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 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.
Discovery & Audit
Weeks 1–2The 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?
Strategy & Custom Roadmap
Weeks 2–3Based 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
Execution
Month 1 onwardsThis 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
Reporting & Optimisation
Monthly, ongoingEvery 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
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.
Book My Free Growth Audit