Questions
Everything practices ask, in one place.Common questions about audiology SEO
The general ones first, then how the engagement is set up, then the questions specific to each piece of the work. Every answer is the same answer we would give on a call.

Every question, answered
General
About the firm and the field
Why only audiology?
Because the useful knowledge in this work is not SEO knowledge, it is knowing that a vestibular page and a hearing aid page attract different patients with different urgency, that a third-party administrator changes what a lead is worth, and that a review request has to be written so it discloses nothing. A generalist agency learns that on your budget. We already know it, and every practice we work with makes the next one sharper.
We already have a marketing company. What would change?
Usually two things. The first is that reporting stops at booked appointments instead of sessions, which tends to reveal that a channel everyone assumed was working is not. The second is that the uncontested service lines get built. Most generalist agencies spend a practice's budget fighting national retail for the word that retail will always win, because that is the word the owner asked about.
Is this worth it against Costco and the chains?
Not on their terms, and we will not try. You will not outrank a national retailer on hearing aid prices and you should not want that search anyway — it is a price shopper who will not become a long-term patient. The winnable ground is everything retail cannot do: diagnostics, tinnitus, balance, paediatrics, cerumen management, custom protection, real audiological care. That ground is usually sitting unclaimed.
What did over-the-counter hearing aids do to us?
It took the bottom of the market and it took some of the mild-loss patients who were never going to pay for a fitting. It also produced a large group of people who bought a device, got a poor result because nobody measured their hearing, and are now searching for someone to fix it. That group is a demand pool, and it needs a page written for it that does not open by telling them they were stupid.
How long before anything happens?
Profile and listing work usually shows in sixty to ninety days, unevenly, a suburb at a time. Content-driven movement runs on a six to twelve month clock. Anyone quoting you faster than that on the content side is describing a different business than yours.
Do you write under our clinicians' names?
Only with review and sign-off. Clinical content published under a provider's name is that provider's professional reputation, and we will not put words there that they have not read. Practically that means a review pass on a shared doc before anything is published — usually fifteen minutes a fortnight.
Will you touch our patient data?
No. We work with search data, call metadata, and aggregate counts out of your practice management export. We do not need names, we do not want them, and the review flow is deliberately built so that no public artefact confirms that a named individual is a patient.
What if our website is genuinely bad?
Then we say so in the audit and price the rebuild separately rather than pretending content will save it. A site that fails an accessibility pass for a sixty-five-year-old on a phone is a conversion problem no amount of ranking fixes, and it is the single most common thing we find.
Do you run ads too?
Yes: Google Ads and ChatGPT ads, run alongside the organic work and never on their own. We use them mainly to help the SEO. Google's search terms show which searches actually book and the ads hold the high-intent searches the practice cannot win organically yet. ChatGPT ads hold the space under an assistant's answer while the practice earns a place in it. The budget comes down line by line as the organic work arrives. A practice that only wants ads is better served by an ads agency, and a practice that only runs ads is renting a market it could own.
What happens if it does not work?
You leave. It is month to month with no contract, and everything stays in accounts you own. There is no version of this where you have to rebuild from zero because the agency held the keys. If we cannot move a market we will generally say so before you do.
Engagement
How working together is set up
No contracts
Every engagement is month to month from the start. There is no minimum term to sit out: the work has to earn the next month.
Pricing
It depends on how many locations and catchments the work covers, so we send it on request rather than guess at your practice here. Email or use the contact form and we will send it.
The SEO Audit
The audit comes first. It is a real deliverable either way — you keep the geo-grid, the demand map, the audit and the build order whether or not you continue.
Google Ads and ChatGPT ads
Add-ons to any tier, never on their own. Each runs in an account the practice owns, and Google or OpenAI bills the ad spend straight to the practice; our fee covers the management and is sent with the rest of the pricing.
