Custom AI agents
Agents built for one practice’s workflow.
Custom agentsWhat do our AI agents do for a healthcare practice?
Our AI agents run Google Ads, SEO and AI search, and Meta and social for a healthcare practice, 24/7. Every change is logged, and only two things wait for your OK in the dashboard: a campaign you asked for and an ad spend rise over 10% a day. Always On costs $498 a month per location, and ad spend is paid directly to Google and Meta. Published Google Ads-only fees in Australia run $525 to $800 a month plus GST, and the lowest also takes 15% of ad spend (checked 27 October 2026).
Month to month · $498 a month per location
See each agent at work
Agent log · one morningSample
What the agents did
Sample log, not a client account
- 02:14Search for “dental assistant jobs” blocked
Google Ads · not a service the practice offers. Budget unchanged.Done - 05:40Opening hours in the code corrected
SEO · matched to the page, logged with the reasonDone - 07:05Meta wanted to add music and rewrite the text
Meta · held by the rules; reason loggedHeld - 09:12Google asked for a higher budget
Google Ads · rise over 10% a day waiting for your OKHeld - 10:30A line asked if the reader is in pain
Meta · kept off under the health-advertising rulesRefused - 11:05Headline drafted for the implants page
Google Ads · changed inside the rules; before, after and why loggedLogged for you
Each line keeps its reason, in plain English.
How does an agent change a campaign?
Every job follows the same four steps, in every channel. Routine changes inside hard limits, and small page fixes, go live straight away and are logged with their reason. Agents make changes inside hard limits. Every change is logged with before, after and why, and checked about 4 weeks later. People at Shoutout set the rules, answer you and own the result.
- The triggerSomething changes
A new search, a page that drifts out of date, or a setting Google or Meta switches on.
- The agentIt acts, or it drafts
Routine changes inside hard limits and small page fixes go live straight away. Clinical wording and new ad copy follow the rules, and changes are logged.
- Our teamPeople set the rules
People at Shoutout set the rules, answer you and own the result. Only a campaign you asked for and an ad spend rise over 10% a day wait for your OK in the dashboard.
- Your logIt lands in your log
Each change is written up in plain English, with its reason.
What do the agents do every week?
They work through a fixed list of jobs, and each change goes in your log.
- Google Ads. Exclude searches the practice does not offer, adjust bids, and write new headlines inside the ad wording rules.
- Meta ads. Ad and button changes.
- Google Search. Page titles and descriptions.
- Google Maps. Posts and opening hours.
- Your website. Speed and page fixes.
- Content. Guides and blog posts.
Every morning the agents check your website. Every change is logged with the before, the after and the reason, and about 4 weeks later the log checks whether it helped. See it on the sample dashboard timeline (sample data, made-up clinic).
How does the agent improve a Google Ads account?
With small, checked changes, 24/7. It blocks searches for things the practice does not offer, reprices bids as the auction moves, pauses a keyword the moment its cost per booking passes target and moves budget between campaigns, all inside hard limits. Agents apply the rules to ad copy and clinical wording, and log each change.
Google Ads · the agent at work
Sample animation, not a client account.
- What it watches
- The searches that trigger your ads, the auction behind every bid, the account’s change history, and Google’s note when a campaign is limited by budget.
- What it changes
- Blocks searches for things the practice does not offer, reprices bids on cost per booked patient, pauses a keyword whose cost per booking passes target, and moves budget between campaigns. All inside hard limits.
- What our team owns
- The rules for ads, landing pages and clinical wording. Agents hold lines about a treatment result and log the reason. Our agents can raise ad spend by up to 10% a day when the data shows it will help; a bigger rise waits for your OK in the dashboard, and every rise shows there with its reason.
What the practice sees in its log
“Someone searched for a job at a dental clinic. The ad was eligible to show. The agent blocked that search. The monthly budget did not change.”
