Can the pre-treatment exam be done by telehealth in District of Columbia?

Intake · part of The Practice Perimeter

Short answer
Yes — a practitioner-patient relationship may be established by telehealth if it meets the applicable standard of care and the practitioner's scope of practice; the cited rules impose no in-person exam, though the Mayor may add one by rulemaking.

A practitioner-patient or practitioner-client relationship may be established through telehealth in accordance with the appropriate standard of care and the practitioner’s competence and scope of practice; provided, that the Mayor may through rulemaking issue additional requirements for specific health professionals to establish a practitioner-client relationship, including an initial in-person physical examination.

D.C. Code §3-1201.05(b) · verified Sep 3, 2026 · regulatory monitoring, not legal advice

The rest of what District of Columbia says on this

  • A health professional licensed, registered, or certified in the District may provide a telehealth service to a District resident or person located in the District if doing so is consistent with the applicable standard of care in the District and the health professional’s scope of authorized practice in the District, and not otherwise prohibited by law or regulation.

    D.C. Code §3-1201.05(a) · verified Sep 3, 2026

  • A health professional who provides a telehealth service shall do so in a manner consistent with the standard of care applicable to a health professional who provides a comparable health care service in person in the District.

    D.C. Code §3-1201.05(c)(1) · verified Sep 3, 2026

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