Who owns the work
You do. Profiles, pages, tracking numbers, analytics properties, the Google Ads and ChatGPT ads accounts and content stay in accounts you own. If we part company, nothing has to be rebuilt.
One practice per catchment
We will not take two practices competing for the same patients. If your metro is taken you will be told straight away, not sold something adjacent.
The work
Questions about specific pieces
How long does profile work take to show?
Sixty to ninety days for most of it, and it shows unevenly — a suburb at a time rather than the whole catchment at once. Category and duplicate fixes are usually the fastest movers.
Do we need a separate page for each location?
Yes, and it needs to be a real page. Two location pages that differ only by the town name compete with each other and convince nobody. If a location cannot support a genuinely distinct page, that is worth knowing before it is built.
Why does our ranking drop off so quickly with distance?
Someone will drive an hour for a surgeon and will not drive twenty minutes for a hearing test, because they believe the test is the same everywhere. So proximity does more work in this category than in almost any other, and the winnable ground is specific: the neighbourhoods you are already close to and are somehow losing.
Can you get us into the map pack for a town we do not have an office in?
Not reliably, and we will not sell it. Proximity is doing too much work. What is achievable is the organic result underneath the map, which is a slower and considerably more honest route into a neighbouring market.
How many lines should we build?
Usually three to five, in a deliberate order, over the first six to nine months. Building nine at once produces nine thin pages and no ranking, which is the failure mode this is meant to fix.
What if we do not want more of a line we offer?
Then it does not get a page. This comes up most often with cerumen and with paediatrics, for opposite reasons, and it is a legitimate business decision rather than a marketing one.
Do these pages cannibalise each other?
Not when they are genuinely about different things, which is the point. They cannibalise badly when they are the same page rewritten, which is what happens when lines get built faster than they get thought about.
Is this just SEO with a new name?
Substantially yes, and anyone telling you it is an entirely new discipline is selling a second retainer. The genuinely different parts are that measurement is binary, that corroboration matters more than links, and that hedged marketing prose is actively penalised because it cannot be quoted.
Can you guarantee we get named?
No. Assistant behaviour changes without notice and no one controls it. What is controllable is being the most consistently described, best corroborated practice in the catchment, which is what determines the odds.
How many prompts do you track?
Twenty on a single-practice engagement, fifty across catchments for multi-location. Fixed sets, so the month-over-month comparison means something.
Can we pay to be named in ChatGPT's answers?
No. OpenAI keeps ads out of the answer: they sit under it, labelled, and do not change what it says. We run ChatGPT ads alongside this work for the space under the answer, but being named in the answer is earned the way this page describes.
How much do we need to publish?
Less than you have been told. Twenty to forty pieces that completely cover the questions preceding a booking in your market, not two hundred pieces covering everything.
How long before this pays back?
Six to twelve months for movement, longer for the full effect, and the attribution will never be clean because the gap between first search and booking is measured in years. Anyone promising a clean line between the two is describing a different business.
Can you use AI to write it?
For research, structure and first drafts, yes, and we say so plainly. For the clinical substance and the final voice, no — it produces content indistinguishable from every competitor's, which is the opposite of the point, and it cannot be published under a clinician's name without them rewriting it anyway.
Is this a website rebuild?
Sometimes, and we will say so in the audit rather than pretending content can save a site that fails for its own audience. Frequently it is a set of fixes to an existing site, which is cheaper and faster and worth exhausting first.
Does this affect our rankings?
Indirectly and genuinely. Core Web Vitals and mobile usability are ranking inputs, and the behavioural signals from a site people can actually use are better. But the argument for doing it is the conversion rate, not the ranking.
What about ADA lawsuits?
Demand letters over inaccessible healthcare websites are common and a WCAG 2.2 AA pass is the practical defence. We are not lawyers and the work is not sold as legal protection, but the overlap is close to total.
Is asking for reviews a HIPAA problem in itself?
Asking is not the problem; the disclosure risk sits in how the request is delivered and how responses are written. We build the flow around that, and your own compliance counsel should sign off before it goes live. We are not lawyers.