Done- Held
“Google says this campaign is asking for a higher budget. The rise is over 10% a day, so it is waiting for your OK in the dashboard with the reason.”
- Taken off
“Google wrote this extra line. We are taking it off because it talks about a treatment result.”
- Logged for you
“Here is a headline draft for the implants page. The agent changed it inside the rules and logged before, after and why.”
How does the agent improve SEO and AI search?
By keeping the facts on your pages accurate, and the pages quick on real phones. It checks your hours, phone and address against the code Google reads, fixes titles to match searches the site already receives, and names the page template that is slow. Small fixes like these go live straight away and are logged with their reason. It never promises a ranking, and clinical wording follows the rules, with each change logged.
SEO and AI search · the agent at work
Sample animation, not a client account.
- What it watches
- The hours, phone and address on your pages against the code Google reads, Core Web Vitals on real phones, the searches your site already receives, and pages Google is not asked to index.
- What it changes
- Corrects titles, opening hours and structured data, marks a slow template, and flags a page missing from the index. Small page fixes go live straight away and are logged with their reason.
- What our team owns
- The rules for clinical wording on a page. Agents apply them and log each change. The agent refuses near-copy pages made only to chase searches.
What the practice sees in its log
“People are already searching this. The title on the page did not say it. The agent updated the title and logged why. It does not promise a ranking.”
Done- Done
“The page said you close at 5. The code told Google you close at 6. The agent corrected the code and logged why.”
- Flagged
“The booking page is slow to show its main content on real phones. The agent marked the template. A person still ships the fix.”
- Refused
“The agent will not make twenty copies of one page. Google treats that as abuse when the pages are there to chase searches.”
How does the agent improve Meta and social ads?
By stopping the lines and settings that should not run, before they run. It holds Meta’s automatic rewrites, music and animation, keeps any line that asks about a condition or states a treatment result off the ad, and keeps spend inside hard limits. Agents check Meta changes and replies against the rules, and log each change.
Meta and social · the agent at work
Sample animation, not a client account.
- What it watches
- Meta’s automatic creative options, such as rewrites, music and animation, the ad text before it publishes, age targeting on cosmetic ads, and comments on live ads.
- What it changes
- Holds Meta’s rewrites, music and animation, holds any line that asks about a condition or states a treatment result, and keeps spend inside hard limits.
- What our team owns
- The rules for Meta enhancements, replies to comments and clinical wording. Agents apply them and log each change.
What the practice sees in its log
“Meta wants to rewrite the ad and add music. The agent has held those. The agent applies the crop inside the rules and logs it.”
Held- Refused
“This line asks the reader if they are in pain. Meta does not allow that, and neither do the health-advertising rules. It stays off.”
- Flagged
“This ad is for a cosmetic procedure. It should not be aimed at anyone under 18.”
- Logged for you
“Someone commented on the ad. The agent drafted a short reply that does not discuss treatment. It is not posted yet.”
What will the agents never do?
The limits are the same on every plan, and they do not move.
Limits on every account
Break clinical wording rulesClinical wording follows Ahpra’s advertising rules. Agents log before, after and why.
Open patient recordsThe agents have no access to your practice-management software or to patient records.
Copy pages to chase searchesThe agent refuses near-copy pages. Google treats them as abuse when they are there to chase searches.
Promise a resultThey make checked changes. They do not promise a ranking or a number of patients.
We agree your monthly budget with you. Our agents can raise ad spend by up to 10% a day when the data shows it will help; a bigger rise waits for your OK in the dashboard, and every rise shows there with its reason. Every change is logged with before, after and why, and checked about 4 weeks later.
What else can agents run for a practice?
Beyond the campaigns, we build agents around one practice’s workflow.
The questions practices ask first.
If your question is not here, ask it in your strategy session.
Which channels do the agents work in today?
Three: Google Ads, SEO and AI search, and Meta and social.
