Welcome to CIVA, LLC ~ Working closely with providers, medical entrepreneurs and practices in DPC, Functional Medicine, and Private Practice.

Welcome to CIVA, LLC ~ Working closely with providers, medical entrepreneurs and practices in DPC, Functional Medicine, and Private Practice.

Your Behind-the-Scenes Business Ally

A woman with long black hair, wearing a beige blazer and gold jewelry, sitting at a desk with a pink marble-patterned MacBook, a brown mug, notebooks, and a smartphone in front of her. There is a large green plant and a paper pendant light hanging from the ceiling in the background.

Hi, I’m Celenia.

The owner and founder of CIVA

First, let me say congratulations on opening your own Private practice!  That takes time, courage and perseverance.  Not only that, but this business is your baby - you’ve poured your heart and soul into it, and you deserve to be selective when choosing the right team to represent it. Medical VAs can be an affordable and efficient solution for a growing practice.

With the right support, you can reduce burnout and focus more on patient care ~ without the overhead of full-time staff.

Ready to take the next step? You’ve come to the right place.



Wearing all the hats? We get it. Running a business is nonstop, but you don’t have to do it all.

We help Direct Primary Care, Functional Medicine and Private Practice providers stay organized, efficient, and focused. I handle the admin & clinical chaos ~ so you don’t have to.

You focus on care ~ I’ll handle the rest.

As a locally owned business, I offer a unique advantage: real, firsthand knowledge of how DPC and Private Practices operate. We get your workflow, your values, and your patients ~ because we’ve been there too.

Clinical & Administrative Operations Support for Private Practices

** Practice Management Services Available **

Medical virtual support include:

Inbox and secure message management (e.g., Spruce, Hint, Elation etc)

Coordination of labs, referrals, or imaging

Triage

Membership management (billing, updates, cancellations)

New patient onboarding support

Inbox and call screening (asynchronous and live support)

Intake form setup, Google Workspace, or CRM cleanup

And much more.

Testimonials

Let’s connect!

Follow me on Instagram and LinkedIn.

  • Top-down view of a wooden table with a silver laptop, a potted green plant with white stripes, and a white mug.
  • A woman with long black hair sitting at a desk, holding a coffee mug, with a laptop, notebooks, and a smartphone on the desk, in a bright room with a potted plant and a hanging lamp.
  • Decorative room corner with white wall, wooden wall clock showing 3:20, potted green plant, and white desk lamp
  • A woman sitting at a desk using a laptop that displays a virtual assistance service with the name Celena Duez. She has a smartphone in her left hand and is wearing a gold bracelet. There is a brown cup on a pink tray and a notebook with papers underneath on the desk.