Can you remove a bad review?
Only where it genuinely violates platform policy, and that is rarer than anybody hopes. The realistic answer is to respond well and to out-publish it with steady recent reviews, which works better than it sounds.
Do you use incentives?
No. It violates platform terms, it is a regulatory problem in healthcare, and it produces reviews that read as bought. The ask is the whole mechanism.
What else do reviews tell you?
Read quarterly and in aggregate, they are the cheapest operational feedback a practice gets. Recurring themes about waiting, the front desk or how the price was explained are not marketing data, and they are usually the most useful thing in the report.
Do you need access to our patient records?
No. We work from an aggregate export — counts by appointment type and channel, no names, no clinical detail. If your system cannot produce that easily, we will help you get it, and it stays aggregate.
Is call recording legal?
It depends on your state and it is your practice's decision as the party being called. We will explain what the system can do and configure whatever notification you are advised to use. We do not enable recording without written instruction.
Can we see the raw data?
Yes, always, in accounts you own. The report is a summary of your data, not a substitute for it.
What does the first month of tracking usually show?
Often something uncomfortable: missed calls at lunch, calls ringing out during the busiest hours, and a booked-call rate different from what everyone assumed. All of it is normal, and all of it is cheaper to fix than any ranking.
What does it cost?
Pricing is sent on request: email ashton@audiologymarketing.co or use the contact form. It is a complete deliverable either way: you keep the scans, the demand map, the competitor table and the build order.
UnaidedThe SEO Audit
What do you need from us?
View access to your Google Business Profile, and to Search Console and analytics if you have them, plus about an hour of the owner's time. We do not need patient data of any kind.
UnaidedThe SEO Audit
What happens after it?
We walk through the findings on a call rather than emailing a file. If you continue, the build order becomes the first ninety days. If you do not, it is yours to hand to anyone.
UnaidedThe SEO Audit
Why not use national search volumes?
Because a practice cannot use them. What matters is whether people within twenty minutes of your door search for tinnitus help, balance testing or ear wax removal, and how contested those searches are locally. The demand map answers that for every line you offer.
UnaidedThe SEO Audit
Should our primary category be Audiologist or Hearing aid store?
For most practices that test and dispense, Audiologist, with the store category as a secondary. It keeps the practice in the clinical comparison rather than the retail one. A practice that is genuinely retail-first is the exception, and the audit will say so.
We lost access to our profile. Can you get it back?
Usually, through Google's ownership request process, though it can take weeks when a former employee or agency still holds it. Whatever we recover sits in an account you own.
Do Google posts help rankings?
Not in any way we can show. They are useful for telling patients something they would want to know, such as new hours or a new clinician, and we treat them that way rather than as a ranking lever.
Do we need a new website?
Usually not. Most technical problems are fixable on the site you have, which is cheaper and faster. When a platform makes the fixes impossible, the audit says so plainly rather than assuming a rebuild.
Our site runs on a vendor platform. Can you work on it?
Often, within whatever the platform allows. Some platforms give full access and some lock the templates. We find out which during the audit, before anything is promised.
How quickly do technical fixes show?
Indexing fixes can show within weeks, once the pages are crawled again. Speed and structured data work more slowly and more quietly, and mostly show up in how the rest of the work performs.
Is this just rewriting our website?
No. Most of it is deciding what each existing page is for, then fixing the title, the heading and the opening so they say so. Pages are only rewritten where the page genuinely does not answer the search it ranks for.
How is this different from content marketing?
Content marketing creates pages that do not exist yet, mostly for people who are not ready to book. On-page work makes the pages you already have answer the searches they already appear in.
Will you stuff keywords into our copy?
No, and the audit will say so if a previous agency already has. Repetition reads badly to patients and no longer helps rankings. The words appear where they are useful — title, heading, opening, and the questions people ask — and nowhere else.
