Section 11-2 - Practice of Chiropractic (a) Telehealth Practice. Practice occurs where the patient resides or receives services, regardless of means. - (i) It is the expectation of the Board that licensees maintain the highest degree of professionalism and should:
- (A) Place the welfare of patients first;
- (B) Maintain acceptable and appropriate standards of practice;
- (C) Adhere to recognized ethical codes;
- (D) Properly supervise non-provider clinicians; and
- (E) Protect patient confidentiality.
- (ii) A licensee should not render healthcare advice and/or care using telehealth technologies without:
- (A) Fully verifying and authenticating the location and identity of the requesting patient;
- (B) Disclosing and validating the provider's identity and applicable credential(s); and
- (C) Obtaining appropriate consents from requesting patients after disclosures regarding the delivery models and treatment methods or limitations, including any special informed consents regarding the use of telehealth technologies. An appropriate licensee-patient relationship has not been established when the identity and credentials, including license status, of the provider may be unknown to the patient.
- (iii) Informed Consent. Evidence documenting appropriate patient informed consent for the use of telehealth technologies must be obtained and maintained. Appropriate informed consent should, at a minimum, include the following terms:
- (A) Identification of the patient, the provider and the provider's credentials;
- (B) Types of transmissions permitted using telehealth technologies (e.g. appointment scheduling, patient education, etc.);
- (C) The patient agrees that the licensee determines whether or not the condition being diagnosed and/or treated is appropriate for a telehealth encounter; and
- (D) Details on security measures taken with the use of telehealth technologies, such as encrypting data, password protected screen savers and data files, or utilizing other reliable authentication techniques, as well as potential risks to privacy notwithstanding such measures, and adherence to all applicable Health Insurance Portability and Accountability Act standards.
(b) Licensees shall be responsible for the standard of care performed in his or her office, regardless of whether it is performed by him or her personally or by staff working under his or her supervision.
030-11 Wyo. Code R. § 11-2