Afri Med Connect: Virtual Healthcare Admin Support Form for Clinics
Welcome to AfriMedConnect! We provide skilled and HIPAA-trained Virtual Healthcare Admins (VHAs) to support healthcare providers like you whether you’re running a private practice, group specialty, telehealth service, or home health agency. Our VHAs help streamline operations, enhance the patient experience, and reduce administrative overload so you can focus on delivering care.
This short form helps us understand your clinic's specific needs so we can match you with the right VHA(s)
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your Position/Title?
*
What time zone does your clinic operate in?
*
What is the name of your practice?
*
Where is your clinical practice located?
*
What software or EHR/EMR systems does your clinic currently use?
*
How many physicians and health providers work at the practice you need a Healthcare Admin for?
*
e.g. doctors, nurses, lab techs, etc
How many Virtual Healthcare Admins do you estimate you need to support your clinic effectively?
*
Will the Virtual Healthcare Admin VHA(s) be supporting one provider or multiple providers?
*
Are you currently using a Virtual Healthcare Admin?
*
Please Select
Yes
No
What are the main tasks you’d like your Virtual Healthcare Admin(s) to assist with?
*
Appointment scheduling & calendar management
Patient communication & reminders
Insurance verification & billing support
Medical record documentation (EHR/EMR updates)
Lab result follow-up & coordination
Referral coordination
Data entry & reporting
Customer service / patient experience follow-up
Pre-Consultation Prep
Others
Who will the VHA(s) report to or communicate with directly?
*
Do you have existing SOPs (Standard Operating Procedures) or would you need help creating workflows?
*
Please Select
We have SOPs
We need help creating SOPs
A mix of both
What are your biggest admin pain points?
*
What qualities or experience do you value most in a Virtual Healthcare Admin?
*
e.g., attention to detail, familiarity with specialty, HIPAA compliance, communication skills, etc.
When would you like to start working with a Virtual Healthcare Admin?
*
Immediately
Within 2 weeks
Within 1 month
Flexible
Back
Next
Please select the category that best describes your practice. You may choose more than one if applicable.
1. Primary Care
Family Medicine
Internal Medicine
Pediatrics
Geriatrics
2. Specialty Care
Cardiology
Endocrinology
Gastroenterology
Neurology
Pulmonology
Nephrology
Rheumatology
Infectious Disease
Hematology/Oncology
Other (please specify):
3. Surgical Specialty
General Surgery
Orthopedic Surgery
ENT (Otolaryngology)
Plastic Surgery
Urology
Neurosurgery
Other (please specify):
4. Women’s & Reproductive Health
OB/GYN
Fertility/Reproductive Endocrinology
Midwifery
5. Mental & Behavioral Health
Psychiatry
Psychology
Counseling/Therapy
6. Rehabilitation & Supportive Care
Physical Therapy
Occupational Therapy
Speech Therapy
Pain Management
Chiropractic or Integrative Medicine
7. Diagnostics & Urgent Care
Radiology/Imaging
Urgent Care
Retail Clinic (e.g., CVS MinuteClinic)
Pain Management
Chiropractic or Integrative Medicine
8. Practice Model
Solo Practice
Group Practice (Single Specialty)
Group Practice (Multi-Specialty)
Hospital-Owned Practice
Academic/University Practice
Concierge/Direct Primary Care
FQHC / Community Health Center
Telemedicine-Only
Other (please specify in additional info box)
Any additional information you'd like to share about your clinic or specific support needs?
Submit
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