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