+ FOREVER PRACTICE
D14 Agency
The Hub For Growth-Driven Practices
A Disabled Veteran Owned Business
The Most Powerful Upgrade Your Practice Will Ever Experience.
Founder D14 Agency LLC, Forever Practice, & Multipotentialite
Faith-driven Servant Leader
Devoted Husband
Disabled U.S. Navy Veteran
5x Amazon #1 Best-Selling Author
The Authority Maker
Internet Marketing & Search Engine Optimization
Systems Thinking, A Blueprint For Success
Instant Credibility
Sleep Apnea Dream Killer
Certified Business Performance Coach
Certified OpenAI ChatGPT Expert
Here I Prove I Can Help You, By Actually Helping You
When you click the link below, you'll learn how I do business and decide if you would like to see if we are a match and you would like me to build a "Kick-Butt" plan to help you grow your practice into what you have dreamed of for so long.
Build Your Forever Practice System
Automate 40+ repetitive tasks, capture every lead, and get back 20% of your team's time -- while working directly with a Fractional Chief Marketing Officer to scale your internal marketing machine.
The 9-Step Forever Practice System
Whether you're starting fresh or rebuilding from burnout, this structured coaching system helps you install proven business foundations built to scale and sustain.
Your AI-Driven Growth Stack
Run your entire marketing system through one platform -- D14 SaaS Platform customized for private practices. We set up and integrate your systems.
[Tour The D14 Platform>>] - Coming Soon
Author the Book That Builds Your Brand
We help you create, publish, and leverage a practice-building book -- plus provide videos and podcast content that position you as a trusted authority in your field.
Bring David to Your Event or Podcast
Looking for a speaker with a mix of faith, marketing expertise, and veteran leadership? David brings powerful insights on growth, automation, and mission-driven business.
[Book David to Speak>>] - Coming Soon
Browse David's Store
Get inspired and equipped with David's practical guides on business building, automation, and agency-free growth.
[Visit the Bookstore>>] - Coming Soon
I believe that success means nothing if it isn't rooted in something eternal.
Everything I build -- whether it's AI Automation, coaching frameworks, software platforms, or author brands -- is filtered through the lens of honoring God, serving family, and stewarding freedom.
D14 Agency is more than a business. It's a mission.
That's why 20% of all revenue is donated to a Christian charity committed to spreading the Gospel of Jesus Christ to every nation, in every language. Their mission is simple and biblical: to ensure that everyone on earth hears the Good News in their own tongue.
"Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you."
-- Mathew 28:19-20 (NIV)
I don't just want to build systems that grow businesses.
I want to build a legacy that changes lives.
Dr. E. Gaylon McCollough, Plastic Surgeon, Entrepreneur
"It has been a pleasure working with David DeSchoolmeester on a couple of projects.
David has the technical skills and insight into how to best deliver one’s message to the masses."
Dr. Joy Smith-Jones, Chiropractor, Entrepreneur
"I am truly blessed to have the opportunity to work with someone as knowledgeable as Mr. David DeSchoolmeester. In our conversations over the last few weeks, I've learned how to develop an entrepreneurial and business mindset.
He has given me the step by step tools and homework to figure out who my ideal avatar is so that I can market them effectively. He has also helped me develop an elevator speech.
I feel that I can now communicate confidently and eloquently at networking events as well as with potential patients. Thank you so very much for this opportunity!!"
Michael Wingfield, 5 Talents Financial
"After speaking with David about his services I'm convinced he's the coach I want to help me grow my business. I look forward to my continued relationship with David and I would strongly encourage anyone who has a great desire to grow their business to visit with David. His well thought out and concise plan, specifically developed for me, is spot on."
Sean Casto, Entrepreneur
"Excellent work! Looking forward to working with David again."
A potential patient—“Jake”—just searched for “knee pain specialist near me,” scanned your website, filled out your contact/scheduling form, and clicked “submit.” What’s the first thing they expect next? Silence? A “we’ll call you tomorrow”? Or something immediate that affirms, You matter?
