Thoughtful virtual healthcare and ongoing health programs in Ontario. Nurse practitioner assessment, a practical care plan and clear next steps, centred on you.
At-home blood collection through NiaHealth for the included Heart & Metabolic Panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers.
Daily Dose individually packed daily vitamin/supplement packs, delivered monthly and included in both metabolic programs, support a convenient daily routine alongside nutrition and fitness guides. Suitability is reviewed individually.
Next-day home delivery through our pharmacy partner. Dispensing is subject to prescription approval and pharmacy requirements.
Bachelor of Nursing, BSc · Master of Nursing (with high distinction)
Lorraine is a Nurse Practitioner who graduated with a Master of Nursing degree with high distinction. With a background in emergency room nursing, she is passionate about providing comprehensive, personalised care and treatment for her patients.
The bigger picture
Not just results. A way forward.
When testing is appropriate, the next step is understanding what it means for you. Refua connects clinical assessment, results interpretation and practical next steps.
Testing guided by your care
Your NP determines whether existing results or new testing can inform your plan. Virtual Care visits do not include program labs; tests outside program inclusions may cost extra.
Results with clinical context
At-home blood collection through NiaHealth for the included Heart & Metabolic Panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers.
Public NiaHealth demonstration. This is not a Refua patient login and shows no Refua patient data.
Illustrative demo, not the NiaHealth dashboard
Your care, connected.
Your assessment
A summary of the discussion and the questions addressed.
Your care plan
Recommendations and appropriate treatment or testing next steps.
Your results, explained
Interpretation in context, where results review is appropriate.
Your next review
How and when to follow up, based on agreed care arrangements.
Example structure only. No patient results or clinical thresholds are shown.
By invitation · 250 places only
Are you who we’re looking for?
Refua’s founding circle is reserved for 250 people ready to take their health seriously: committed, curious and ready to act. Founding members receive our lowest program pricing, saving $600–$3,999 CAD, locked in for their term. Places are limited and eligibility is reviewed.
Samuel founded Refua with a clear purpose: to make healthcare easier to access, easier to understand and easier to follow through on. Refua brings virtual care, practical next steps and care coordination together, helping people feel supported throughout their care journey.
Ricardo Manuel
Head of Operations · Nonclinical
Ricardo leads Refua's day-to-day operations, helping coordinate the team and the patient journey from booking through to follow-up.
Google reviews
See what people say about Refua on Google.
5.0
“The platform is simple to navigate and consistently reliable. It’s easily one of the best virtual care experiences I’ve had and makes getting a checkup incredibly convenient.”
Carly Haber · Google review
Read our reviews or share your own experience on our Google Business Profile.
Refua is the telehealth platform. Clinical care is delivered by Ontario nurse practitioners (NPs), within their professional scope. Care Specialists help with booking and coordination, not clinical consultations. Registration can be verified on the College of Nurses of Ontario public register.
Can I use Refua outside Ontario?
Refua currently serves Ontario. You must be in Ontario during your clinical appointment. Other provinces are planned expansion areas, with no confirmed launch dates. See our Service area page for Ontario eligibility information.
What will my care cost?
Virtual Care service fees and 3-, 6- and 12-month program totals are listed on our Pricing page. Programs are fixed 3-, 6- or 12-month terms paid upfront in full; prefer flexibility? The Basic Program is month-to-month at $149 for the first eligible month, then $179 per month. Each program page lists confirmed inclusions. Medication is paid separately; Virtual Care visits are charged per selected visit. OHIP or insurance reimbursement is not promised.
Does booking guarantee a prescription or referral?
No. Prescribing, testing, documentation and referrals depend on the NP’s assessment, clinical scope and suitability. A referral does not guarantee specialist acceptance, access or a particular wait time.
What happens after an appointment?
Your clinician explains your care plan and appropriate next steps, which may include treatment, testing, results review, a referral or in-person care. Any additional fees are disclosed before you commit.
Is virtual care suitable for emergencies?
No. Refua is not an emergency service. Call 911 or seek emergency care when immediate help is needed. Some concerns require an in-person assessment rather than virtual care.
How does Refua compare with Felix, Jack Health, Maple and TELUS Health MyCare?
These providers also offer virtual care or weight-related support. Refua brings together Ontario NP care, fixed 3-, 6- or 12-month metabolic programs, included at-home NiaHealth panels at baseline and every 3 months while active, and Daily Dose packs delivered monthly. Compare the actual care, testing, medication costs and term commitments, not just headline prices. Refua does not claim that other providers lack ongoing support.
Is Refua only a prescription service?
No. Refua offers focused Virtual Care visits, non-GLP-1 metabolic Concierge care and clinically assessed Weight Loss Management. Program care combines assessment, monitoring, lifestyle guidance, included panels and supplement packs. Medication is extra and prescribing is never guaranteed.
How does at-home testing fit into a Refua program?
Both metabolic programs include at-home blood collection through NiaHealth for the Heart & Metabolic Panel at baseline and every 3 months while active, clinician-reviewed results and dashboard access. Virtual Care visits do not include these program labs.
Your next step
Let’s make room for your health.
Choose your visit and continue toward booking and payment, or ask a Care Specialist for help.