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CHOOSING AN AGENCY

How to Choose a Healthcare SEO Agency

We are one, so this is not a neutral list of ten agencies with ours at the top. It is the criteria that actually separate them, and the questions that expose the difference.

No Ranked List
We would put ourselves first
Six Questions
That expose a generalist
Built, Not Bought
We run our own telehealth brand

Put us through the six questions

Start with your domain. Ask us anything on that list and judge the answers.

Step 1 of 5

What is your website?

Your domain is enough.

Choosing a healthcare SEO agency comes down to whether they can demonstrate clinical review capability, health-publisher link acquisition, category-specific keyword knowledge and revenue-level measurement. General SEO agencies applying a standard playbook consistently underperform in YMYL categories regardless of their results elsewhere.

17
exits, all built on organic search
$150M
revenue generated for clients
35+
team members worldwide
100%
hands-off, fully managed

01

Why this is not a ranked list

Search this term and you will find dozens of listicles ranking agencies. Almost all are written by agencies who placed themselves first, or by affiliates paid for placement.

We would do exactly the same thing if we wrote one, so we have not. What follows is the criteria we would apply if we were hiring on your behalf, and the questions that separate a specialist from a generalist quickly.

02

Six questions that expose a generalist

Six questions that expose a generalist
AskA specialist answersA generalist deflects
Who reviews our content clinically?Names a licensed physician and describes the review stepTalks about 'expert writers' or 'fact-checking'
Show me a link you earned on a health publisherProduces specific placementsShows general DR numbers or guest post inventory
What is the 503A and 503B distinction?Explains it accurately and unpromptedHas not heard of it
How do you measure revenue, not sessions?Describes attribution against processor dataReports GA4 sessions and rankings
What claims can we not make?Cites DSHEA, FTC substantiation, off-label framingSays legal will handle it
Which of our keywords are unwinnable?Names them and explains whyPromises to rank you for everything

The last one matters more than it looks. An agency willing to tell you a term is not worth pursuing is an agency doing keyword research rather than selling hope. "minoxidil" at difficulty 71 against Mayo Clinic is not winnable, and anyone who says otherwise has not looked.

03

What genuine specialisation looks like

Category knowledge that shows up unprompted. An agency that works in telehealth knows that dermatology demand is ingredient-led, that peptides has no paid fallback, and that GLP-1 content lives or dies on the compounded versus branded distinction. That knowledge appears in the first conversation or it does not exist.

Clinical review as a process rather than a byline. Ask who signs off, what their credential is, and whether it is verifiable independently.

Link capability in health specifically. General link building and health-publisher link building are different disciplines with different costs, and an agency that cannot show the latter will quietly substitute the former.

And revenue measurement. Sessions and rankings are inputs. If an agency reports them as outcomes, they are not measuring the thing you care about.

When I am asked if I know of anyone in the SEO space, without hesitation I point them to DTC SEO. They truly understand the power of authority content, onsite metrics, and strategic backlinking and has the network to put it into play.
Amanda Raab, Mergers & Acquisitions, Quiet Light Brokerage

Links we have landed for clients

  • Forbes
  • TIME
  • Cosmopolitan
  • Men's Health
  • Inc
  • Martha Stewart
  • Time Out
  • Apartment Therapy
  • mindbodygreen
  • well+good
  • OK!
  • Best

Ask which of your keywords are unwinnable

We will tell you, with the difficulty scores attached.

Step 1 of 5

What is your website?

Your domain is enough.

Where this leads

Best Healthcare SEO Agencies: what founders ask us

Why do you not publish a ranked list of agencies?

Because we would put ourselves first, as does everyone else who writes one. Most results for this query are self-serving or paid placements. The criteria are more useful than the ranking.

What is the single best question to ask an agency?

Which of our target keywords are not winnable, and why. An agency willing to tell you a term is not worth pursuing is doing research. One that promises rankings on everything has not looked at the difficulty scores.

How do I know if their clinical review is real?

Ask for the reviewer's name and credential, then verify it independently through a licence lookup. A real review step survives that. An author box does not.

Should we hire a general SEO agency with good results elsewhere?

Usually not for YMYL health. Strong results in unregulated ecommerce do not transfer, because the constraints that decide health rankings, clinical review, claim precision and expensive health-publisher links, are exactly the ones that category never encountered.

What should healthcare SEO cost?

Ours starts at $7,995 per month fully managed. Substantially cheaper usually means no clinical review and no real link acquisition, which are the two most expensive and most necessary parts of the work.

Do you work with local practices or clinics?

No. We work with ecommerce and national telehealth brands at $10M+ and we do not do local SEO. A practice needing map pack rankings will get better value from a local specialist.

For health brands doing $10M+

One call. Your category, your gap, and an honest read on what is winnable.

Step 1 of 5

What is your website?

Your domain is enough.

For brands doing $10M+