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

Short answer
Yes — the physician must see and evaluate the patient to confirm the treatment is appropriate before any delegated photodynamic therapy or psoriasis phototherapy, and before the first application in delegated laser hair removal.

Ohio’s examination rule in this chapter is delegation-specific rather than general: for photodynamic therapy and for phototherapy for psoriasis, the physician must have seen and evaluated the patient before delegating, and on a report of a clinically significant side effect in those same delegated treatments the physician must see and personally evaluate the patient. What Ohio says without qualification is about the remote visit — the standard of care for a telehealth visit is the same as for an in-person visit, and telephone calls qualify only when every element of a bona fide health care visit meeting that standard is performed.