- Google Ads. The agent blocks searches for things the practice does not offer, reprices bids as the auction moves, pauses a keyword whose cost per booking passes target and moves budget between campaigns.
- SEO and AI search. It keeps your hours, phone and address accurate against the code Google reads, and fixes titles to match searches your site already receives. It never promises a ranking.
- Meta and social. It holds Meta’s automatic rewrites, music and animation, and keeps any line about a condition or a treatment result off the ad.
In every channel the agents work inside hard limits. Small page fixes go live with a logged reason, and agents apply the clinical wording rules and log each change.
Do I have to manage the agents?
No. We agree your monthly budget with you, and from then on our team and our agents run the budget, bids and campaigns 24/7. Our agents and team do the work. You approve a campaign you asked for and an ad spend rise over 10% a day.
The agents act when something changes: a new search, a page that drifts out of date, or a setting Google or Meta switches on. Routine changes inside hard limits go live straight away and are logged with their reason. Agents change ad copy and clinical wording inside the rules, with each change logged.
You still see all of it. Your log shows each change in plain English, with its reason, and a higher budget is only ever agreed with you.
Can an agent spend more than the budget?
Yes. Agents can raise ad spend by up to 10% a day when the data shows it will help. A bigger rise waits for your OK in the dashboard, and every rise shows the reason.
If Google asks for a higher budget, the agent uses the data to decide whether a rise will help. Agents can raise ad spend by up to 10% a day when the data shows it will help. A bigger rise waits for your OK in the dashboard, and every rise shows the reason.
The agent can move budget between campaigns and raise ad spend by up to 10% a day when the data shows it will help. Bigger rises wait for your OK in the dashboard, and every rise shows its reason. Every change is logged with before, after and why, and checked about 4 weeks later, so you can see what changed and why at any time.
Who approves anything clinical?
Agents make changes inside hard limits. Every change is logged with before, after and why, and checked about 4 weeks later. People at Shoutout set the rules, answer you and own the result.
Clinical wording follows the rules, and agents log each change. Every ad follows Ahpra’s advertising guidelines: no patient testimonials about clinical care and no guaranteed results. We also run no before-and-after clinical photos. That is our own rule.
The agents test structure, targeting, bids, layout and non-clinical copy. Agents write ad copy inside the rules and log each change. If Google writes an extra line about a treatment result, the agent holds it and logs why. On Meta, agents apply the rules to replies and log each change, and a line that asks a reader about a condition stays off the ad.
Can I see what the agents changed?
Yes. Every change the agents make is logged with its reason, and a live change log is included in every plan.
Each entry is written in plain English. For example: the agent blocked a search for dental assistant jobs and left the budget unchanged; it corrected your opening hours in the code Google reads; or it held a Google request for an ad spend rise over 10% a day for your OK in the dashboard, with the reason. Those are sample entries, not a client account.
The log also shows what is waiting. A headline drafted for your implants page is changed inside the rules; before, after and why logged, and a line the agent refused stays in the log with the reason.
Do the agents see patient records?
No. The agents have no access to your practice-management software or to patient records.
They work from your ad accounts and your website: the searches that trigger your ads, the auction behind every bid, the account’s change history, and the hours, phone and address on your pages. That is what they need to do the job.
The same limit applies on every plan, and it does not move. Clinical wording follows the rules. Every change is logged with before, after and why, and checked about 4 weeks later. See how agents handle patient data.
Sources
- Published Google Ads management fees in Australia ($525 to $800 a month plus GST; the lowest also takes 15% of ad spend): the agencies’ own price pages, checked 27 October 2026. We do not name them here. The page addresses are held for the compliance check.
- Ahpra, Advertising hub: the advertising rules every ad follows.
Agents on your campaigns 24/7. Every change logged.
Book a strategy session. Or start with the free account audit: you share your Google Ads account number and accept our manager link request, our agents read up to 12 months of account history, and you get the findings in writing within 1 business day. You keep the audit either way.
A person replies within 1 business day.
