For medspa owners running 1–3 locations

New Patients Booked Directly On Your Calendar

The full interview · Inside Medspa OS Coming soon.

What happens inside the room is yours. Your EMR, your charts, your providers, your clinical process. We don't touch any of it. We run the part nobody is running: the inquiries, the bookings, the no-shows, the follow-up, and the patients who quietly never come back.

Free. About fifteen minutes. You'll see the one number most owners can't answer.

$48M+
Partner Revenue Generated
192K+
Appointments Booked
<30sec
Average Response Time
24/7
Automated System

Fit

This isn't a fit for everyone.

We're not the right call if

  • You're pre-launch and don't have patient flow yet. There's nothing to capture.
  • You're private-equity-backed or DSO-managed, where the decisions get made three levels above the practice.
  • You want someone to hand you software and step back. We operate this, not license it.

We're a fit if

  • You're an owner-operator who makes your own decisions.
  • You already have demand coming in.
  • You're tired of watching it leak.

If that's you, the audit will tell you how much is leaking.

The Case Study · Lotus MD

From launch to a second location in five months.

Dr. Inderpreet Sanghera's Lotus MD came to us as a brand-new aesthetic practice with no patient base and no marketing infrastructure. We installed Medspa OS end to end: custom website and local SEO, Relations AI handling every inquiry, prepaid booking, and the automated review and referral loop.

Within five months, the injector calendars were running at capacity, prepay had all but eliminated no-shows, and the practice had the demand and cash flow to sign a lease on a second location.

"The system completely changed how our practice runs. Prepaid bookings, patients who actually show up, reviews coming in on their own. It freed us to focus on the work and still grow faster than we imagined." Dr. Inderpreet Sanghera, Founder, Lotus MD
Watch the breakdown · the numbers behind the result
172/mo
New prepaid patient appointments booked monthly
94%
Consult show rate after prepay system installed
5mo
From day one to opening a second location
2x
Locations launched under one connected system
In Her Own Words

Hear it straight from Dr. Sanghera.

No polished marketing reel. A real physician walking through what was broken before Medspa OS, what we installed, and the outcomes she saw in the first five months.

If you've been burned by an agency before, this is the most honest few minutes you can spend before your strategy call.

Dr. Inderpreet Sanghera
Founder, Lotus MD · Sacramento & Granite Bay · Verified Client
From a Physician Who Lived It
"They took us from opening day to a second location in five months. I'd recommend them to any med spa owner in a heartbeat."
Dr. Inderpreet Sanghera, Founder, Lotus MD · Sacramento & Granite Bay
The Real Problem

You're not short on patients. You're leaking revenue.

01

Past patients no one's reactivating

40-70% of your past patients haven't been back in six months. They're not gone, they're just not being asked. That's repeat revenue sitting untouched in your database.

02

Inquiries going to voicemail

Roughly one in three calls to a med spa goes unanswered. Every missed call after hours or during a treatment is a consult booked at the practice down the street.

03

Slow replies killing conversion

Leads that wait hours for a response are gone. By the time the front desk gets back to them, they've already scrolled, compared, and booked elsewhere.

04

Happy patients never asked for reviews or referrals

Your best patients would gladly review and refer they're simply never prompted. Every month without an automated ask is reputation and new-patient revenue you'll never recover.

What you can't see

You didn't lose those patients. You never knew they were there.

It's 7:40 on a Friday night. Someone finds your page, likes what she sees, and sends a message asking about pricing for tox.

Nobody answers. Not because your team is bad. Because your team went home at six.

By Monday she's booked somewhere else. She never called back. She never left a review. She never showed up in any report you look at. As far as your numbers are concerned, she never existed.

That's what makes this so hard to fix. A cancellation you can see. A refund you can see. A no-show is sitting right there in the schedule, blank and obvious.

7:40

Friday

Instagram DMFri 7:40 PM
"Hi! Do you have pricing for tox? Hoping to book this week."
Missed callFri 8:15 PM
Unknown number. No voicemail.
Website formSat 10:02 AM
New consult request · laser, weekends only.
Text messageSat 6:48 PM
"Are you open Sunday? Wanted to ask about filler."
FacebookSun 9:22 PM
"Still looking for pricing, thanks."

5 inquiries · 0 answered · 61 hours

Five ways in over one weekend. Nobody was on the other end.
Introducing Medspa OS

Not another service. A complete operating system for growth.

Most med spas stitch together a web designer, a receptionist, a reviews app, and a marketing person who don't talk to each other. Medspa OS replaces the patchwork with one connected system built, run, and optimized for your practice across three phases.

Phase 01 · Capture
Get Found
be the practice patients discover first

A custom website built to convert and engineered to rank, so patients searching for your treatments find you before your competitors.

  • Custom, conversion-built website
  • Local SEO & search visibility
  • Google Business Profile optimization
Phase 02 · Convert
Book Every Lead
powered by Relations AI

Relations AI answers, follows up, and books while your team treats patients turning interest into confirmed, prepaid appointments around the clock.

