Avi Medical growth playbook

Keep the symptom check, but make it optional for known reasons: offer "book directly" for check-ups, vaccinations, follow-ups, prescriptions and referrals, and let patients skip triage after one question. Show the next free in-practice slot at their own practice. Measure the share of app sessions that end in a booking before and after, by entry point (ad, recall message, organic), and answer the recent reviews once it ships.

Patients who already know what they need want a slot, not a conversation; removing the wall lifts booking rate for every channel the new marketer runs, and it addresses the main reason for the 2.4-star rating.

[ ] Reasons that skip triage agreed by medical leads
[ ] "Book directly" visible on the booking screen
[ ] Next in-practice slot shown for the patient's practice
[ ] Recall and ad links open the direct path
[ ] Booking completion tracked by entry point
[ ] App Store replies to recent reviews
[ ] Review after two weeks

• Patients book the wrong slot type

  Ask one question on reason and keep triage for acute complaints.

• Clinical safety concerns

  Let medical leads define which reasons may skip triage.

• App Store reviewsOf the 60 German App Store reviews posted since May 19, 2026, 30 mention the AI symptom check, chat or questionnaire placed in front of booking (against 2 of 81 in the 16 months before), 38 are about booking, and the average is 1.5 stars. Examples: "Seit neuestem gibt es dort in der App einen AI chat der symptome und beschwerden" (a new in-app AI chat asking about symptoms), "I cannot book an appointment and only AI questionnaire is available", "Kann keine Termine in der App buchen nur über den Browser", and several say the check ends with advice instead of a slot. Several reviewers also say they like the practices themselves.Source
• App StoreAvi Medical app (German App Store, checked October 23, 2026): 2.4 out of 5 from 469 ratings; version 3.0.45 released October 18, 2026. The listing promises: "See directly which appointments are available in our practices, book and manage them in the app", on-site or video, with SMS reminders, messages and documents.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source

Send booked appointments (with practice and reason, no health data) back to Google Ads and Meta as conversions through consent-aware server-side tracking, and build one weekly report: spend, bookings and cost per booking by practice. Agree with the agency to optimise on bookings.

Optimising on booked appointments moves spend to where it fills chairs and gives the new hire control of the agency.

• Consent limits data

  Use modelled conversions and Matomo for totals.

• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source
• App Store reviewsOf the 60 German App Store reviews posted since May 19, 2026, 30 mention the AI symptom check, chat or questionnaire placed in front of booking (against 2 of 81 in the 16 months before), 38 are about booking, and the average is 1.5 stars. Examples: "Seit neuestem gibt es dort in der App einen AI chat der symptome und beschwerden" (a new in-app AI chat asking about symptoms), "I cannot book an appointment and only AI questionnaire is available", "Kann keine Termine in der App buchen nur über den Browser", and several say the check ends with advice instead of a slot. Several reviewers also say they like the practices themselves.Source

Check whether each English address still loads; restore or redirect the ones that do not, add the English pages to the sitemap with hreflang, and link them from the German location pages. Then run English-language search campaigns ("English speaking doctor Munich") pointing to them.

Expats in Munich, Berlin and Hamburg search in English, often have private insurance, and have few practices that speak to them directly.

• Doctor languages change

  Read languages from the /team/sprachen data.

• Search resultsSearch engines still list English pages for Avi Medical: "English Speaking Doctors in Munich" (/expat/english-speaking-doctors-in-munich and /english-speaking-doctors-in-munich), Hamburg and Berlin versions, /en, /en/locations/munich, /en/locations/berlin and /en/practice/hamburg-wandsbek. None of these addresses is in the current sitemap.Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source

Pull free slots for the next 14 days per practice each week, and set campaign budgets by location in proportion to free capacity, pausing practices above 90% booked. Add new openings at a launch level.

Ads then fill empty slots instead of creating waits at busy practices.

• Capacity data late

  Use a 14-day rolling window.

• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• HiringEssen opening: a practice manager for Essen "ab sofort" (posted October 7, 2026), a medical assistant and a receptionist for Essen (October 5 to 7), and a medical lead and GP for Essen "from Q2/2027". Each practice has "3-5 doctors and 5-7 MFAs" in a network of "over 100 doctors across Germany"; doctors get no mandatory night or weekend duty and an optional telemedicine day. A practice manager for Cologne was posted October 9.Source
• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source

Separate care messages (results, reminders, recall) from offers, add an opt-out for offers in settings, cap offers to one a month, and never show an offer in the booking flow. Track opt-out and unsubscribe rates.

