How to Open a Telehealth Clinic in Indiana: 2026 Requirements

Opening a telehealth clinic in Indiana requires appropriately licensed clinicians, compliance with Indiana Code chapter 25-1-9.5, and workflows for consent, records, privacy, and appropriate care. The Indiana Professional Licensing Agency supports profession-specific boards, and Indiana ended its separate telehealth-certificate system on July 1, 2024.

Indiana telehealth requirements at a glance

Which Indiana agency licenses telehealth clinicians?

The Indiana Professional Licensing Agency administers or supports the relevant professional boards, but the required credential depends on the clinician’s profession. Physicians and osteopathic physicians are licensed through the Medical Licensing Board of Indiana under Indiana Code § 25-22.5. Nursing and APRN authority is administered through the Indiana State Board of Nursing. Physician assistants are regulated through the Indiana Physician Assistant Committee.

Before accepting Indiana patients, map each service to the professional who will deliver it. Verify that person’s Indiana license, scope of practice, prescriptive authority where relevant, collaboration or supervision requirements, and any practice agreement or registration identified by the applicable board. A technology platform does not replace the clinician’s professional authorization.

Do I need an Indiana license to treat Indiana patients by telehealth?

Yes. Indiana requires a practitioner providing health care to an Indiana patient through telehealth to hold the appropriate Indiana professional license; the official sources do not identify a current telehealth-only permit that replaces professional licensure.

Indiana Code § 25-1-9.5-9 treats an out-of-state practitioner who establishes a provider-patient relationship with, or determines whether to issue a prescription for, a patient located in Indiana as providing health care in Indiana. The practitioner, employer, or contractor agrees to Indiana jurisdiction and Indiana substantive and procedural law for claims arising from that care. The Indiana PLA identifies the Interstate Medical Licensure Compact as an available physician-licensing pathway where applicable, but the memo does not establish a compact or endorsement pathway for every professional category.

What standard of care applies to Indiana telehealth?

Indiana requires telehealth practitioners to meet the same standards of appropriate practice that apply when the service is provided in person under Indiana Code § 25-1-9.5-7(a).

That rule affects more than video quality. Clinical leaders should design intake, documentation, escalation, referral, follow-up, staffing, and equipment around the practitioner’s ability to provide appropriate care. The workflow should allow a clinician to stop or redirect an encounter when remote care cannot support that standard.

How do you establish a practitioner-patient relationship online in Indiana?

Indiana permits a provider-patient relationship to be established through telehealth when the minimum requirements in Indiana Code § 25-1-9.5-7(b) are satisfied.

The workflow should collect and document:

1. 1The patient’s name, contact information, and physical location.
2. 2The practitioner’s name and licensure, certification, or registration.
3. 3The patient’s informed consent.
4. 4Relevant medical history and information needed for diagnosis.
5. 5Discussion of the diagnosis, evidentiary basis, treatment risks and benefits, and when in-person care is advisable.
6. 6A medical record.
7. 7Appropriate follow-up instructions.
8. 8A telehealth visit summary, including prescription information when applicable.

Indiana Code § 25-1-9.5-6 defines telehealth as care delivered through interactive electronic communications and information technology, including secure videoconferencing, store-and-forward technology, and remote patient monitoring, in compliance with HIPAA. The definition excludes certain communications, including email and internet questionnaires, unless the practitioner already has an established relationship with the patient. An online questionnaire may support intake, but it should not be treated as the complete clinical encounter.

Does Indiana require telehealth consent and website disclosures?

Yes. Indiana Code § 25-1-9.5-7(b) includes informed consent in the minimum provider-patient relationship requirements.

Separately, 844 Indiana Administrative Code 5-3-7 addresses interactive internet medical practice sites. It requires the site to function as a practice location with a defined physician-patient relationship and addresses disclosures about ownership, services, office contact information, clinician qualifications, fees, financial interests, limitations, communications, health-information disclosures, patient rights, data collection, and passive tracking mechanisms.

Build consent into intake and the electronic health record. Treat website and application disclosures as a separate workstream: review what the patient sees before scheduling, what information is collected, how communications work, and whether analytics or tracking tools are present.

Can an out-of-state doctor practice telehealth in Indiana?

No—not solely because the care is delivered online. An out-of-state practitioner must confirm an Indiana licensing pathway or applicable compact eligibility with the relevant professional board.

Indiana permanently ended its former Telehealth Certificate and Telehealth Facility Certificate system effective July 1, 2024. That change removed the former telehealth-specific certificates; it did not remove the requirement for appropriate Indiana professional licensure.

Can a prescriber prescribe through Indiana telehealth?

Indiana Code § 25-1-9.5-8(a) generally permits a prescriber to issue a prescription through telehealth without a prior in-person examination when the prescriber satisfies the applicable standard of care, acts within scope of practice and certification, and meets the statute’s additional conditions.

The statute also contains restrictions and exceptions that are not summarized here, including provisions involving certain controlled substances and abortion-inducing drugs. A clinic should use clinician-specific credentialing, scope, documentation, review, and escalation controls rather than promise that every condition can be evaluated or treated remotely.

Can a non-clinician own an Indiana telehealth clinic?