  • AVA 24/7 AI receptionist
  • Unified inbox & instant follow-up
  • Booking with prepaid deposits
Phase 03 · Compound
Multiply Patients
turn one patient into many

Automated review and referral engines turn every great visit into 5-star social proof and a stream of new patients month after month, without you lifting a finger.

  • Automated 5-star review system
  • Built-in patient referral engine
  • Reactivation & retention sequences
Capture · Get Found

A website that looks like your craft and ranks like you mean it.

Your website is the first impression most patients ever get of your practice. We build it to match the quality of your work: clean, premium, and unmistakably yours, so you stand apart from the cookie-cutter sites every other med spa is using.

But beautiful isn't enough. Every site we build is engineered underneath to rank locally, so when someone in your area searches for the treatments you offer, your practice is what they find.

  • Built to rank, not just to look goodLocal SEO and Google Business Profile optimization baked in, so you show up when patients are searching for your services. See how our med spa SEO work fits into the system.
  • Designed to convert browsers into bookingsTreatment pages, trust signals, and clear booking paths that turn visitors into consultations, not just clicks.
  • Custom to your brand & marketNo templates recycled across a hundred clinics. A site built for your practice, your treatments, and your patients.

What we actually do

We run the front office. You run the practice.

Most platforms want to become the center of your practice. They'll ask you to move your charts, migrate your patient records, retrain your staff, and rebuild your clinical workflow around their software. Then they hand you a login and a help center.

We do the opposite. Your clinical system stays exactly where it is. We install and operate everything on either side of it.

Every channel lands in one place and gets answered before she has time to open a competitor's page.

One inbox · every channel Live
Instagram DM · 11:48 PM Replied in 19s

How much is a lip filler consult?

Consults are complimentary. I have Thursday 4:15 or Friday 10:30 open. Which suits you?

Missed call · 6:02 AM Texted back in 31s

Sorry we missed you. This is the front desk at your practice. Were you calling about booking?

Web form · Sunday 3:14 PM Booked, deposit held

Interested in laser. Weekends only.

Saturday 9:00 is yours. A $50 deposit holds it and comes off your treatment.

Illustrative of how the system answers. Timestamps are the standard we run to.

Before the room

  • Every inquiry answered in under 60 seconds. Calls, texts, web chat, forms, social messages, at 2pm or 2am
  • Consultations booked straight onto your calendar with a deposit taken up front
  • Reminders that hold the appointment together
  • Follow-up on every lead that didn't book the first time
  • A website built for booking, not for looking
  • Your Google Business Profile managed, updated, and answering
  • Campaigns that fill the gaps in your schedule when you want them filled
An empty medspa treatment room

After the room

  • Review requests sent at the moment satisfaction peaks
  • Rebooking sequences so the next appointment is set before she forgets
  • Referral flows that turn your best patients into a channel
  • Membership and package follow-through
  • Reactivation for patients who've gone quiet
  • One dashboard showing what came in, what booked, what showed, and what it was worth

Between those two columns is the part we never touch. The room is yours.

Compound · The Patient Loop

Where most practices stop, Medspa OS keeps going.

The visit isn't the finish line. It's the start of a loop. Here's how one booked patient becomes reviews, reputation, and a stream of new patients, automatically.

Step 01

Deposit collected

The patient reserves their appointment with a prepaid deposit, confirming intent before they ever walk in.

Step 02

Appointment conducted

Automated reminders and confirmations mean they actually show up and your team delivers the experience that earns a glowing response.

94% show rate
Step 03

Automated 5-star review request

Right after a great visit, the system asks for a review at the perfect moment and guides happy patients straight to Google, building the reputation that wins the next patient.

★★★★★ on autopilot
Step 04

Referral engine activates

That same happy patient is invited to refer friends through a built-in referral system turning one visit into the next wave of new patients walking through your door.

1 patient → many

Every loop feeds the next: deposits protect the calendar, reviews build the reputation that ranks your site higher, and referrals fill your chairs with patients who already trust you. That's the compounding engine.

Why we leave your EMR alone

Your clinical record isn't a sales system. It shouldn't have to be.

There's a lot of noise right now about replacing your EMR with something that also does your marketing. Think about what that actually asks of you.

Migrating patient records. Rebuilding consent forms. Moving years of before-and-afters. Retraining every provider on a new chart. Carrying the risk personally if something goes wrong halfway through. All so the company that stores your clinical data can also send your text campaigns.

We think that's a bad trade, and most owners agree once they've thought it through.

Your EMR is a clinical record. It's built to document what already happened, and it should stay focused on that. Filling your calendar is a different job, running on different data with different urgency. Keeping the two separate means cleaner data on both sides, no migration risk, and no vendor holding your patient records the day you decide to leave.

We don't replace your EMR. We replace the agency that was supposed to be filling your calendar.

How it works

Capture. Convert. Compound.

Three stages. Installed once, running every day after that.

Stage one

Capture

Every way a patient can reach you gets connected to one system and answered immediately. Phone, text, web chat, forms, social. Nothing sits in an inbox overnight. Nothing gets lost because the front desk was with a patient.

Stage two

Convert

Answering isn't booking. The system moves the conversation to a held appointment with a deposit down, then protects that appointment with reminders until she's in the chair. Anyone who doesn't book gets worked automatically.

