Make An Inquiry

Afya Daraja is your Trusted Partner Bridging Healthcare for Kenyans at Home and in the Diaspora. We offer linkage to Healthcare Providers, Medication Management, Home Health Services, Mental Health Support, Health Education, and Bereavement Services. Our aim is to ensure peace of mind for clients in Kenya and the Diaspora. Contact us below to know more!

Afya Daraja - Inquiry Form

First name*

Last name*

Email*

Phone*

Preferred method of contact*

Phone

Country of Residence*

Specify the State or County are you located in?*

Which service are you interested in?*

Healthcare Provider Appointments

Medication Management/Procurement

Home Health (Medical/Nursing Care, Physiotherapy, Occupational Therapy etc.)

Mental Health Support (Psychologists/Psychiatrists, Chaplains etc.)

Health Education

Bereavement Support/Last Respect

Logistics Support

Other (Please specify below)

Please specify below

Do you need medical information about traveling to Kenya or the US?*

Yes

Not Sure

Would you like to schedule a consultation?*

Yes

Other

If your picked "Other" please specify below

Preferred Date & Time for Consultation*

Month

Day

Year

Time

:HoursMinutes

How did you hear about us?*

Google Search

Social Media

Referral

Event

Other (Please specify below)

If your picked "Other" please specify below

Consent for Communication*

I agree to receive promotional communications from Afya Daraja.

I do not agree to receive promotional communications from Afya Daraja.

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