Indiana has no official-source answer that establishes a complete general corporate-practice-of-medicine rule for every telehealth structure; the professional entity and ownership model require Indiana-specific legal review.

Indiana Professional Licensing Agency instructions cite Indiana Code §§ 23-1.5-2-8 and 23-1.5-3-6 for professional corporations. Those instructions address professional-corporation naming, use of “medical” in a corporation’s name, and notification of ownership or business-address changes within 30 days. Indiana Department of Revenue materials describing a physician-practice ownership tax credit are not a complete ownership framework.

Before launch, counsel should review the clinical entity, administrative company, management-services agreement, compensation, branding, billing, staffing, records, credentialing, and clinical-control provisions. Do not assume that a structure used in another state works in Indiana.

What business registration and fees apply to an Indiana telehealth clinic?

Indiana requires the proposed business or professional entity to be evaluated for registration through the Indiana Secretary of State, while exact filing obligations and fees depend on the structure and professional services involved.

The Indiana Business Owner’s Guide identifies entity formation and registration as launch considerations and directs businesses toward the Secretary of State and professional regulators. The official sources reviewed do not establish a general Indiana telehealth-clinic license for every virtual model. They also do not establish universal facility-permit requirements for a virtual clinic with no physical clinical facility.

The former telehealth and telehealth-facility certificates are no longer required as of July 1, 2024. Facility, laboratory, pharmacy, imaging, behavioral-health, or ambulatory-facility requirements remain service-dependent and should be confirmed with the relevant agency. Do not budget from an old article: the PLA physician page, for example, lists a $250 initial physician application fee, but that amount does not establish fees for a clinic entity or another professional category.

What privacy laws apply beyond HIPAA in Indiana?

Indiana’s breach-notification law under Indiana Code article 24-4.9 applies separately from HIPAA, and businesses maintaining covered personal information must notify affected Indiana residents without unreasonable delay after discovering a qualifying breach, according to Indiana Attorney General materials.

The Attorney General also identifies the Indiana Consumer Data Privacy Act and provides a CDPA complaint pathway. The official materials reviewed do not establish enough detail here to state the law’s complete scope, exemptions, effective-date treatment, or healthcare-data application. Assess it separately rather than assuming HIPAA resolves every data issue.

Review patient portals, scheduling tools, analytics, advertising pixels, session tools, texting, email, vendor access, retention, authentication, access controls, incident response, and patient communications. The Indiana Department of Health’s January 2025 Notice of Privacy Practices is an agency notice, not a general private-clinic telehealth rule.

What changed recently in Indiana telehealth rules?

Indiana’s rules and agency materials were checked against official sources as of September 30, 2026. The material developments are:

• July 1, 2024: The former Telehealth Certificate and Telehealth Facility Certificate requirements ended.
• 2025: The Indiana Department of Health published a January 2025 Notice of Privacy Practices; it is not a general private-clinic telehealth rule.
• 2025–2026: Current PLA board and licensing pages continue to identify the Medical Licensing Board, State Board of Nursing, and Physician Assistant Committee; the pages do not themselves establish a new telehealth-specific rule.
• 2026: Indiana Secretary of State materials describe changes associated with HB 1593 and HB 1666, including a definition of “health care entity” and reporting of certain ownership information on business entity reports. Confirm covered entities, filing methods, and effective dates before filing.

Indiana telehealth clinic launch sequence

1. 1Define services, professions, patient locations, payer model, and any physical operations.
2. 2Map each service to the responsible physician, APRN, PA, or other licensed professional.
3. 3Verify Indiana credentials, scope, practice agreements, prescriptive authority, and applicable board requirements with the PLA and relevant board.
4. 4Have Indiana counsel review the professional entity, administrative company, ownership, compensation, records, and clinical-control structure.
5. 5Register the applicable entity with the Indiana Secretary of State and confirm current ownership-reporting requirements.
6. 6Ask the PLA, Indiana Department of Health, or another relevant agency whether the service model triggers facility, laboratory, pharmacy, behavioral-health, or other regulation.
7. 7Build identity, patient-location, informed-consent, history, documentation, follow-up, and visit-summary workflows under Indiana Code § 25-1-9.5-7(b).
8. 8Select technology vendors for video, intake, electronic records, access controls, audit logs, security, backups, and vendor agreements.
9. 9Create privacy and breach-response procedures covering HIPAA, Indiana Code article 24-4.9, and the Indiana CDPA assessment.
10. 10Confirm payer enrollment, billing, credentialing, and current reimbursement requirements before advertising coverage.
11. 11Test consent, location capture, documentation, escalation, referrals, follow-up, disclosures, and marketing with clinical leadership.

Download the telehealth launch requirements checklist

MDLaunchr is the brand behind WhiteLabelClinic.com, a white-label telehealth infrastructure platform designed to help qualified businesses evaluate and coordinate technology, operational, compliance, clinical-network, and fulfillment relationships. Explore how MDLaunchr and WhiteLabelClinic.com can support a compliance-first telehealth launch; independent legal and clinical review remains necessary. For adjacent operating models, see the telehealth services launch timeline and why specialty practices are adding direct-to-consumer telehealth.

Related reading: the full guide this article belongs to.