We promise ten booked patient consults within ninety days of launch. If we miss, we keep iterating at no additional cost until you get them. The guarantee is on the Patient Flow System engagement specifically, not on the standalone services. Here is how it works mechanically and why we are comfortable signing it.
Why a guarantee at all
Most marketing agencies for medical practices sell hope. The owner signs a six-month contract, the agency delivers ad reports and traffic numbers, and the conversation about booked patients is deferred forever. The owner is paying for activity. The agency is incentivized to optimize for retention. The patient outcomes are nobody's primary metric.
We work the other way. The only metric that matters in our reporting is booked consults. The guarantee makes that incentive visible to both sides. If we cannot move that number, we cannot collect the next month's retainer comfortably. If we can move it, the engagement compounds. The guarantee aligns the engagement around the same outcome the practice owner is paying for.
What "booked consult" means
Specificity matters. A booked consult is a slot on the practice's actual calendar, with a real patient name, confirmed by the practice's booking system. Not a form submission. Not a phone-call duration. Not a page view of the booking widget. The standard is the same one the front desk uses to count what they did this week.
The 90-day window starts on the day the new site goes live and the ad campaigns are running. Not the day the contract is signed. Not the day the deposit clears. The clock starts when the asset is live and traffic is moving through it.
How the framework delivers
The mechanism is the Patient Flow Framework. Trust gets fixed through real photos and a homepage that reads as specific. Information gets fixed through patient-intent ad campaigns and matching landing pages. Ease gets fixed through above-the-fold booking, fast confirmation, and SMS reminders. When all three are plugged simultaneously, booked consults follow. The framework is the mechanism, not the inputs.
Most engagements clear ten consults inside the first sixty days. The ones that take the full ninety are usually specialty-specific (a small geographic footprint, a niche cash-pay service) or have a longer ad-account learning period. We know which engagements will be tighter at the kickoff and we say so on the call.
What happens if we miss
If day 90 hits and the calendar shows fewer than ten new booked consults from the launched assets, we keep iterating at no additional cost. That means new copy, new photos if the existing set is not earning the booking, ad-angle changes, follow-up sequence rewrites, landing page rebuilds. Whatever the data says is the bottleneck. We continue until the number is met.
We do not refund the launch fee. The launch fee bought the asset, which the practice owns. We do not pause the Growth Retainer either. The retainer pays for the iteration work that is doing the lift. What changes is that any new work the engagement needs to deliver the guarantee is included.
Why we are comfortable signing it
We have run this framework long enough to know what specialty and geography combinations produce what kind of conversion. We do not sign engagements we cannot deliver on. The Discovery Consult exists partly to assess this. The Application path exists partly to assess this. Roughly one in three inquiries gets turned down for fit reasons. That selection is upstream of the guarantee. If we sign the engagement, we have already concluded that the work is deliverable.
The other reason we sign it is that the alternative, selling on hope, produces worse outcomes for both sides. Practices burn budget. Agencies churn clients. Patients get a worse front-door experience. A guarantee forces the work to align with the actual outcome, and the work gets better because of it.