Support That Understands Private Medical Practices, Functional Medicine and the DPC Model.
At CIVA, we know that Private Practices and DPC offices are built on time, trust, and meaningful patient relationships. That’s why we offer behind-the-scenes support so you can focus on building meaningful care relationships without getting buried in admin work.
Let us handle the back end, while you lead the care.
Tailored for Direct Primary Care and Private Practices
Efficient, HIPAA-compliant support for the clinical and administrative side of your business.
✔ Included in Essentials . Elevate . Thrive retainer packages
Virtual Medical Assistant for Clinical and Admin Support
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Onboarding
Scheduling
Maintaining patient charts
Referrals and Authorizations
Fax inbox
Patient communication (calls, texts, portal)
Forms
And much more…
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Years of experience with many EMR systems, such as:
Elation
Atlas MD
SigmaMD
Cerbo
Spruce
Hint
Akute
Practice Better
Optimantra
E-forcse
Athena
ECW
Epic
IDX
And many more...
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Responding to patient inquiries.
Managing emails
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Invoicing patients for:
Labs
Medication dispensary
Testing's
Other...
Hands-on oversight + strategic support.
When your practice needs more than admin help, I step in to manage operations, organize workflows, and improve efficiency from the inside out.
Think: systems, processes, structure, and optimization.
✔ Available in Elite and Core packages
(Not included in Essentials . Elevate . Thrive packages due to time requirements)
Practice Management Service
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Direct coordination with lab vendors, imaging centers, and medical reps.
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I review your current systems and processes to identify what’s working - and what’s not. Then I help refine workflows, streamline daily operations, and create solutions that save time and reduce stress.
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Hands-on support for special projects. Help organize timelines, communicate with vendors, and ensure a smooth, stress-free transition.
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Help with customized EMR templates, forms, and workflows designed to simplify documentation and ensure consistency across your practice - saving time and reducing charting errors.
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Help with organizing internal processes, files, team workflows, and tracking systems within Google Workspace, Google Sheets, or your EMR to create clear structures that support smooth daily operations and collaboration.
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FAQs
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Yes, we are! Every VA holds a HIPAA certificate in:
Using and disclosing PHI
HIPAA Privacy
HIPAA Security
HIPAA and State Laws
Becoming HIPAA compliant
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We use encrypted password managers like 1Password.
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We work Monday to Friday
(We are not available 24/7 or on-call after hours)
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We do not answer live incoming calls. However, we do check voicemail messages and make outgoing calls.
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Great question! Since I work with multiple providers I use the Time-Blocking method or an asynchronous workflow if preferred by the provider.
Time blocking is a time management method where I divide my day into blocks of time (i.e 30 minutes, 1 hour, 2 hours, etc) and each block is dedicated to a practice.
Asynchronous schedule on the hand is a more flexible option.
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I have worked in many specialties including:
Direct Primary Care (DPC)
Functional Medicine
Primary care (Traditional)
Internal Medicine
Neonatal Intensive Care Unit
Labor and Delivery
Pediatrics
Mental Health
Detox Clinic
Telemetry Hospital Unit
Physiatry (Spine and Sports)
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We offer monthly retainer packages, hourly rates, and project-based pricing. For details on each option and which might be the best fit for your practice, please see our Packages page.
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Clients pre-pay for a set number of hours per month (for example, 10, 20, or 40 hours). These hours are distributed evenly throughout the month to ensure consistent support for your practice.
Example:
10 hours/month = 2.5 hours/week ≈ 30 minutes/day
We dedicate up to 30 minutes each day to your practice.
This structure ensures your practice has the support it needs on a regular, predictable basis.
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We’ll notify you as your hours are running low. Once your prepaid hours are used up, we can:
Continue working at our standard hourly rate, invoiced weekly (Fridays), or
Pause work until your hours are replenished the following month to stay within your budget.
Just let us know which option works best for you!
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Yes! Just give us 30 days notice. Hours in the current month aren’t refundable, but this helps us wrap things up smoothly for your practice.
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Due to the nature of digital products (Virtual administrators provide a fully digital, non-tangible service), we do not offer refunds.
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Discovery Call: We’ll start with a free 15–30 minute call to discuss your needs and see if we’re a good fit.
Proposal: We’ll create and send a proposal for your review.
Agreements & Invoice: If you decide to move forward, the proposal includes an agreement to sign and an invoice.
Get Started: Once the agreement is signed and the invoice is paid, we can begin!
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We don’t require clients to commit to a long-term service contract. However, we do have a Service Agreement that must be reviewed and signed before we start rendering service.
This agreement offers a clear and straightforward overview of our working relationship. It outlines the services we’ll provide, how we’ll collaborate, communication expectations, and other key terms - ensuring everyone is aligned from the start.
The goal is simple: transparency, alignment, and a smooth, professional collaboration from day one.
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For healthcare providers, we also provide a signed Business Associate Agreement (BAA) to ensure HIPAA compliance and protect patient privacy. Both documents help set the tone for a secure and professional partnership.
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I do have a traditional resume that I use when applying for employee positions. However, as an Independent Contractor and business owner, I typically refer clients to my LinkedIn profile instead. It provides a clear overview of my work history, experience, and professional background in lieu of a resume.
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After a free discovery call and onboarding, all time spent on your tasks counts toward your monthly retainer - this includes work, setup, explanations, emails, calls, texts, and meetings.