In today’s world, that “instant” moment is everything. Because the single biggest conversion kill for medical practices isn’t bad branding, it isn’t a weak USP (okay, sometimes it is) — it’s speed (or lack thereof) in responding to new inquiries. In marketing, that’s called “speed-to-lead” — and in healthcare it’s even more sensitive, because patients often have anxiety, urgency, and choices.
If you wait hours—or worse, days—to respond, chances are Jake is already calling someone else, or losing confidence in you. But if you strike while the iron’s hot, you build trust, reduce dropout, and move them from “just browsing” to “booked.” Let’s dig deeper.
Here’s the deal: medical practices often assume “we’ll get to it when we get to it.” You trust your front desk. You trust your patient coordinators. You think “quality matters more than speed.” Fine, philosophically that’s valid. But in practice, your lack of instantaneous engagement is bleeding conversions.
Symptoms you may see:
Patients submit your form and never get a reply—or get a reply 12 hours later.
You see “form abandonment” or “incomplete requests” rising.
You spend money driving traffic (Google Ads, SEO, content) but your “conversion funnel” is hollowing out.
Your schedulers or staff complain they can’t keep up or don’t always know when a new lead arrives.
In plain English: you lose people between “I’m interested” and “I commit.”
Why? Because:
Attention decays fast. The longer you wait, the colder a lead becomes.
The patient is comparing you to every other provider: the one who responds first wins the psychological race.
In healthcare, trust matters. An instant response says, “We take you seriously.”
If you don’t embed speed into your processes, you leave enemies: friction, doubt, and competitor advantage.
I know what you’re thinking: “Show me the studies.” Good call. Here’s what the research and data say — recent, relevant, and sobering.
A. Response speed skyrockets conversion
A study (or industry benchmark) from Velocify found that responding within one minute increases conversion by 391% versus waiting longer. LeadAngel
The same source noted that in healthcare, the average lead response time sits at 2 hours and 5 minutes — well past the critical window. Chili Piper
According to LeadAngel, leads responded to within one hour are 7× more likely to convert than leads contacted after that window. LeadAngel
Some data suggest that waiting even 10 minutes reduces your chance of contact by 400% (yes, fourfold). limitlessli
So it’s not linear: the decline in response efficacy is exponential the longer you wait.
B. In healthcare / patient engagement context
A review of patient engagement found that better engagement leads to improved treatment adherence, satisfaction, and outcomes. PMC
In one implementation, when a healthcare system switched to immediate release of test results (i.e. giving patients access via patient portals without delay), more results were viewed within a day. ScienceDirect
In BMJ Open, a texting (SMS) patient engagement program showed positive associations: patients more responsive, higher interaction rates, especially when communication is timely. BMJ Open
A cutting-edge AI experiment (2024) with a physician-supervised conversational AI “chat agent” in medical advice showed that patients rated clarity and satisfaction slightly higher vs standard care, when used carefully. arXiv
So, whether it’s a chat, a portal message, or phone call — time matters.
Okay, enough doom and gloom. Let me give you the playbook. If you want to win at speed-to-lead in your medical practice, here’s how:
A. Define your “response golden window” (and aim lower)
Don’t aim for “respond within a few hours.” Set a goal of 1 minute (or at least under 5). You won’t always hit 1 minute, but it forces your systems to be lean, fast, automated, and accountable.
B. Automate the immediate acknowledgment
Every inquiry (web form, chat, SMS, email) should trigger an instant auto-response:
“Thanks for reaching out. A member of our team will contact you within X minutes.”
Use chatbots to answer FAQs instantly (hours, services, address, etc.).
Use intelligent triage: “Is this urgent? If so, call us at ___.”
This immediate feedback “anchors” the experience and reassures the patient—they aren’t in limbo.
C. Smart routing + prioritization
Don’t have one “inbox” for all leads. Use routing logic:
Urgent vs routine
High-value vs low-value (e.g. cosmetic vs serious issue)
By geography or practitioner availability
Queue the hot leads to staff first, or escalate automatically. Use notifications (mobile push, SMS) so staff see them immediately.
