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North Dakota

North Dakota

Medical Board & Physician Policies

*new update as of April 2021* COVID-19 liability protection for health care providers.

TELEMEDICINE DEFINITION: “The practice of medicine using electronic communication, information technologies, or other means between a licensee in one location and a patient in another location, with or without an intervening health care provider. The term includes direct interactive patient encounters as well as asynchronous store-and-forward technologies and remote monitoring.”


  • Providers may prescribe via telemedicine within their scope of practice
  • Opioids may ONLY be prescribed through telemedicine if done so as a federal Food and Drug Administration approved medication assisted treatment for opioid use disorder.

Practitioners must be licensed in ND to practice telemedicine

  • Physician supervision for PAs must be ND licensed but do not need to be physically located in ND

A licensee (Physician or Physician Assistant) “shall establish a bona fide relationship with the patient before the diagnosis or treatment of a patient.”

Before initially diagnosing/treating a patient, an examination must be performed, which can be done via telemedicine

“In-person medical evaluation” may include one of the following … “The referring practitioner has performed an examination in the case of a consultant practitioner issuing a prescription or drug order when providing services by means of telemedicine.”

Telemedicine abortions are prohibited

North Dakota Professional Licensure Compacts

Interstate Medical Licensure Compact

Temporary COVID-19 Policies (ND Medical Board)


  • “Secured connection” provision (limiting types of technology able to be used in telemedicine)
  • “Audio only” provision (prohibiting audio-only telemedicine)

Licensing requirements suspended for: Nurse Practitioners, Pharmacists, Physicians and Surgeons (Ch 43-17, includes Physician Assistants), Psychologists, Occupational Therapists, Social workers, Respiratory care practitioners, Dieticians and Nutritionists, Addiction counselors, counselors, Clinical lab personnel, Marriage and family therapists, Integrative health care, Naturopaths, Medical imaging and radiation therapy, EMS 

  • Providers licensed in these professions in other states are able to provide health care and behavioral health services (including by means of telemedicine) for ND citizens