Virtual Care · Ontario virtual visits

New health concerns

When something doesn’t feel right, a conversation is a place to start. Discuss a new non-emergency concern with an Ontario NP and understand the appropriate next step.

Choose, book and pay

$79 CAD · Currently serving Ontario · Subject to clinical assessment

Is this the right starting point?

Care that fits your needs.

For non-emergency concerns that may be suitable for virtual assessment. Some symptoms need an in-person examination, urgent care or emergency assessment.

A focused NP conversation

Meet the NP by video. The assessment may lead to a care plan, testing, treatment, referral or in-person care.

Clear next steps

Clarify how the care plan is shared, who reviews any results and whether follow-up is needed.

Know the limitations

Virtual care cannot assess every concern. Prescriptions, investigations, documentation and referrals are not guaranteed.

Not for emergencies.Call 911 or seek emergency care if you need immediate help. Virtual care may not be appropriate for every concern.
Your care, explained

What to prepare

Complete the clinical intake with relevant history and records. Do not share medical details in a general enquiry.

You must be located in Ontario during your visit.

Clear costs

Know the cost before you commit.

New health concerns: $79 CAD. This is the selected service fee, not an additional charge for the same visit.

Your complete cost

Approved service fees and full program term totals are listed here, paid upfront for the fixed term. Klarna financing is available at checkout, subject to eligibility and approval. Taxes where applicable, renewal and cancellation deadlines will be stated before payment.

What may cost extra

Medication and additional treatment costs are separate unless explicitly stated. Virtual Care visits do not include program labs or supplements.

Your choices

If your preferred treatment is unsuitable, available care options and applicable cancellation or refund terms will be explained before commitment.

Full pricing & policy information
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.

Explore labs & diagnostics
Explore the NiaHealth dashboard

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.

People behind your care

Meet some of our nurse practitioners

Ontario nurse practitioners assess, explain and recommend care within their professional scope. Care Specialists help coordinate the journey.

About our clinical team
Lorraine Salvano, Nurse Practitioner at Refua

Mrs. Lorraine Salvano, NP

Nurse Practitioner

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.

You can look up any Ontario nurse practitioner on the College of Nurses of Ontario public register.

From your first click to follow-up

What happens next?

01

Choose this service

Confirm you will be in Ontario and review the price and policies, then send a short enquiry for booking help.

02

Prepare for assessment

Complete the clinical intake with relevant history and records. Do not share medical details in a general enquiry.

03

Receive practical next steps

Clarify how the care plan is shared, who reviews any results and whether follow-up is needed. Follow-up visits are booked separately at the listed price.

Support hours: Monday–Friday, 10:00 AM–7:00 PM Eastern Time (America/Toronto). For support, call +1 (289) 475-5515 or email help@refua.ca.

Before you book

Your questions, answered.

What can a new health concerns visit provide?

Meet the NP by video. The assessment may lead to a care plan, testing, treatment, referral or in-person care. Virtual care cannot assess every concern. Prescriptions, investigations, documentation and referrals are not guaranteed.

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; there is no month-to-month plan. 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.

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.

Choose, book and pay