I advise tourists and islanders to stay away from the clinic here unless they have a true medical emergency and/or platinum insurance coverage. If you need something simple like an antibiotic, it would be MUCH better to call your primary physician back home and try to have an order phoned in to the pharmacy, if you don't need to be seen in person. My background: I have spent a lot of time on San Juan Island as a visitor. I had a good experience at the Peace Island ER once, but my specific advice against using the (appointment-based) clinic stems from an experience I had after pricking my finger on a blackberry bush. It was red & swollen, and I pretty clearly needed a basic antibiotic, but had switched insurance temporarily and so was not able to call home for a prescription. I made an appointment at the Peace Island clinic, thinking that the clinic would not be too pricey, but I was very wrong. The clinician ended up ordering lab work to the tune of $284 (for a pricked finger!!!!!) without checking in with me first, as most doctors' offices would do, and then of course there were the other fees associated with the visit. I ended up stuck with most of this amount because of deductibles, but I would have been offended by the excessive nature of the charge in any event. Please DON'T assume that the clinic will be affordable; I imagine many of the charges are higher on the island than on the mainland.