Ontario · 18+ pre-visit assessments

Choose the assessment that matches your concern.

Each form is designed to be easy to complete while collecting useful information for professional review. The website does not diagnose conditions or make treatment decisions.

Choose an assessment
About 4–5 minutes

Weight management

General health history, regular medicines, allergies, previous care and the reason you want professional review.

Start weight assessment
About 4–5 minutes

Men’s health

A confidential intake covering the concern, timing, general medical history, regular medicines, allergies and previous care.

Start men’s health assessment
28 Ontario minor ailments

Minor ailments

Browse all 28 minor ailments with plain-language definitions, choose one, then complete questions tailored to that concern.

Choose a minor ailment
Before you begin

These forms are for adult Ontario patients and professional review. Identity and current location must be confirmed before virtual care. Do not use the website for emergencies or severe, rapidly worsening symptoms.

Administrative contact

Need help choosing?

Email info@refyllrx.com for an administrative question. Do not include personal health information in a regular email.

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