The aim of this article is to document the adaptation of services at the Quebec City Refugee Health Clinic during the first and second waves of the COVID-19 pandemic. Based on a qualitative research design, semi-structured interviews were conducted with health care workers who had worked at the clinic. The results were systematized according to the following themes: adaptation of services, screening tool, course of interventions, needs of refugees during the pandemic and impact of service adaptation. Recognition that refugees constitute a vulnerable population was essential in preventing a breakdown in the supply of services, thus playing a preventive role.