Some conditions are unsuitable for remote consultations because of the inability to conduct a physical examination to monitor treatment and to provide appropriate aftercare.

Doctors have an ethical and legal duty to ensure that personal data and communicationssystems are secure

Doctors must ensure that patients understand the limitations of online consultations and give informed consent

Doctors should only prescribe if they have enough information about the patient and sufficient dialogue with the patient to do so safely

Online communications are best suited for patients previously seen and evaluated in an office setting

Clinicians should discourage the use of online communication to address medical emergencies and instead instruct patients to go to the emergency department

Informed consent should be obtained from the patient regarding the appropriate use and limitations of this form of communication

Clinicians should exercise discretion when selecting patients for the use of online services to ensure they are capable of using electronic communication