The five disqualifiers
Nobody answers. If messages sit unanswered until the next morning, more attention means more people discovering that. No capacity. If you are already booked three weeks out and cannot add sessions, new demand produces frustrated patients and worse reviews.
A price with no story. Charging well above the local range with nothing published to justify it makes visibility actively harmful. A live reputation problem on page one — fix that before amplifying anything. A move within twelve months — build the portable assets, skip the clinic-specific campaign.
Selling products or courses alongside the clinic?
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What to do instead, in each case
No reply system: install an automated first reply and assign one named owner per shift. A week of work, no budget. No capacity: raise prices or change case mix rather than volume — the same hours, better cases. Price with no story: publish the criteria, the process and what is included before you publish anything else.
Reputation problem: claim and correct the listings, collect fresh reviews, publish three assets you control. Leaving within a year: claim your handles, build one page in your own name, and skip everything tied to the current clinic.
Why we publish this
Because we decline this work regularly and it is better said in public than in a call. A clinic that hires us while one of these five is unfixed gets a worse result, blames marketing, and is right to.
If you recognise your situation in any of the five, the honest recommendation is to fix it and come back in a quarter — or not come back at all, if fixing it turns out to be enough on its own. That happens more often than you would expect.