Dear Dr. Marziani,
We want to make our members aware of the attached JAVMA article discussing recent court decisions related to veterinary telemedicine, free speech, and the veterinarian-client-patient relationship (VCPR). As conversations around telehealth continue to evolve, it is important to understand both what these rulings do — and do not — mean for veterinary practice.
While these cases have generated significant national discussion, they do not change Missouri law regarding the practice of veterinary medicine or the establishment of a valid VCPR.
Under Missouri’s Veterinary Practice Act, a veterinarian must establish a valid VCPR before diagnosing, prescribing, or treating an animal. Missouri law requires that the veterinarian has sufficient knowledge of the animal to initiate at least a general or preliminary diagnosis of the animal’s medical condition, which is typically obtained through timely examination of the animal and/or medically appropriate visits to the premises where the animal is kept.
The attached article provides helpful context on the recent Hines and Chiles court decisions and explains why these rulings should not be interpreted as eliminating existing VCPR requirements or creating a constitutional right to practice telemedicine without appropriate veterinary oversight.
As always, veterinarians should exercise caution when engaging in telemedicine and ensure compliance with both Missouri law and applicable federal regulations. Questions regarding specific situations should be directed to qualified legal counsel familiar with veterinary practice regulations in Missouri.
Thank you for your continued commitment to protecting animal health, public health, and the integrity of the veterinary profession in our state.
Sincerely,
Julie Braun
Executive Director
Missouri Veterinary Medical Association