The visit · An explainer
What happens in an online visit?
A screen can feel convenient and unfamiliar at the same time. Before you start, ask how the service will learn about you and how you can ask back.
The state you are in matters.
Your location during care determines which state's permission the clinician needs. Federal health guidance, as of September 26, 2026, calls for a licence or another form of permission covering that state.
HHS · Licences and the patient's locationLet the service know your planned location if a trip will put you elsewhere for the appointment. Ask it to confirm that the clinician can treat you there.
Leave room for questions beyond the form.
Some visits happen live. An asynchronous visit works in stages: your information goes to the clinician for review at a later time.
Boards responsible for doctors' licences come together within the Federation of State Medical Boards, their shared organisation. Its recommendations allow live visits or later review of your information only if the doctor has enough information and can give the care your health problem needs.
Medical board guidance · Live and later-review visitsThose recommendations say a set questionnaire alone is not enough to base treatment on. The doctor needs a way to put further questions to you or gather more health details.
Medical board guidance · Questions beyond a fixed formA form by itself does not tell you whether the care meets your state's requirements. State rules differ.
HHS · State requirements for careYou need room for your own questions.
In May 2026, the medical boards' federation recommended against treatment based only on a patient choosing from a list of treatments. It also recommended keeping a route open for patients' further questions to reach the health professional.
Medical board guidance · Assessment and follow-upThese are recommendations for state boards to consider. They are not a national law about prescribing medicine.
Ask who reads your answers, how they can ask you more, and how you can reach them after the visit. Ask whether an exam or test might mean a separate visit.
Keep a copy of the care plan and the service terms. It is easier to ask about a specific line than to recall a whole conversation.