D. Staffing and shift alignment
You’ll need someone (or a rotating team) manning the “front end” of leads. If your practice is 8am–5pm, make sure you have coverage just before open and right at close. Many leads come outside “normal business hours.”
Also, set response time SLAs: e.g., a lead must be touched within 60 seconds.
E. Use conversational AI / assistive tools carefully
You don’t have to do this all manually. Some promising use cases:
Use an AI-assisted drafting tool for portal replies (as in the study above) — clinicians can edit, freeing time. arXiv
Use a supervised conversational AI that can handle simple triage or intake dialogues (e.g., symptoms, availability) before handing off to humans. arXiv
Use SMS / texting tools that allow immediate two-way communication (patients often prefer texting) — especially effective if your system tracks and escalates responses.
But never let AI go unsupervised where clinical answers or nuance matter.
F. Measure, audit, iterate
If you don’t track speed-to-lead, it's a guess. Implement metrics:
Time from inquiry to first contact (seconds)
Percentage reached within 1 minute, 5 minutes, 1 hour
“No reply” rates
Conversion from contact to booking
Every week, review missed leads, bottlenecks, and process leaks.
G. Overdeliver on speed (surprise and delight)
Beyond mere responsiveness, add a micro-touch:
A brief personalized note in the first message (coach says: patients remember “you care”)
A short video or voice message introduction
Offer to call at a time convenient to the patient
This padded factor can turn a “responsive” into a “remarkable” experience.
Look — in healthcare, the stakes are higher. Patients aren’t shopping for trinkets. They’re anxious, scared, and in pain. They don’t want to wait. If your practice can master instant engagement, you’ll not only capture more prospects, you’ll earn trust, boost retention, and build reputation.
Speed-to-lead is not a marketing trick. It’s a patient experience principle. If you internalize that and bake it into your operations, you move from reactive to anticipatory care. The practices that win tomorrow won’t just be the best clinicians—they’ll be the fastest listeners.
David “D14” DeSchoolmeester is a U.S. Navy Disabled Veteran, Author, and the Founder of D14 Agency LLC and Forever Practice. With decades of leadership experience, David helps private medical practices grow sustainably by leveraging AI-powered automation, Fractional CMO strategy, and patient engagement systems that reduce staff burnout while increasing revenue.
Through his work with physicians and practice owners, David has developed the 9-Step Forever Practice Coaching framework — a model designed to help practices thrive long-term without overreliance on outside agencies.
👉 To learn more about how D14 Agency and Forever Practice help practice owners take back control of their time and build lasting growth, visit https://d14agency.com or https://foreverpractice.com.
EMAIL: [email protected]
ADDRESS: 5 Sumner CV
HOURS:
MON - FRI: 10 am - 6 pm
SAT: 10 am - 1 pm
SUN: Closed
D14 AGENCY GENERAL QUESTIONS
Hi there! At D14 Agency, we help doctors and service business owners grow their practice using AI Automation and Expert Guidance. We offer tools that can automatically follow up with potential patients, help manage your marketing, and even write content to build your reputation. We also help you set up your own in-house marketing systems so you don’t have to rely on outside agencies anymore.
We mainly work with private practitioners — plastic surgeons, interventional radiologists, and chiropractors — to name a few. Medical professionals who are busy running their clinics and need help growing without adding more to their plate. If you own your business and want it to run more smoothly and grow faster, we might be a great fit.
Unlike most marketing agencies that want to keep you as a client forever, we do the opposite. Yes we do the marketing, but we go miles ahead and teach your team how to do the work, set up everything with you, and once you're confident and running things smoothly on your own — we step back. You stay in control, and we stay available in case you ever need a hand again.
While we have a great affinity with doctors and healthcare professionals, we do work with other service-based businesses too. If you’re the owner and want to grow your business the smart way, we’re happy to chat and see if we can help.
It’s easy! Just click the “Strategy Call” button on the website. You’ll be taken through our process of getting started.
