Can the pre-treatment exam be done by telehealth in Illinois?
Intake · part of The Practice Perimeter
Short answer
The cited rules do not settle this — they only let the on-site physician exam be skipped for non-ablative laser when an APRN does the exam under a delegation protocol, an RN/LPN trained on the device performs it, and a physician is reachable electronically.
Effective January 1, 2025, an on-site physician examination before a non-ablative laser procedure is not required where four conditions are met: the facility follows a physician delegation protocol available to the Department on request; the examination is performed by an advanced practice registered nurse; the procedure is delegated by a physician and performed by an RN or LPN with documented training in each system; and a physician is available remotely by telephone or other electronic means to respond promptly to questions or complications.
225 ILCS 60/54.2(e) · verified Aug 17, 2026 · regulatory monitoring, not legal advice
Related Illinois rules
The physician must examine the patient and determine a course of treatment appropriate to that patient before any procedure. A repeat examination is not required for each of several procedures carried out under an already established treatment plan.
68 Ill. Adm. Code 1285.336(b) · verified Aug 17, 2026
Ablative and non-ablative procedures that affect the eyes may be performed only by a physician — this is the one category Illinois does not permit to be delegated to anyone.
68 Ill. Adm. Code 1285.336(b) · verified Aug 17, 2026
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Related Illinois questions
- Is an exam required before a patient can be treated in Illinois?
- Who may perform the pre-treatment exam in Illinois?
- Must someone be on site while a patient is treated in Illinois?
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