Choose an agency that understands healthcare search, builds with HIPAA in mind, explains its work in plain language, and does not lock you into a long contract. Ask who owns the website, how results are reported and how they handle reviews and tracking.
Start with ownership. You should own your domain, website and Google Business Profile. Some healthcare marketing companies build sites on their own platforms, and leaving means starting over. Ask directly what happens to your site if you cancel. Also ask about contract length, since many medical marketing vendors require a year or more upfront. Also ask who will actually do the work and who you will talk to each month. Some firms sell with a senior team and hand you off to rotating junior staff after the contract is signed.
Next, ask about compliance. How do they handle forms, tracking pixels and review responses? An agency that cannot answer clearly may create risk you do not see until later. Ask for examples of how they write about medical services without promising outcomes, and whether your clinical team gets to review content before it goes live. A good agency should also be comfortable saying no to tactics that could get you in trouble, like buying reviews or making dramatic claims about treatment results. That judgment matters as much as technical skill.
Finally, look at reporting. You want to see calls, bookings, rankings and AI visibility, not just traffic charts. Ask to see a sample report before you sign. If it is full of jargon and charts with no explanation, expect the same every month. You should be able to understand what changed and why in a few minutes. Heights Digital keeps it simple with a $750 build, $399 a month, no contract, and plain reports each month. You can call or text (210) 729-4008 to ask us any of these questions.
Send the site over. We will tell you what is broken, what you could rank for, and whether AI search knows you exist. No charge and no pitch deck.