Can the pre-treatment exam be done by telehealth in Virginia?
Intake · part of The Practice Perimeter
A bona fide practitioner-patient relationship may be established via telemedicine when, among other conditions, the patient has provided a medical history available for review, the prescriber obtains an updated medical history and makes a diagnosis at the time of prescribing, the prescriber conforms to the standard of care expected of in-person care, including when the standard of care requires diagnostic testing and a physical examination, which may be carried out through peripheral devices appropriate to the patient's condition, and the establishment of the relationship via telemedicine is consistent with the standard of care and the standard of care does not require an in-person examination for the purpose of diagnosis.
Va. Code § 54.1-3303(B)(d), (h) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Virginia rules
No practitioner shall knowingly allow subordinates to jeopardize patient safety or to provide patient care outside the subordinate’s scope of practice or area of responsibility, and practitioners shall delegate patient care only to subordinates who are properly trained and supervised. In Virginia the pre-treatment question is framed as a delegation question rather than an examination one.
18 Va. Admin. Code § 85-20-29(A)(1) · verified Sep 2, 2026
The same rule bars exploiting the practitioner-patient relationship for personal gain, and treats an egregious pattern of disruptive behavior in a health care setting as professional misconduct where it interferes with patient care or could reasonably be expected to affect its quality.
18 Va. Admin. Code § 85-20-29(A)(2) and (3) · verified Sep 2, 2026
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← All Virginia rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).