Patients keep reading care messages when they are not sales; that protects recall campaigns.

• Lower paid-service sales

  Offer them in a separate, clearly labelled section.

• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source
• App StoreAvi Medical app (German App Store, checked October 23, 2026): 2.4 out of 5 from 469 ratings; version 3.0.45 released October 18, 2026. The listing promises: "See directly which appointments are available in our practices, book and manage them in the app", on-site or video, with SMS reminders, messages and documents.Source

Add email codes or passkeys as a fallback, show a "resend by email" option after 30 seconds, and alert support when a number fails twice.

Removing a hard stop at login recovers patients who already chose Avi.

• Security of email codes

  Rate-limit and expire them quickly.

• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source
• App StoreAvi Medical app (German App Store, checked October 23, 2026): 2.4 out of 5 from 469 ratings; version 3.0.45 released October 18, 2026. The listing promises: "See directly which appointments are available in our practices, book and manage them in the app", on-site or video, with SMS reminders, messages and documents.Source

Publish an Essen location page with an opening date and a waitlist (name, contact, insurance, reason), run local search and social ads around the address, and invite waitlisted patients by message the week before opening with direct booking.

A practice that opens with a waitlist reaches break-even sooner and gives the new team steady days from the start.

• Opening date slips

  Communicate a window, not a day.

• HiringEssen opening: a practice manager for Essen "ab sofort" (posted October 7, 2026), a medical assistant and a receptionist for Essen (October 5 to 7), and a medical lead and GP for Essen "from Q2/2027". Each practice has "3-5 doctors and 5-7 MFAs" in a network of "over 100 doctors across Germany"; doctors get no mandatory night or weekend duty and an optional telemedicine day. A practice manager for Cologne was posted October 9.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source

Build triggered recalls by eligibility (Check-up 35, vaccinations due, chronic follow-ups), each with a direct booking link to the patient's practice, and a waitlist when slots are full. Measure bookings per message.

Recall fills slots with existing patients at almost no cost and is what the role is measured on.

• Too many messages

  Cap at two a month per patient.

• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• News coverageSeries B of 50 million euros in April 2022, led by Balderton Capital (over 80 million euros raised in total), when Avi had eight practices in Munich, Hamburg and Berlin; the plan was 100 practices within three years "with a focus on underserved rural areas". The booking software identifies the reason for a visit, and automatic scheduling of preventive appointments was planned.Source
• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source

Write one launch kit: location page template, Google Business Profile setup, local ad set, opening offer for check-ups, neighbourhood partner list and a 90-day utilisation target. Use it for Essen first.

A repeatable launch shortens the time to full utilisation across many openings.

• Cities differ

  Keep a local section in the kit.

• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• HiringEssen opening: a practice manager for Essen "ab sofort" (posted October 7, 2026), a medical assistant and a receptionist for Essen (October 5 to 7), and a medical lead and GP for Essen "from Q2/2027". Each practice has "3-5 doctors and 5-7 MFAs" in a network of "over 100 doctors across Germany"; doctors get no mandatory night or weekend duty and an optional telemedicine day. A practice manager for Cologne was posted October 9.Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source

Send a short message the day after a visit asking for a Google review of that practice (never in exchange for anything), and route low scores to the practice manager first. Track ratings per practice.

Many positive in-person experiences are not being captured where new patients look.

• Review-gating rules

  Ask everyone the same way.

• App Store reviewsOf the 60 German App Store reviews posted since May 19, 2026, 30 mention the AI symptom check, chat or questionnaire placed in front of booking (against 2 of 81 in the 16 months before), 38 are about booking, and the average is 1.5 stars. Examples: "Seit neuestem gibt es dort in der App einen AI chat der symptome und beschwerden" (a new in-app AI chat asking about symptoms), "I cannot book an appointment and only AI questionnaire is available", "Kann keine Termine in der App buchen nur über den Browser", and several say the check ends with advice instead of a slot. Several reviewers also say they like the practices themselves.Source
• Competitor researchAvi competes with other practice groups and MVZ chains in its cities (for example amedes, which runs an MVZ in Essen), with traditional single-doctor practices, and with booking and video-consultation platforms that patients use to find a GP appointment.See the research Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source

Add a plain-language page and in-app screen explaining what joining means, what it costs (nothing for statutory patients where applicable) and how to leave, and require an explicit choice. Ask doctors to explain it in the visit.

Patients who choose the programme stay longer and recommend Avi; those who feel tricked leave and post reviews.

