Is an exam required before a patient can be treated in Kansas?

Short answer
Kansas lets telemedicine establish the provider-patient relationship, held to the same standards as in-person care. With the patient's consent, a report goes to their treating physician within three business days.

Kansas permits telemedicine to establish the relationship, and then holds it to the in-person standard. The Act says in one line that telemedicine MAY be used to establish a valid provider-patient relationship, and in the next that the same standards of practice and conduct that apply to healthcare services delivered in person also apply to services delivered by telemedicine — as do the same HIPAA patient privacy and confidentiality requirements. It adds two follow-through duties: the provider must give the patient guidance on appropriate follow-up care, and where the patient consents and has a primary care or other treating physician, must send that physician a report of the treatment and services rendered within three business days. Prescribing, dispensing, administering or distributing a prescription drug in an improper or inappropriate manner, or for other than a valid medical purpose, or not in the course of the licensee’s professional practice, is unprofessional conduct.