No, and to be perfectly frank, any ethical online marketing firm should be telling you the same thing. Google is a third party that no one, including us, has direct control over, and thus a guarantee is impossible. Some companies will make the guarantee another way. They’ll let you off the hook for payment unless they “get you on the first page.” Some SEO companies will technically win their part of the deal by getting on the first page for non-competitive terms with little visitor traffic, instead of the higher traffic search terms that would actually lead to you getting lots of new patients
We believe in aligning your economic interests with ours. We have a long track record and as many referrals as you’d like to call so you can be sure we’re going to do the work the way we describe. And we have no contracts, so if we don’t perform, you can dump us. But beware of companies offering you “guarantees.” Chances are that you’re either being overcharged to account for this or what they are willing to guarantee may not get you many new patients – which is the whole point of your website and SEO, right?