Our Process

A Clear System.
You Know What Happens at Every Step.

We hear the same concern from every doctor we speak to: “I don't know what they'll actually do.” Here is exactly what Signexa does, in the order we do it, and why.

The Approach

The Diagnostic-First Approach

Most agencies jump to solutions before understanding the problem. Every Signexa engagement starts with a thorough audit of your current digital situation. Like a physician who examines a patient before prescribing — we diagnose before we recommend. No two practices get the same strategy. But every engagement follows the same disciplined four-phase process.

01

Discovery & Audit

Weeks 1–2

The audit is where we find out exactly where your practice stands — and where the opportunity is.

  • Google Search Visibility — where do you rank today vs competitors?
  • Google Business Profile Health — claimed, complete, optimised?
  • Website Performance — speed, mobile, Core Web Vitals
  • Content & Keywords — does your content match patient searches?
  • Citation Consistency — is your NAP data consistent across directories?
  • Competitor Gap Analysis — what are they doing that you're not?
Output:You receive a plain-language audit summary. Tells you where you stand and what is holding you back.
02

Strategy & Custom Roadmap

Weeks 2–3

Based on the audit, we build a custom 90-day strategy for your practice. Not a template — a plan built around your specialty, your city, and your competitive landscape.

  • Which keywords to target first (by competition and intent)
  • Which pages to create or optimise
  • Whether your website needs improvement or a full rebuild
  • Which directories to build citations on
  • Review generation approach
  • AI search presence groundwork
Output:Written 90-day roadmap with monthly milestones, keyword list with search volume data.
03

Execution

Month 1 onwards

This is where the work happens — in plain terms.

  • GBP Optimisation — categories, services, photos, Q&A, monthly posts
  • On-Page SEO — pages targeting your primary patient keywords
  • Technical SEO — page speed, mobile, schema markup (LocalBusiness, MedicalBusiness, FAQPage)
  • Citation Building — consistent listings across 20–30 directories
  • Review Generation — systematic process for requesting and responding to reviews
  • AI Search Presence — entity signals, structured content, authority building
Output:Measurable GBP and ranking movement beginning within 6–10 weeks.
04

Reporting & Optimisation

Monthly, ongoing

Every month, you see the numbers. We explain what they mean and tell you what we'll do next.

  • Google search ranking movement for all target keywords
  • GBP views, calls, and direction requests
  • Website traffic and enquiry form submissions
  • Review count and rating change
  • What we did in the past 30 days
  • What we plan to do in the next 30 days
Output:No vanity metrics. No jargon dashboards. Only numbers that connect to patient acquisition.
Timeline

What 90 Days Looks Like

Month 1

  • GBP fully optimised
  • Citations on 20+ directories
  • Technical SEO audit complete
  • On-page edits begin
  • First GBP enquiries possible

Month 2

  • GBP views and calls increasing
  • Primary keywords moving to positions 4–10
  • First Google Maps enquiries confirmed
  • Review generation campaign active

Month 3+

  • Primary keywords approaching Page 1
  • GBP establishing in local 3-pack
  • Content authority building
  • Enquiry growth measurable monthly

Common Questions About How Signexa Works

Start With a Free Audit — No Commitment.

We will review your Google rankings, GBP, website, and competition. You receive a plain-language summary of where you stand and what to do next.

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