• Fewer enrolments

  Measure retention of willing members instead.

• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source

Build location pages and German-language search ads for "Hausarzt spricht Türkisch Berlin" and similar searches, based on each practice's current doctors, with direct booking to those doctors.

Language match is a strong reason to choose a GP and a niche with little ad competition.

• Doctor leaves

  Update pages from team data automatically.

• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• Search resultsSearch engines still list English pages for Avi Medical: "English Speaking Doctors in Munich" (/expat/english-speaking-doctors-in-munich and /english-speaking-doctors-in-munich), Hamburg and Berlin versions, /en, /en/locations/munich, /en/locations/berlin and /en/practice/hamburg-wandsbek. None of these addresses is in the current sitemap.Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source

Give the performance marketer a doctor-recruiting budget: campaigns to hospital doctors who want regular hours, a landing page with the salary range and a day in the life, and referral rewards for current doctors.

Filling doctor seats raises capacity in every practice, which the patient campaigns then fill.

• Competition for GPs

  Lead with no duties and telemedicine day.

• HiringEssen opening: a practice manager for Essen "ab sofort" (posted October 7, 2026), a medical assistant and a receptionist for Essen (October 5 to 7), and a medical lead and GP for Essen "from Q2/2027". Each practice has "3-5 doctors and 5-7 MFAs" in a network of "over 100 doctors across Germany"; doctors get no mandatory night or weekend duty and an optional telemedicine day. A practice manager for Cologne was posted October 9.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source

Run campaigns before winter and summer travel peaks for travel consultations, with destination pages linked to booking and HWG-compliant copy.

Planned, often self-paid visits fill quieter weeks.

• Advertising rules for medical services

  Have copy checked against HWG.

• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source

Propose joint campaigns to each insurer: member emails about Avi's check-ups, video consultations and app, with a dedicated landing page per insurer. Track bookings per insurer.

Insurers reach members Avi cannot, with a trusted sender.

• Slow insurer approval

  Start with insurers already partnered.

• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• News coverageSeries B of 50 million euros in April 2022, led by Balderton Capital (over 80 million euros raised in total), when Avi had eight practices in Munich, Hamburg and Berlin; the plan was 100 practices within three years "with a focus on underserved rural areas". The booking software identifies the reason for a visit, and automatic scheduling of preventive appointments was planned.Source

Rank towns by GP shortage, population and drive time to existing practices, open one pilot with telemedicine days from the doctor network, and compare utilisation and acquisition cost with city practices.

Shortage areas have demand without ad spend, and public support for new practices may exist.

• Hard to hire doctors

  Lead with the network and no duties.

• News coverageSeries B of 50 million euros in April 2022, led by Balderton Capital (over 80 million euros raised in total), when Avi had eight practices in Munich, Hamburg and Berlin; the plan was 100 practices within three years "with a focus on underserved rural areas". The booking software identifies the reason for a visit, and automatic scheduling of preventive appointments was planned.Source
• HiringEssen opening: a practice manager for Essen "ab sofort" (posted October 7, 2026), a medical assistant and a receptionist for Essen (October 5 to 7), and a medical lead and GP for Essen "from Q2/2027". Each practice has "3-5 doctors and 5-7 MFAs" in a network of "over 100 doctors across Germany"; doctors get no mandatory night or weekend duty and an optional telemedicine day. A practice manager for Cologne was posted October 9.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source

Offer local employers a programme: staff onboarding to the app, priority check-up days, video consultations and a monthly health talk. Sign ten employers per city and measure staff bookings.

Employers bring groups of working-age patients and fill daytime capacity.

• Medical confidentiality

  Never share patient data with employers.

• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• HiringPerformance & Growth Marketing Manager:in (Munich, posted October 5, 2026): "With 25+ locations and regular new openings" Avi is among the fastest-growing practice networks in Germany; marketing decides "whether new locations fill quickly and whether patients take up their preventive care". Search and social are run with an agency today; the hire takes over Google Ads (Search, Performance Max), Meta and TikTok tests, and splits budget "across channels and our growing number of locations, which are unevenly utilised" (translated from German).Source
• News coverageSeries B of 50 million euros in April 2022, led by Balderton Capital (over 80 million euros raised in total), when Avi had eight practices in Munich, Hamburg and Berlin; the plan was 100 practices within three years "with a focus on underserved rural areas". The booking software identifies the reason for a visit, and automatic scheduling of preventive appointments was planned.Source

Ask one question in the app after booking ("How easy was it to book?") and after the visit, with an optional comment. Review results by release each week and fix the worst step first.

