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September 2025
October 2023

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Business
Management
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Virtual Healthcare Assistants

Client Form

Virtual Healthcare Assistants Client Form

Practice Information

Practice/Clinic Name

Number of Staff / Employees

Practice Address / Location

Type of Practice

Other

Contact Information

Contact Person Name

Email Address

Phone Number

Virtual Assistant Requirement

Virtual Assistant Type

Services Needed

Services Required

Patient Scheduling

Insurance Verification

EHR/EMR Management

Billing Support

Patient Communication

Administrative Reports

Other

Other:

Current Setup

Current Software Used

Consultation Details

Preferred Start Date

Additional Notes / Requests

MedStar Billing Technology & Resources

Impacting the Success of Global Business While Making a Difference in the Lives of Others

Services

Virtual Healthcare Assistants

Medical Billing & Coding Services

Healthcare Training & Education

Contact Us

info@medstarbtr.com

(646) 244-6601

275 Lenox Avenue, Ground Floor New York, NY 10027

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