Is an exam required before a patient can be treated in Delaware?
Intake · part of The Practice Perimeter
Delaware puts its telehealth rule in a chapter of its own. A provider-patient relationship must exist before health-care services are delivered by telehealth, and the statute lets that relationship be established either in person OR remotely — but only through one of four named routes, one of which is an in-person examination and another the presence of a second Delaware-licensed provider with the patient at the originating site. Once the relationship is properly established, later treatment of the same patient by the same provider need not satisfy those limits again. Absent a proper relationship, issuing a prescription solely in response to an internet questionnaire, an internet consult or a telephone consult is prohibited.
Drawn from 4 verified rules in this section · regulatory monitoring, not legal advice
- 24 Del. C. §6003(a) · Sep 3, 2026
- 24 Del. C. §6004(a) · Sep 3, 2026
- 24 Del. C. §6003(b) · Sep 3, 2026
- 24 Del. C. §6004(b) · Sep 3, 2026
Related Delaware rules
Except for the instances listed in this chapter, health-care providers may not deliver health-care services by telehealth and telemedicine in the absence of a health-care provider-patient relationship. A health-care provider-patient relationship may be established either in-person or through telehealth and telemedicine.
24 Del. C. §6003(a) · verified Sep 3, 2026
A health-care provider using telemedicine and telehealth technologies to deliver health-care services to a patient must, prior to diagnosis and treatment, do at least 1 of the following: provide an appropriate examination in-person; require another Delaware-licensed health-care provider be present at the originating site with the patient at the time of the diagnosis; make a diagnosis using audio or visual communication; or meet the standard of service required by applicable professional societies in guidelines developed for establishing a health-care provider-patient relationship as part of an evidenced-based clinical practice in telemedicine.
24 Del. C. §6004(a) · verified Sep 3, 2026
How other states answer this
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Related Delaware questions
- Can the pre-treatment exam be done by telehealth in Delaware?
- Must someone be on site while a patient is treated in Delaware?
- Can a med spa in Delaware offer compounded semaglutide or tirzepatide?
Get Delaware changes as they publish
We scan the Delaware legislature and licensing boards daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.
Free · unsubscribe in one click · we never sell your address
← All Delaware rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).