Stage three

Compound

The patient who just left is your cheapest next appointment. Reviews, rebooking, referrals, and reactivation run in the background so every patient you've already earned keeps paying you back.

Because growth isn't random. It's Architected.

What's included

What you get, and what we put on the line.

When we install Medspa OS in your practice, this is what's included and what we're accountable for.

Installed and configured for your practice

We build it around how your practice actually runs. Your services, your pricing, your consult flow, your calendar rules, your voice. You don't get a login and a tutorial library.

Your website, built and maintained

Not a template you have to fill in. A site built to turn traffic into booked consults, kept current by us, included for as long as you're with us.

Your Google Business Profile, managed

Posts, updates, review responses, and the details that decide whether you show up when someone searches for your treatment in your city.

Your EMR untouched

No migration. No records moved. No retraining your providers. All patient communication runs on HIPAA-compliant infrastructure with signed BAAs.

One dashboard with the number

Inquiries in, appointments booked, patients shown, revenue attributed. The number you couldn't answer at the top of this page, updated daily.

No long-term lock-in

We'd rather earn the next month than trap you in a contract. The terms are simple and we'll walk you through them on the call.

med spa near me

Top result · your practice

Your Practice — Tox, Filler & Laser

212 reviews · Open now · Book online

Competitor

Another Aesthetic Clinic

38 reviews

Competitor

Generic Wellness & Spa

19 reviews

What the site and the Google profile are built to do.
Lotus MD · per month Live

172

Prepaid appointments booked and held.

Show rate
94%
Locations
2
Desk hires
0
The same tile with a system behind it. These are Lotus MD's actual numbers.

Questions

The things owners ask us first.

Do I have to leave my current EMR?
No. That's the point. Your clinical system stays where it is and we run everything around it.
What happens to the agency I'm working with now?
Most owners keep them through the install and make the call once they can see both sets of numbers side by side. We're not going to ask you to fire anyone on a first call.
What if I already have a website and someone doing my marketing?
Most practices we work with do. The audit maps what you already have against what the system needs, so you can see what's already working and what's missing before you decide anything.
How fast is this live?
It takes only 14-21 days to get your custom system live! Our onboarding process is very smooth and you have constant support at all times during the process to make it as seamless as possible.
Am I locked into a contract?
No long-term lock-in. We'd rather earn the next month than hold you to a year you regret. We'll cover the terms plainly on the call.

The Patient Leak Audit

Find out what you're losing before you decide anything.

It's free, it takes about fifteen minutes, and you keep everything we find whether or not you ever work with us.

  • Your inquiry-to-booked conversion rate, calculated from your actual numbers
  • A live test of your booking flow. We go through it as a patient and show you where it breaks
  • A review of your Google profile and what a patient searching your treatment in your city actually sees
  • A recorded walkthrough you can keep

info@arcrel.com  ·  (916) 545-7879

What our clients say

  • Anthony and his team have been a huge asset to our business. 🙌 Over the past few months we noticed the teams impact and we can’t wait to see how they continue to help scale our business! It’s always great to work with people that are professional, attentive, and communicative through out the process. I’d definitely recommend them. 10/10

    Iris L.
  • My experience working with Architected Relations was unlike any experience I have ever had working with a digital agency… Their team communication is outstanding and transparent. Working with Anthony and the team at AR fueled my creative drive and opened my mind to new possibilities. I was actually able to see my thoughts and ideas come to life with their stellar execution. They were able to understand our goals and guide us with effective real estate marketing strategies. This firm has allowed me to elevate how I do my business and for that I am forever thankful.

    Braxton W.
  • "We’ve worked with other companies in the past, but none delivered like these guys. We found Architected Relations, and everything changed. Within months, our calendar was fully booked with homeowners looking for remodels, and we closed many projects, some over $250K each. We finally have a system that works, and we’re not wasting time chasing dead leads. Architected Relations is the only team you should work with if you want real results!"

    Nick A.
  • I initially reached out to them then but never moved forward as our business was not ready at that moment. Fast forward to sometime in October of 2022 when I ran into their Ad once more and had a conversation with them and how they would be able to help my business grow to deciding they would be the perfect fit for our needs was a no brainer… They will never leave you on read and everyone is there to answer your questions….Thank you, everyone, at Architected Relations, for all that you continue to do for Outdoor Landscape Innovations Inc.

    Lilly T.
  • Anthony and his team at Architected Relations are as good as it gets in digital space! From project inception up until now, AR has delivered on every project that we had requested - not only met expectations, but exceeded them by a landslide! Thank you Anthony and to the whole AR team! I would recommend Architected Relations if you haven't worked with them before. HIGHLY recommend!!

    Amran B.
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    Orel H.
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    George E.
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  • Ever since teaming up with Anthony and Architected Relations, our company has gone to the next level. I have been beyond thrilled with all their work for our company. The creativity and attention to detail in collaborations with us and Architected Relations truly reflected. All of our ideas that we have planned out on paper came to life and I could not be happier. I am truly ecstatic that we partnered with Anthony and his team.

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