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Emergency? Call 911

The Health InitiativeTelehealth · Puerto Rico

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The Health Initiative
Emergency? Call 911

Video visit

Book your visit

Step 1 of 3(In progress)Choose your visit type

Best for: a new health problem, or if you need a doctor’s note.

For a new problem, urgent care (non-emergencies), primary care, children, birth control, STIs, skin and acne, and visitors. Includes a doctor's note if you need one.

Best for: a refill, or a review of results from a previous visit.

Refills of medicines you already take (non-controlled) and a review of lab results from a previous visit.

Best for: a school or job form, or the lab order for the certificado de salud.

School, university and job forms, and the lab order for the certificado de salud (if you choose the TB skin test, it is placed and read in person by the authorized doctor or their nurse; the certificate is issued only by an authorized doctor at their authorized site). Does not include forms that need a vision exam, such as the DTOP driver's license form.

Not sure? Choose the doctor visit. A doctor’s note after your visit is included.

How to choose your visit type

If you came from a service page, the visit type is already selected. If you're not sure, choose the doctor visit.

  • Doctor visit (US$79): a new problem, virtual urgent care, primary care, children, birth control, STIs, skin and acne, visitors and chronic care.
  • Follow-up visit (US$49): a refill of a medicine you already take (non-controlled), or a review of your lab results from a previous visit with us.
  • School and work forms (US$35): school, university or job forms, and the lab order for the certificado de salud.
  • If your follow-up or forms visit turns out to need a full doctor visit, the doctor explains why and, with your consent, you pay the difference. See pricing.

Step 2 of 3Safety check

For your safety, call 911 or go to the ER now if there is:

  • Chest pain or pressure, or trouble breathing
  • Weakness, numbness or a drooping face on one side, or trouble speaking
  • Confusion, fainting or a seizure
  • Bleeding that will not stop, or a serious injury
  • A baby or child who is hard to wake, is working hard to breathe or will not drink
  • A fever (100.4 °F / 38 °C or higher) in a baby younger than 3 months
  • Thoughts of harming yourself (call or text 988, or Línea PAS 1-800-981-0023)

Confirm you can use the service

  • a)The patient (you or the person you are booking for) will be physically in Puerto Rico for the whole visit.
  • b)It is not an emergency, and none of the warning signs above apply. In an emergency, call 911. For thoughts of harming yourself, call or text 988 or Línea PAS 1-800-981-0023.
  • c)If the patient is under 21, a parent with patria potestad (parental authority) or a legal guardian will be on camera for the whole visit and will show photo ID.

Your answer to this box is not sent or saved.

Step 3 of 3Secure payment

Your visit

Doctor visit

Change
US$79
  • You’re charged US$79 now, when you request the visit.
  • A doctor's note after your visit is included at no extra charge.

To pay, tick the “I confirm that” box in step 2.

  • Full refund if the visit can't take place, including if your location or guardian check fails or no doctor is available.
  • Pay by card (may include Apple Pay or Google Pay depending on your device).
  • Payment is processed securely on Stripe’s page. It does not ask for health information.
  • Billed by The Health Initiative, a U.S. 501(c)(3) nonprofit organization.

Questions before you pay? Email [email protected]. Please don’t include health information in your email.

What happens after you pay

  1. We email or text you to confirm your time.
  2. We send you a secure link for your video visit.
  3. You see the doctor by video from your phone, tablet or computer.

Your doctor

Dr. Diana Nieves Castro, MD

General practice physician

Founding Executive Director of The Health Initiative.

US$79Doctor visitFull refund if it can’t take place

What happens after you pay

After you pay:

  1. We confirm your time by email or text, at the email and phone you gave when paying.

  2. We send you a secure video link. It works on your phone, tablet or computer. With it comes an invitation to complete your details and sign the informed consent.

  3. You see the doctor by video at the agreed time. She evaluates, diagnoses and treats.

  4. If appropriate, the doctor prescribes and we send your prescription to your pharmacy. If needed, she gives you a lab order for a lab near you. With the doctor visit, your doctor's note is included.

What to have ready

For the visit, have:

  • Photo ID. If the patient is under 21, the parent's or guardian's ID, plus the guardianship court order for a legal guardian.
  • A phone, tablet or computer with a camera, in a private, well-lit place with a good connection.
  • The name and address of your pharmacy.
  • A list of the medications you take and, for a child, a recent weight and a thermometer.

Before you pay and book your telehealth visit

The payment page does not ask for any health information. If the visit can't take place, or if you cancel before it, we refund you in full: see cancellations and refunds. You have the right to a Good Faith Estimate. Questions? See the FAQ or how it works.

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