Continuum Ops

Growth agency for private practices

More new patients. Every one of them booked.

Marketing that brings patients in, and follow-up that gets them booked. For orthodontists, dentists, chiropractors and specialty clinics.

  • Free, no obligation
  • You own everything we build
  • One practice per specialty per area
Bright, modern practice reception

Your free practice analysis includes

  1. 01Website grade
  2. 02Google Maps rank vs your 3 nearest competitors
  3. 03Ads and budget check
  4. 04After-hours missed-call test

20-minute call. Keep the plan either way.

What doctors tell us

You're paying for marketing and still can't tell which patients it brought in.

  • “They could never show me how many patients came from the ads.”

    Chiropractor

  • “We were paying more in management fees than in actual ad spend.”

    Practice owner

  • “If we take longer than a couple hours to call back, they ghost us.”

    Dental office manager

smilesbysalins.com
The new Salins Orthodontics website
The practice's previous website
BeforeAfter

Case study

Salins Orthodontics

Union City and South San Francisco, CA

A two-office orthodontic practice with a dated site. We rebuilt it as one fast site, with a page for every treatment and booking on every page.

  • One domain replacing the old site, with a hub for each office
  • Pages for braces, Invisalign, clear aligners and early treatment
  • Booking or tap to call on every page
  • Local SEO built in: office schema, treatment pages, redirects
Read the case study
Rahul Manicka and Connor Lai, co-founders of Continuum Operations

Who you work with

You work directly with the founders.

No account managers, no junior team. Rahul and Connor run your analysis, your campaigns and your reports. Based in the Bay Area.

About us

How it works

Three steps. No long lock-in.

  1. 1

    Free practice analysis

    We grade your site, Maps rank, ads and phones.

  2. 2

    Launch in 14 days

    Everything goes live, in accounts you own.

  3. 3

    Patients, not clicks

    Monthly reports in booked consults, by source.

  • You own your domain, ads and data
  • One practice per specialty per area
  • Reply within one business day
  • Patient health data kept out of ads

Questions doctors ask

Straight answers.

What does it cost?

It depends on your practice, your market and which services you need, so we don't quote a number before we've looked. You'll get one flat monthly fee, kept completely separate from ad spend, which goes straight to Google and Meta on your own card, so you always see both. You get the exact number on the analysis call, before you commit to anything. The first 90 days are a fixed term, which matches our guarantee window, then it's month to month.

Do I own my website and ad accounts?

Yes. Your domain, website, Google Ads and Meta accounts and analytics are all in your name. We work inside them as users, so if you ever leave, everything stays with you.

What if it doesn't work?

We benchmark your numbers on day one. If we don't beat your cost per new patient or your booked consults by 30% within 90 days, we keep working for free until we do.

Do you work with my competitors?

No. We take one practice per specialty in each area, so what we build for you isn't also running for the practice down the street.

Is this HIPAA compliant?

We keep patient health information out of ad platforms and analytics, never build audiences from patient data, and set up review and follow-up messages so they never reveal treatment details.

Where do you work?

With practices across California, Oregon and Nevada. We're based in the Bay Area and visit practices there in person.

Your next patient is already searching.

Book a free 20-minute practice analysis. We'll show you where patients are slipping away.

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Or call (650) 706-1324