FRACTIONAL CMO SERVICES
A Fractional CMO is like borrowing a Chief Marketing Officer — someone who handles all the marketing strategy and planning but only works with you part-time. We help figure out what’s working, what’s not, and build a plan to grow your practice. Then we train your staff so they can keep it going after we step out.
Most of the time, we’re with a client for about 8 to 12 months. That’s usually enough time to put systems in place, train your team, and make sure everything is working before we hand it off to you.
You’ll have a trained team, working systems, and the confidence to run your own marketing. We don’t disappear — we’re still around for quarterly check-ins, and you’ll continue using our software. But the goal is for you to be in full control in less than 12 months.
We’re all about training your current team. We believe in empowering people, not replacing them. If they’re willing to learn, we’ll show them how to run things like a pro using the tools we set up.
COST & GETTING STARTED
We have something for every stage.
It really depends on what your needs are. With most of our programs there is a one-time setup fee that pays for us setting up the systems and programs you requested. This one-time setup fee varies based on the service you need and how detailed a setup you require.
Each service will also come with a monthly subscription investment for the base software platform used and varies based on additional services you request. Additional services may include HIPAA Compliance, Unlimited AI services, Business Coaching, Fractional Chief Marketing Officer (FCMO) services, etc.
Monthly subscription services are identified, in full, at the time of your 1-on-1 Strategy Call and range from $1,500 to $10,000.
No hidden fees. No pressure. You only pay for what helps you grow.
AI EMPLOYEE & D14 SAAS
Think of our AI Employee like a super assistant that works 24/7, never takes a break, or gets sick and never forgets a task. It automatically replies to missed calls, helps manage online reviews, talks to people on your website, and follows up with leads so your staff doesn’t have to. It helps you save time and never miss out on a potential patient again.
Let’s say someone calls your office and nobody answers — maybe you're with a patient or it’s after hours - or maybe they just hang up. Instead of missing that opportunity, our system immediately sends a friendly text message to that person, thanking them for calling and asking how you can help. It turns missed calls into conversations.
There’s a lot! You get:
A system that automatically texts people who call and don’t get through
A live chat for your website that feels like texting
A way to ask happy patients to leave reviews online
A tool to keep track of leads and appointments
Automatic email and text campaigns
A built-in calendar to book and confirm appointments
And you don’t need to be a techie to use it—we help set everything up and show you how it works.
In many cases, yes! We can check to see if your current systems can "talk" to ours. If not, we can often find a workaround. And don’t worry — we help handle the tech setup.
Nope! If you can text and open your email, you’re good. We handle the hard stuff and give you simple tools that are easy to use. Plus, we train your staff and are always here if you need support.
BOOK PUBLISHING & AUTHORITY MARKETING
It’s actually pretty easy! Businessweek performed a survey a few years ago and found that ~80% of people want to write a book or feel they have one inside them. They just don't know how to get it out of their head and onto paper to publish it. That's where we come in! We help to create a book that is 100% your thoughts and ideas, without you actually writing it yourself. More importantly, this book will be the most powerful marketing tool you'll ever have. And we'll show you how to use it.
Usually, between 90 and 120 days depending on how fast we're able to move through the steps. We work around your schedule to keep it stress-free. While you don't actually write the book yourself, we still require about 20 total hours of your time throughout the process, broken down into small pieces.
Yes! We create videos for each chapter, help you post clips on social media, and even help you turn the book into a podcast. Your book becomes your #1 marketing tool to build trust and authority. This is all part of and included in the total investment for the book.
SPEAKING & COACHING
Absolutely! I am available for hire to speak at clinics, business groups, and associations on topics like how to grow your practice without burnout, how AI can save time, and how to take back control from marketing agencies. If you want me to speak at your event, let’s talk! Go to my Contact Us page and send me a message.
It’s a program I designed to help doctors build a long-term, stable, and multi-location practice. We walk through 9 key areas like goal setting, finding your ideal patient, creating content, automating tasks, and even preparing to franchise or sell and retire one day. It’s practical, step-by-step, and designed for real results.
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