(a) A health-care provider using telemedicine and telehealth technologies to deliver health-care services to a patient must, prior to diagnosis and treatment, do at least 1 of the following:
(1) Provide an appropriate examination in-person.
(2) Require another Delaware-licensed health-care provider be present at the originating site with the patient at the time of the diagnosis.
(3) Make a diagnosis using audio or visual communication.
(4) Meet the standard of service required by applicable professional societies in guidelines developed for establishing a health-care provider-patient relationship as part of an evidenced-based clinical practice in telemedicine.
(b) After a health-care provider-patient relationship is properly established in accordance with this section, subsequent treatment of the same patient by the same health-care provider need not satisfy the limitations of this section.
(c) A health-care provider treating a patient through telemedicine and telehealth must maintain complete records of the patient's care and follow all applicable state and federal statutes and regulations for recordkeeping, confidentiality, and disclosure to the patient.
(d) Telehealth and telemedicine services shall include, if required by the applicable professional board listed in § 6002(a) of this title, use of the Delaware Health Information Network (DHIN) in connection with the practice.
(e) Nothing in this section shall be construed to limit the practice of radiology or pathology.