Fast feedback catches problems like the booking wall before they become public reviews.

• Survey fatigue

  One question, at most once a month.

• App StoreAvi Medical app (German App Store, checked October 23, 2026): 2.4 out of 5 from 469 ratings; version 3.0.45 released October 18, 2026. The listing promises: "See directly which appointments are available in our practices, book and manage them in the app", on-site or video, with SMS reminders, messages and documents.Source
• App Store reviewsOf the 60 German App Store reviews posted since May 19, 2026, 30 mention the AI symptom check, chat or questionnaire placed in front of booking (against 2 of 81 in the 16 months before), 38 are about booking, and the average is 1.5 stars. Examples: "Seit neuestem gibt es dort in der App einen AI chat der symptome und beschwerden" (a new in-app AI chat asking about symptoms), "I cannot book an appointment and only AI questionnaire is available", "Kann keine Termine in der App buchen nur über den Browser", and several say the check ends with advice instead of a slot. Several reviewers also say they like the practices themselves.Source
• App Store reviewsOther recurring review themes in 2026: promotional messages for paid services and the Care Plan ("Der Care Plan nervt", "Es werden einem ständig zusätzliche Privatzahler Leistungen aufgedrängt"); one reviewer says they were enrolled in the Hausarztprogramm without wanting to be; SMS login codes that do not arrive; no way to reach a practice by phone; and flu vaccination slots shown as booked out "auf Monate".Source

Review the Cloudflare bot rules, allow verified search and AI search crawlers and link-preview bots, and test with each assistant whether it can cite Avi's location pages.

More patients ask assistants for a doctor; being readable is the first step to being recommended.

• More scraping

  Allow only verified bots.

• Website checkA plain request to www.avimedical.com from a standard HTTP client (October 23, 2026) receives a Cloudflare "Sorry, you have been blocked" page with status 403 instead of the homepage.Source
• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source

Load the consent banner early and light, keep Google Consent Mode and Matomo set up correctly, and test consent rates by design.

A faster, clearer banner improves both first impression and measurable traffic.

• Dark patterns

  Keep equal accept and reject options.

• Google PageSpeedMobile performance 63; in Google's phone lab test the largest element is the cookie consent banner and it appears after 10 s. Real visitors pass Core Web Vitals (field LCP about 1.5 s, INP 169 ms, CLS 0).Source
• HiringThe same role co-owns CRM campaigns for existing patients ("recall, reactivation and preventive-care communication"), supports website and landing pages, location launches, local campaigns and employer branding, automates reporting with AI, and values experience with tracking and consent ("Matomo, Google Consent Mode") and with the German law on advertising for medical services (HWG). Ad copy and patient communication are "always in German".Source

Update the lab pages to show the in-app results view, fix grouping of repeated values the reviewer mentions, and include results access in recall messages.

A feature patients like is a reason to stay with Avi and to recommend it.

• Results misread

  Add doctor notes next to values.

• Your websiteSitemap (read through programmable.info on October 23, 2026, complete): 33 location pages (/standorte/), 127 service pages (/leistungen/, e.g. Abnehmspritze, Reisemedizin, DiGA), 281 team pages including /team/sprachen/, 41 job pages, 33 lab pages (/labs/, last updated May 2026), 30 blog posts (six added October 19 to 21, among them flu and COVID vaccination, whooping cough vaccination, sick notes by video and finding English-speaking doctors), five insurer pages (HanseMerkur, Signal Iduna, Avi Impact and others), a health quiz, video consultation, Hausarztprogramm and app pages. There is no English or expat section.Source
• App StoreAvi Medical app (German App Store, checked October 23, 2026): 2.4 out of 5 from 469 ratings; version 3.0.45 released October 18, 2026. The listing promises: "See directly which appointments are available in our practices, book and manage them in the app", on-site or video, with SMS reminders, messages and documents.Source
• App Store reviewsOf the 60 German App Store reviews posted since May 19, 2026, 30 mention the AI symptom check, chat or questionnaire placed in front of booking (against 2 of 81 in the 16 months before), 38 are about booking, and the average is 1.5 stars. Examples: "Seit neuestem gibt es dort in der App einen AI chat der symptome und beschwerden" (a new in-app AI chat asking about symptoms), "I cannot book an appointment and only AI questionnaire is available", "Kann keine Termine in der App buchen nur über den Browser", and several say the check ends with advice instead of a slot. Several reviewers also say they like the practices themselves.Source