Between check-ins, insurance questions and the phone, your front desk is not going to write Google posts, refresh photos, answer Q&A, and draft review replies in the practice's voice. So the profile runs on leftovers — which is why it shows last year's whitening special and a queue of unanswered reviews.
In the Growth Retainer, presence and reputation are operated as one job: the profile kept current, review requests sent on your rhythm, every reply drafted for one-tap approval, and a monthly digest that shows the owner the whole surface in two minutes. The front desk's only task is the approval tap.
What leaving it costs
Run the desk math: the hours your team would spend doing this well — writing, posting, drafting, checking — against $850 a month for the whole system (profile, reviews, a new service page monthly, the digest). Then price one new patient. The retainer is not the expensive option; the leftover-hours version that never happens is.
after-hours inquiries × $ per booked job = $ gone
The fix: Managed Google Presence
Presence Care $129/mo · full management inside Growth Retainer $850/mo
What is included
- Posts and photo refreshes on a monthly cadence, written for the services you want sold
- Q&A monitored and answered; hours and attributes kept true, including holidays
- A monthly presence check you can actually read: what changed, what your reviews did, what is next
- Inside the Growth Retainer: the review engine operated on top — requests sent, every reply drafted for your approval
What is not included
- No standalone 'Google management' gimmicks — this is the tier scope, at the tier price, nothing invented in between
- No ranking guarantees — prominence is earned by the whole presence, and we will show you the inputs monthly
Micro Credit: 100% of this fee is credited toward a Presence Foundation install or the flagship setup if you sign within 90 days. One correction round (facts, names, numbers) is included.
The operated workflow is shown, not described: request sent → reply drafted in the owner's voice → owner approves the exact text → posted. That sequence runs on our own business's 964-review profile every day, with the approval step intact.
The free presence audit
We check your site, your Google profile, your review state, and how fast a test inquiry gets answered — and send you the three findings that matter. Yours to keep, whoever fixes them.