Booker Growth — Proposal
Booker Growth  ·  Proposal  ·  June 2026

Your clinic runs on
manual labor.
Here's how that changes.

What gets built, what it does automatically, and what the numbers look like once it's running.

Erica Michelle
HRT
Launch
$1,997/mo — no setup fee
The gap right now

Before a single automation runs, here's what's already leaking.

Industry averages for clinics at your volume. These aren't projections — this is the baseline every clinic starts from before the infrastructure exists.

90%

Contact rate drops after 5 minutes

The average clinic responds in 14+ hours. By then, the lead booked with whoever answered first.

$30K

Per month in evaporating revenue

10 missed conversions at $3,000 LTV. Not bad ads — a response gap the AI agent eliminates entirely.

40–60%

Of your CRM is dormant leads

People who raised their hand and were never properly followed up with. Cheapest patients you'll ever convert.

30%

No-show rate on booked consults

A booked consult that doesn't show is a sold patient who walked away. Reminder sequences cut this below 15%.

The infrastructure

Four systems. All automated. None of them need your front desk.

Every piece below runs without a human in the loop. Your staff doesn't manage this. You don't manage this. It runs.

AI · Voice

AI Voice Agent

Responds to every new inbound lead within 60 seconds, 24/7. Conducts a natural voice conversation, qualifies the lead, handles objections, and books directly into your calendar — without a human touching it.

When your front desk is with a patient at 2pm Tuesday, this agent is on the other line qualifying the next one.

AI · SMS

AI SMS Agent

Runs parallel to the voice agent for every lead who doesn't answer or prefers text. Two-way conversation — answers FAQs, handles the most common objections, books the appointment via SMS.

A significant percentage of your highest-intent leads will never pick up a phone call. This captures that entire segment instead of losing them.

CRM · Automation

Pipeline + Nurture Layer

GoHighLevel CRM configured with your full pipeline, tag structure, and automation logic. Every lead is staged from first contact to attended consultation. Integrated with your existing PMS — no manual data transfer, no double-entry.

Includes a 7-touch email + SMS nurture sequence for leads who don't book immediately, a 48hr/24hr/2hr appointment reminder stack, and pre-consultation content that cuts no-show rates below 15%.

Automation · Ongoing

Reactivation + Reputation

Monthly reactivation campaigns to your dormant lead list — the 40–60% of past inquiries sitting untouched in the CRM. Different angle, different message, timed to re-engage at the highest-probability moment.

Plus an automated post-visit Google review sequence that runs permanently. Clinics averaging 1–2 reviews per year run 15–20 per month with this active. Every new review improves conversion across every channel simultaneously.

Build timeline

What's live when — and why ads come last.

Meta and Google require LegitScript certification before running hormone therapy ads. Certification takes 2–4 months and can't be rushed. We use that window to build the full system, so the moment ads are cleared to launch, everything underneath them is already running.

Day 1–4

Onboarding + access handoff

  • GoHighLevel sub-account created, project set up in ClickUp
  • Welcome + onboarding call — brand vision, goals, baseline numbers
  • Access collected: FB/IG, domain/DNS, website, existing PMS/CRM
  • LegitScript document collection begins (certification takes 2–4 months — starts immediately)
Day 5–14

Build phase — systems and automations

  • Website audit + optimization (after client approval)
  • Google Business Profile set up and optimized
  • Google Review Sprint launched to existing patient database
  • Reputation management automation live
  • GoHighLevel CRM + pipeline + PMS integration complete
  • AI Voice Agent + AI SMS Agent deployed and tested
  • Lead nurture sequences, appointment reminders, reactivation workflows active
  • LegitScript documents submitted (~Day 14)
Month 1–3

Organic growth while LegitScript certifies

  • AI agents running — every inbound lead responded to within 60 seconds
  • Content posted to social media (AI + clinician-generated)
  • Dormant lead reactivation campaign deployed to existing CRM
  • Google review velocity building — 10–20 new reviews/month
  • Ad creatives scripted and produced, ready for launch
  • LegitScript certification pending — paid ads blocked until approved
Month 3–5

Paid acquisition launches — growth ramp begins

  • LegitScript certification received — Meta ad account now compliant
  • Meta campaigns launched (Facebook + Instagram) after client creative approval
  • Booking funnel active with qualification logic
  • 10-day post-launch check-in, creative testing begins
  • Retargeting audiences building — CPL declines month over month
  • Monthly report: patients booked, show rate, revenue attributed, response rate
The numbers

Conservative projections at your volume.

Built on the low end of benchmarks for this clinic type. Adjust the patient LTV and monthly volume for your specific numbers and the math moves in your favor.

HRT — Monthly Revenue Model
Avg monthly patient revenue$300/mo
Avg patient retention18 months
Patient LTV$5,400
Leads recovered/mo from AI response gap+5 patients
Monthly revenue recovered (response gap alone)$27,000/mo
Dormant reactivation — one campaign$10,800
No-show reduction on 10 booked consults/mo$1,620/mo
Month 1 net gain vs. retainer cost+$37,423
0.4

Patients per month at break-even on the Launch tier ($1,997/mo) at a conservative $5,400 HRT patient LTV. The AI voice agent alone typically recovers 5–10 per month from the response gap. The system pays for itself before the second invoice.

Investment

Three tiers. No setup fee. 6-month minimum.

Build cost absorbed into the first three months. No upfront payment to start.

Launch  ·  Recommended
$1,997/mo
Pre-LegitScript or organic-only
  • Google Business Profile + review sprint
  • GoHighLevel CRM + pipeline
  • AI Voice + SMS agents (60-sec, 24/7)
  • Lead nurture + reminder sequences
  • Dormant reactivation (quarterly)
  • LegitScript application support
  • Monthly outcomes report

Ad management not included.

Growth
$2,997/mo
Full system + paid acquisition
  • Everything in Launch
  • Meta campaign management
  • AI-generated creatives, tested monthly
  • Booking funnel + qualification logic
  • Cold, warm + retargeting audiences
  • Dormant reactivation (monthly)
  • Monthly 30-min strategy call

Ad spend paid to Meta directly — $1K–$2K/mo to start.

Scale
$3,997/mo
Multi-channel for $500K+ clinics
  • Everything in Growth
  • Google Search ad management
  • Priority support (24–48hr)
  • Weekly optimization updates
  • Quarterly full-system audit
  • Patient LTV + referral campaigns

Best for clinics with existing paid acquisition.