A telemed doctor is where the doctor will call and talk to the you over the phone like an office visit. The Ryan Act I believe states that you are only required to actually see him once a year. For 11 months he will call you for a phone consult and if everything is going good he will call in your medication to the pharmacy of your choice. He is based out of Austin,TX which may be far for some but you only have to see him once a year. If you are interested, please contact me at endo24@live.com