.
Where bookings came from
Every appointment request and booking click is tied to the surface it arrived from: search, maps, ads, or direct. You see which work is working.
Cost in plain arithmetic
Spend sits next to what it produced, and the division is printed so you can check it: what was spent, what it booked, what each booking cost.
The work and the plan
What shipped this month and what happens next, in plain language. The report is a record of work, not a mood board of charts.
Build standards
Standards every build ships with
- 3facts on every number
Metric, cohort, timeframe. A number missing one does not get printed.
- 4standards, each checkable
Every row below tells you how to check it yourself.
- 0numbers we invent
No composite figures, no anonymous quotes, no borrowed case studies.
- AAWCAG level we build to
Tested on every page, in both themes, before launch.
- Accessibility to WCAG AA
- What every build ships withVerified with automated testing and a full keyboard pass on every page, in both themes. Contrast is measured, never eyeballed.
- How you check itTab through this page. Every control shows a visible focus ring and nothing traps you.
- Speed, measured fairly
- What every build ships withWe time the old site and the new site the same morning, on the same throttled connection and device profile, and report both numbers with the method attached.
- How you check itAsk on the discovery call. We run the timing in front of you.
- The stack, named plainly
- What every build ships withNext.js 14 and TypeScript. Modern, maintained, and yours: you own the repository, the domain, and every design asset.
- How you check itView the page source. The stack is visible to anyone who looks.
- Structured data on every page
- What every build ships withEach page carries a machine-readable summary that tells search engines and AI assistants what it is. The technical name is schema; the point is being legible to machines.
- How you check itPaste any page of this site into a public schema validator.
Live verification
We measure your practice in front of you
Nothing on the discovery call is prerecorded. We run the numbers on your current presence while you watch, and you keep them whether or not you hire us.
30 minutes. Plain language. A roadmap, not a pitch.
Measured live, on screen
- Your current site, timed on a throttled mobile connection.
- Your Google Business Profile, exactly as patients see it.
- Your local search results for the care you provide.
- What AI assistants answer when asked who to see nearby.
Patient data
What we can promise, and what we cannot
What we engineer
The parts we control
Attribution
Attribution is designed to work without conditions, diagnoses, or medical records. We measure where an inquiry came from and whether it became an appointment. Nothing else is needed for that, so nothing else is collected.
Calls
PulseTrack records where an inquiry came from and whether it booked. It never touches your phones, and there is no field anywhere in it for a patient's name.
Advertising
We do not build advertising audiences from people who read about a condition, and we do not upload patient lists to advertising platforms. Campaigns target the care, not the reader.
Placement
We do not place advertising or analytics code inside patient portals or logged-in scheduling. Marketing code stays on marketing pages.
In writing
Every tracking script on your site is inventoried in writing, with what it sends and where it goes, so your privacy officer does not have to take our word for anything.
Vendors
Where a company would handle information about your patients on your behalf, it signs a business associate agreement first, or we do not use it.
What we do not claim
The limits, said out loud
No certification
There is no HIPAA certification for software or for marketing agencies. No such program exists, so we do not claim one, and neither should anyone selling you a badge.
Not compliance
We cannot make your practice HIPAA compliant, and no vendor can. Compliance belongs to your whole operation. What we can do is build the parts we control so they do not put you at risk, and document them so you can check.
Not attorneys
We are not attorneys and none of this is legal advice. Your counsel or privacy officer should review anything that touches patient data, and we give them everything they need to do it properly.
No outcomes
We do not promise rankings, traffic, or patient volume. We commit to inputs and terms. Outcomes are measured, not promised.
Attribution needs a source and an outcome. It does not need a person, so we build it without one.
There is nothing sensitive in it to protect, which is the whole point of designing it that way.
Case studies
No case studies yet.
Client case studies publish here as practices approve them, with the practice named and the numbers pulled from PulseTrack, not from memory. We do not publish invented results, anonymous quotes, or composite figures. Until a practice says yes, this space stays empty, and empty is the honest state.
An empty shelf is a fact you can check. A borrowed one is not.
Reserved for the first approved case study
- Practice
- Not published yet
- Metric
- Not published yet
- Cohort
- Not published yet
- Timeframe
- Not published yet
- Method
- Not published yet
One practice, one metric, one cohort, one timeframe, the method linked.
Next step
See what your practice’s system would look like
A 30-minute call in plain language. You leave with a roadmap for your practice, whether you hire us or not.