Healthcare
Fisio Kiel Ciasca
Bilingual website for a physiotherapy clinic in Florianópolis.


Kiel Ciasca is an orthopedic and sports physiotherapist in Campeche, Florianópolis. He treats athletes, chronic patients and expats, and holds a 5.0 rating with 70 Google reviews. His old site was a static business card: no technical SEO, no English version, no tracking. Patients only arrived by referral. The brief was short: "I want people to find me on their own, in Portuguese, in English, and when someone asks ChatGPT."
The challenge
All the reputation lived inside the clinic. Anyone searching "physiotherapist in Campeche" for the first time found nothing. And Florianópolis is full of tourists and expats who search in English. The site had to show up in both languages and in AI answers, not just word of mouth.
What we built
Separate PT and EN routes, correct hreflang, LocalBusiness and MedicalClinic schema. Service pages with semantic FAQs and short, direct answers, the format ChatGPT and AI Overviews cite. Real photos shot at the clinic, no stock, with LCP under 1.8s on 4G. WhatsApp as the primary conversion, with a pre-written message on every button.
The result
In 90 days: 1.1K views with no meaningful paid media, 128 direct sessions and visitors from 7 countries, from Brazil to Canada. The 5.0 Google rating held. New patients arrive already knowing what the clinic does.

Monitored every week by Impulse
We automatically check what decides whether a site shows up on Google and gets cited by AI assistants. Last check on November 2, 2026.
- Visits
- 42 -2% vs. previous 30 days
- From Google
- 21 50% of total
SEO Technical foundation for Google
- Site online and respondingOK
- Secure connection (HTTPS)OK
- With and without www both workOK
- Server response timeOK
- Optimized page titleOK
- Description for GoogleTuning
- Canonical URL setOK
- Single main heading (H1)OK
- Language declaredOK
- Mobile-readyOK
- Images with alt textOK
- Site iconOK
- Crawler instructions (robots.txt)OK
- Sitemap (sitemap.xml)OK
AEO Ready for answer engines
- Valid structured dataOK
- Business identified for GoogleOK
- FAQ markupOK
- Share preview (WhatsApp, LinkedIn)OK
- Clear section structureOK
- Content depthOK
GEO Ready for AI citation
- Guide for AI assistants (llms.txt)OK
- Open to ChatGPT, Perplexity and GeminiOK
- Official profiles linkedOK
- Business description for AIOK
SEO gets the site found on Google. AEO and GEO get it cited by ChatGPT, Perplexity and Google AI. We track all three and fix whatever drifts. How we work →