This guide is a diagnostic review, not an implementation checklist. Its purpose is to identify what is actually wrong, how serious the finding is, who should own the correction, and what evidence will confirm that the correction worked. The companion checklist is better suited to task execution once the findings are established.
Evidence: Start from observable facts: crawl and indexation data, page performance, Google Business Profile records, directory listings, source code, tracking scripts, form behavior, public advertising claims, authorship, citations, and Search Console query data. Do not infer a privacy violation from a ranking decline or infer a ranking penalty from an ethics concern.
Severity: Separate professional or regulatory exposure from search-performance impact. A broken contact form, an inaccurate location, an unsupported clinical claim, and a slow page may all matter, but they do not create the same type of risk.
Owner: Assign technical findings to the developer or technical SEO owner, local-data findings to practice operations or the local SEO owner, clinical claims to an appropriate subject-matter reviewer, and privacy or legal questions to qualified reviewers. One person may coordinate the audit, but not every issue should be decided by the same role.
Corrective action: Fix the underlying condition rather than optimizing for an audit score. If a page is excluded from search, determine why. If a profile is inaccurate, correct the business information. If a form sends sensitive data to an unreviewed vendor, map and remediate the data flow rather than merely changing the page copy.
Validation: Define how each correction will be checked before implementation starts. Search Console, browser tests, page-source review, profile verification, directory rechecks, policy review, and content review all answer different questions.
When to use this audit: It can support a pre-engagement baseline, a post-redesign review, or a reassessment after six or more months without a structured diagnostic pass. The timing itself does not prove that SEO work succeeded or failed.
Boundary: This content cannot guarantee compliance, and responsible legal, medical, or regulatory reviewers remain required for the practice's specific privacy, advertising, clinical-content, professional-ethics, and regulatory decisions.
The source suggested approximately 90 minutes for a thorough first pass. Treat that as an internal planning estimate, not a promise that every practice can complete the same scope in that time. Access to Search Console, the Google Business Profile manager, the website CMS or source, and the relevant analytics and form configurations will make the audit more complete.