Layer 1 · Technical foundation
Schema, indexing, Core Web Vitals, mobile, HIPAA-aware crawl rules. Get LCP under 1.6s. If your foundation is broken, every layer above leaks.
Layer 2 · Local & geo
Google Business Profile, citations, NAP integrity, neighbourhood pages. For multi-location, every site is its own micro-funnel.
Layer 3 · Content engineering
Symptom → condition → treatment → cost. Doctor-authored. PubMed-cited. Schema-marked. This is the engine.
Layer 4 · Authority
PR, KOL features, journal mentions, doctor video. Doubles your domain rating; halves your CAC over 12 months.
Layer 5 · Conversion engineering
Forms, AI receptionist, abandoned-form recovery, response time. The patient who waits gets poached.
Layer 6 · Reconciliation
Weekly tactical, monthly business review. Every metric attributed to specific campaigns. Reconciled to booked patient.
Order matters
Most agencies sell layer 5 (conversion) without fixing layer 1. That's the whole problem.
