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 5 verified rules in this section · regulatory monitoring, not legal advice
- 24 Del. C. §6003(a) · Sep 3, 2026
- 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
The rest of what Delaware says on this
Every other rule we have verified under good-faith examination, each linked to its primary source.
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
In the absence of a proper health-care provider-patient relationship, health-care providers are prohibited from issuing prescriptions solely in response to an internet questionnaire, an internet consult, or a telephone consult.
24 Del. C. §6003(b) · verified Sep 3, 2026
After a health-care provider-patient relationship is properly established in accordance with this section, subsequent treatment of the same patient by the same health-care provider need not satisfy the limitations of this section.
24 Del. C. §6004(b) · verified Sep 3, 2026
How other states answer this
- Alabama
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Related Delaware questions
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← All Delaware rules and changes · MedSpaRadar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).