1) Know the practice and how patients find it
Start with specialty (medspa, dermatology, chiropractic, ophthalmology, etc.), locations, key procedures or treatments, current new patient volume, and growth goals. Medical SEO buyers buy on patient acquisition cost, not keyword rankings.
2) Audit local and specialty visibility
Document GBP optimization per location, local pack rankings for high-value procedure terms, review positioning, competitor differentiation, and content gaps for patient education queries.
3) Scope monthly medical SEO work
Define ongoing deliverables: GBP management and posts, procedure-specific landing page optimization, citation consistency, review generation support, and monthly reporting tied to calls, form fills, and booked appointments.
4) Present pricing and close
Price monthly retainers per location or per specialty line. Tie to new patient volume expectations. Close with a kickoff timeline and approval step.