Do you use paid tools for this?
Yes, alongside the practice's own Search Console data, which is the only source that shows what this practice is already being found for. Tool volumes are estimates; Search Console is a record.
Can you research a service we do not offer yet?
That is one of the more useful things this produces. If a line has real local demand and nobody is answering it, that is a business decision worth having in front of you before it becomes a marketing one.
How many keywords will we be targeting?
Fewer than you expect. A single-location practice usually ends up with a handful of service-line pages and a growing library of question pages, which is a smaller target list and a much larger share of the searches that actually convert.
What will you not target?
The research names it, with the reason: usually the head device terms, anything implying a price war with retail, and searches that look local but are answered nationally. An unstated exclusion comes back as a question in month four.
Who counts as a competitor?
Whoever appears above you for the searches you care about, which is often not who the practice names. Nearly every practice names the independent across town, and nearly every analysis turns up a directory and a retailer taking more of their searches.
Do you look at practices outside our area?
Only as a source of ideas. Local results are computed from where the searcher stands, so a practice two states away is not competing with you — though it may have written a page worth learning from.
How often does this need redoing?
Quarterly is enough for most single-location practices. The trigger to redo it sooner is a competitor publishing heavily or a new location opening inside the catchment.
Can we buy the strategy without the delivery?
Yes. The audit and the prescription are a standalone engagement, and everything is written so your own team or another agency can execute it. You keep the work whether or not you continue with us.
How long does a strategy hold before it is out of date?
The twelve-month shape holds; the quarter-by-quarter order moves. A competitor publishing heavily, a new location, or a clinician joining or leaving are all reasons to re-prescribe earlier.
Do you handle paid ads as part of this?
Yes, where it helps the plan. We run Google Ads and ChatGPT ads in accounts you own, alongside the organic work: mostly to learn which searches book and to hold ground while slower work matures, stepping down as it does. We do not run ads on their own.
What if we disagree with the order?
Then it gets argued out, which is why the reasoning stays in the document. The practice knows things about its own schedule, capacity and referral relationships that no audit can see.
Can you run our Google Ads without the SEO?
No. We run ads alongside an SEO engagement because their main job here is to make the organic work better and faster. A practice that only wants ads is better served by an agency that does nothing else, and we will say so.
Whose account is it, and who pays Google?
Yours. The campaigns run in a Google Ads account the practice owns, and Google bills the ad spend to the practice directly. Our fee covers the management. If we part company, the account and its history stay with you.
Will the ad budget go down over time?
That is the intent. Each ad group is tied to a page the organic work is building, and it is cut back as that page earns its position. Some searches stay paid for longer, such as a new location or a contested neighbourhood, and the monthly report says which and why.
We already have someone running our ads. Does that change anything?
We can leave them in place and read the search terms report each month for the SEO, or take the account over if you would rather have one plan. Either way, the ads and the organic work should be steered together.
Can you run our ChatGPT ads without the SEO?
No. They run alongside the SEO work, mainly the AI search side of it: the ad holds the space under the answer while that work earns the practice a place in it. A practice that only wants ads is better served by an agency that does nothing else, and we will say so.
Will our ad show when a patient describes their symptoms?
No. OpenAI does not place ads near personal health conversations, so nobody's ad shows there. What reaches that patient is the answer itself, which is why the AI search work matters more than the ad.
Can every practice advertise on ChatGPT?
Not automatically. OpenAI approves health advertisers one at a time and may ask for proof of licensure. We prepare the application with you, and if OpenAI declines, nothing is spent.
Who sees what the patient typed?
Nobody outside OpenAI. Advertisers, including us, never see the conversations, only totals such as views and clicks. That is also why there is no ChatGPT version of the Google Ads search terms report.
Whose account is it, and who pays OpenAI?
Yours. The advertiser account is in the practice's name with its own payment details, so OpenAI bills the spend to the practice. Our fee covers the management. If we part company, the account stays with you.
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