Check whether you need to go in person
For a semaglutide prescription, federal law had no requirement for the first visit to take place in person as of September 26, 2026.
- State rules can still require a different kind of visit. On September 26, 2026, those rules varied from state to state.
- US health department guidance says that, as of September 26, 2026, clinicians must follow the rules that apply at the patient's location during a visit.
- Tell the service where the visit will happen, including when travelling.
- Ask: can my first visit be online in that state, or will I need to go in person?
Check how the conversation will happen
Medical board guidance says a first visit may use written messages if it gives the clinician enough information for proper care. The state's rules decide whether that kind of visit is allowed, as of September 26, 2026.
- A written visit can mean sending information and hearing back later, instead of both people being online together.
- The guidance rejects prescribing based only on a form with a set list of answers. The clinician needs a way to ask you more questions and collect the information needed for your care.
- A form can start the conversation. Ask who reviews it and how that person can ask you more questions.
- Ask how replies work, and how an in-person visit would be arranged if needed.