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California PT/OT Telehealth

September 7, 2020

Physical Therapy

Nothing Posted as of September 7, 2020

Occupational Therapy

In order to provide occupational therapy services via telehealth as defined in Section 2290.5 of the Code, an occupational therapist or occupational therapy assistant providing services to a patient or client in this State must have a valid and current license issued by the Board.

An occupational therapist shall inform the patient or client about occupational therapy services via telehealth and obtain consent prior to delivering those services, consistent with Section 2290.5 of the Code.

An occupational therapist shall determine whether an in-person evaluation or in-person interventions are necessary considering: the complexity of the patient’s/client’s condition; his or her own knowledge, skills, and abilities; the nature and complexity of the intervention; the requirements of the practice setting; and the patient’s/client’s context and environment.

An occupational therapist or occupational therapy assistant providing occupational therapy services via telehealth must:

  • Exercise the same standard of care when providing occupational therapy services via telehealth as with any other mode of delivery of occupational therapy services;
  • Provide services consistent with section 2570.2(k) of the Code; and
  • Comply with all other provisions of the Occupational Therapy Practice Act and its attending regulations, including the ethical standards of practice set forth in section 4170, as well as any other applicable provisions of law.

Failure to comply with these regulations shall be considered unprofessional conduct as set forth in the Occupational Therapy Practice Act.


16 CCR ยง 4172

General Telehealth Law

Section 2290.5


“Asynchronous store and forward” means the transmission of a patient’s medical information from an originating site to the health care provider at a distant site.

“Distant site” means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system.

 “Health care provider” means any of the following:

    • A person who is licensed under this division.
    • An associate marriage and family therapist or marriage and family therapist trainee functioning pursuant to Section 4980.43.3.
    • A qualified autism service provider or qualified autism service professional certified by a national entity pursuant to Section 1374.73 of the Health and Safety Code and Section 10144.51 of the Insurance Code.

 “Originating site” means a site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates.

 “Synchronous interaction” means a real-time interaction between a patient and a health care provider located at a distant site.

 “Telehealth” means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

Informed Consent

Before the delivery of health care via telehealth, the health care provider initiating the use of telehealth shall inform the patient about the use of telehealth and obtain verbal or written consent from the patient for the use of telehealth as an acceptable mode of delivering health care services and public health. The consent shall be documented.

This section does not preclude a patient from receiving in-person health care delivery services during a specified course of health care and treatment after agreeing to receive services via telehealth.

The failure of a health care provider to comply with this section shall constitute unprofessional conduct. Section 2314 shall not apply to this section.

Standard of Care

This section shall not be construed to alter the scope of practice of a health care provider or authorize the delivery of health care services in a setting, or in a manner, not otherwise authorized by law.

All laws regarding the confidentiality of health care information and a patient’s rights to the patient’s medical information shall apply to telehealth interactions.

All laws and regulations governing professional responsibility, unprofessional conduct, and standards of practice that apply to a health care provider under the health care provider’s license shall apply to that health care provider while providing telehealth services.


Cal. Bus. And Prof. 2290.5.

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