What I put in writing before you ask

Every platform is created in your name and under your email: Google Ads, Google Analytics, Google Business Profile, Meta Business and any tool I end up using. You are the owner from minute one.

I come in with administrative access through a manager account (MCC), which is how Google designed this to work for agencies. The distinction matters: when the client creates the account and the agency only links to it, ownership never changes hands. When the agency creates the account inside its own MCC, the agency stays the owner.

You can verify this yourself at any time — the owner of an account is visible in that account's settings, and I cannot hide it.

No minimum lock-in, no auto-renewal, and no special termination procedure buried in the fine print that you have to follow exactly or keep getting billed.

You tell me, I remove my access. No paperwork, no penalty, and nothing for me to approve. Your accounts work exactly the same the next morning, because they never depended on me to exist.

Anything I set up with third parties on your behalf — the WhatsApp Business API, for instance — stays in your name too.

There is a common practice in this industry: send an internal survey first, route the happy customers to leave a Google review, and divert the unhappy ones to a private complaint form. It is called review gating, and I do not do it.

This is not only an ethics question. The FTC Rule on the Use of Consumer Reviews and Testimonials (16 CFR Part 465), in effect since October 21, 2024, prohibits it explicitly. Civil penalties run over $50,000 per violation, and each review counts as a separate violation. The FTC issued its first warning letters in December 2025.

I also do not buy reviews, write them, or offer anything in exchange for a review that expresses a particular sentiment. What I do is ask every patient alike and make it easy to answer — which is what the rule permits, and what holds up better at six months anyway.

If your current provider is routing reviews for you, the liability is yours, not theirs. That is worth checking.

My scope is designed so that protected health information never needs to reach me. I do not request access to your practice management system, I do not handle patient lists tied to names or diagnoses, and measurement runs on aggregate data: how many appointments were booked, which channel produced them, and what each one cost.

That is deliberate. An offshore vendor holding PHI creates a compliance surface you would have to manage — business associate agreements, international arbitration terms, cyber liability coverage. The cleaner answer is to design the work so the exposure never exists.

If a specific engagement ever did require PHI, I stop and paper it properly first, with a signed BAA in place before anything moves. I am not an attorney; your counsel should review any arrangement that touches patient data.

I do not promise a number of new patients per month. Nobody honest can: it depends on your area, your competition, your pricing, your capacity to see people, and how much gets invested. Anyone guaranteeing you a hundred patients is guaranteeing something they do not control.

I do not promise a first-page ranking by a fixed date, and I do not promise that ChatGPT will recommend you. What I do commit to is the work performed, the date it is delivered, and the metric we agreed to judge it by.

And if at ninety days the numbers say it is not working, my job is to tell you — not to sell you the next package.

Do you have the capacity to see more patients right now?

It is the first thing I ask and I mean it. Driving demand into a schedule that is already full, or to a phone nobody can answer, does not make you money — it makes you look bad to people who had never heard of you before.

If the answer is no, I say so and propose fixing that first, which usually does not require hiring me. I would rather lose a month of fees than earn an unhappy client in sixty days.

If you are an agency and I am delivering under your brand, the monthly report arrives ready to send to your client as-is. Your logo, your voice, no rebuilding it by hand at the end of every month.

I stay invisible to your client and fully visible to you: you see the process, not just the output, and you know exactly who is doing the work — because it is the same person every month, not an anonymous pool.

I will not approach your clients, and I will not take on a competing account in your market while we work together. That goes in the agreement, not just in conversation.

This describes how I work; it is not legal advice. Regulatory references are included because they explain why I decline certain tactics. If your situation needs a legal opinion, get one from a qualified professional.

These commitments are written into the service agreement. If any of them is missing from your contract, ask for it.