Policies
Cancellation and refund policy
You can cancel your visit for a full refund, or change the time at no cost, up to 24 hours before it starts. Within 24 hours you can no longer cancel or change it, and there is no refund, because the doctor has that time reserved for you. If the clinic can’t see you, we always refund you in full.
When you are charged
You pay by card, on Stripe's secure page, when you request your visit, and The Health Initiative charges it. The price depends on the visit type you choose and you see it before you pay: see pricing.
If you cancel or change the time 24 hours or more before
If your visit is 24 hours or more away, you can cancel it for a full refund, or change the time at no cost, up to 2 times. Do it from your portal or from the link in your confirmation email. If you don't have a portal, email [email protected] from the address you used to pay.
Within 24 hours: no cancellation and no refund
If your visit is less than 24 hours away, it can no longer be cancelled or changed, and there is no refund: the doctor has that time reserved for you and your consent is signed.
If you choose a time less than 24 hours away, for example a visit today, we tell you before you confirm: that time can't be cancelled or changed.
If you don't join
If you don't join in the first 10 minutes of your visit, it counts as a no-show and there is no refund. If you had a problem, email us: we may offer you another time once, as a courtesy.
Full refund if the clinic can’t see you
We refund everything you paid, without you having to ask and even within 24 hours, if the clinic can’t see you for a reason on our side:
- No doctor is available to see you, or we can't agree a time with you.
- A technical problem on our side prevents the visit and it can't be rescheduled.
- The clinic changed your visit time and the new time doesn't work for you.
- A required check the clinic does can't be completed, such as confirming the patient is in Puerto Rico, or the presence and ID of a minor's parent or guardian.
- At the start it is clear that this is an emergency, and the doctor tells you to go to the ER instead of having the visit.
If your visit needs to be a full doctor visit
The follow-up visit covers a refill of a medicine you already take (non-controlled), which anyone can book, and a review of lab results, which is for existing patients only. The forms visit covers school or university forms and a medical certificate of an illness or condition the doctor evaluated.
If, in one of these visits, the doctor finds you need a full doctor visit, she explains why and, only with your consent, you pay the difference before continuing. If you don't accept, we refund what you paid. We never charge the difference without your consent. See the terms of service.
How and when you get your refund
The refund goes through Stripe to the same card you paid with. Stripe says the credit usually shows on your statement 5 to 10 business days later, depending on your bank. If the refund is made soon after the payment, the charge may simply drop off your statement instead of a separate credit appearing. If you don't see it after 10 business days, email us and we will give you the refund reference to check with your bank.
Good Faith Estimate
Because you pay without using insurance, you have the right to a Good Faith Estimate of the cost of your visit, and to dispute a bill that is well above it. See the Good Faith Estimate.
Questions about the cancellation and refund policy
If you have a question or disagree with a charge, email us first at [email protected] or call +1 (703) 899-3509: we want to sort it out. See also contact.
Frequently asked questions
What is your cancellation and refund policy?
Can I cancel a visit for today?
Can I be charged more than I paid?
How long does a refund take?
How do I cancel?
Sources (2)
- Refunds: how long they take (Stripe) (opens in a new tab) (accessed 2026-09-30)
- 45 CFR 149.620: patient-provider dispute resolution (opens in a new tab) (accessed 2026-09-30)
