Can the pre-treatment exam be done by telehealth in Hawaii?
Intake · part of The Practice Perimeter
Short answer
Yes — a Hawaii-licensed physician may establish the patient relationship and do the exam by telehealth, if it includes a documented history and symptom discussion adequate to diagnose and identify contraindications; phone, fax or email alone doesn't count.
A physician-patient relationship may be established via a telehealth interaction; provided that the physician has a license to practice medicine in the State. (f) Once a physician-patient relationship is established, a patient or physician licensed in this State may use telehealth for any authorized purpose, including consultation with a medical provider licensed in another state, authorized by this section or as otherwise provided by law.
Haw. Rev. Stat. § 453-1.3(e)-(f) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Hawaii rules
Telehealth services shall include a documented patient evaluation, including history and a discussion of physical symptoms adequate to establish a diagnosis and to identify underlying conditions or contraindications to the treatment recommended or provided.
Haw. Rev. Stat. § 453-1.3(b) · verified Sep 8, 2026
Treatment recommendations made via telehealth, including issuing a prescription via electronic means, shall be held to the same standards of appropriate practice as those in traditional physician-patient settings that do not include an in-person visit but in which prescribing is appropriate, including on-call telephone encounters and encounters for which a follow-up visit is arranged. Issuing a prescription based solely on an online questionnaire is not treatment for the purposes of this section and does not constitute an acceptable standard of care.
Haw. Rev. Stat. § 453-1.3(c) · verified Sep 8, 2026
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Related Hawaii questions
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