Federal guidance on care across states
Read how a clinician can get permission to treat someone in another state. Each state sets its own requirements.
Online and in-person care
Make room for a real assessment.
Telehealth is care from a clinician, meaning a health professional, using an online exchange, a phone call or a video call. In-person care means meeting in a room. Start by asking how your concern will be assessed.
Care facts checked in September 2026.
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The broad choices are remote care with a licensed clinician or care from a clinician you see in person. Ask how your concern would be assessed.
As of September 2026, online prescribing rules differ between states; there is no single state rule that applies across the country.
The national organisation for state medical boards says remote care must reach the standard required when you visit in person.
The care standard means the level of assessment and care expected for your medical concern.
The Federation of State Medical Boards is that group; it issues guidance for boards. Guidance is distinct from the rules your state enforces.
For prescription medicines that are not controlled drugs, a first visit in person is not required by federal law, as of September 2026.
Controlled drugs are medicines with extra government restrictions. Ask the clinician whether your medicine is in that group; state rules and the expected level of care still matter.
Some first visits use answers you send online for a clinician to read later, without a live phone or video call. The clinician must still assess you properly, and state rules vary.
Ask whether you will speak with the clinician live or send answers to be read later. Ask why that approach is enough to assess your concern.
Medical-board guidance says clinicians must complete needed tests, arrange them elsewhere, or refer the patient for the required assessment.
A referral means being sent to another health professional for part of the care.
Before paying, ask how that next step works. Bring your concerns, past care and current medicine names to the discussion.
Before the conversation ends, ask for written steps explaining what happens next, who handles it, and how to ask a new question.
Read with a purpose
Read how a clinician can get permission to treat someone in another state. Each state sets its own requirements.
Read the assessment and follow-up sections. This is board guidance, not a replacement for your state’s enforceable rules.