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Short answer: open the payment, click Refund Payment, enter the amount and click Confirm.
1

Open the payment

From Finances → Payments, or the invoice’s Payments tab.
2

Click Refund Payment

The refund window opens.
3

Fill in the refund

Choose the Payment Type and the Treasury the money is given back from, and enter the Refunded Amount (less than the payment for a partial refund).
4

Click Confirm

The money is taken out of the treasury and recorded as an expense of type Patient Refund, on the day of the refund.
Refund Payment window
A refund can’t be undone. Check the amount and the treasury before you confirm.
To give back money from the patient’s balance, refund the payment of their balance invoice. To refund a whole invoice, cancel it and choose Refund it to the patient. See Cancel an invoice.
Full guide: Payment refund and invoice edit

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