I'm working through which providers can offer antidepressant video care based on licensing requirements. Dr. Lee can handle Alder and Birch cases, but for Cedar I need to verify Vale has the proper entity permit—which Clearpath does hold—while Dr. Lee isn't licensed in Cedar.

For stimulants in Alder, new patients need an in-person exam at the same practice within the preceding 12 months before video prescribing is allowed. Since Clearpath has an Alder clinic, Dr. Lee could conduct that initial in-person visit there, then video follow-ups would be permitted for the next year.

Birch is the only jurisdiction where fully virtual new-patient stimulant evaluation and prescribing is lawful—Dr. Lee can do this with compact privilege, provided PDMP checks are documented before each prescription and the platform connects to the Birch database.

Cedar requires the prescribing practice to conduct the first in-person exam; Clearpath's Cedar clinic and Vale's entity permit allow Vale to do that exam in-person, then video renewals follow. Dune blocks controlled prescriptions entirely since registration doesn't permit prescribing and there's no full Dune license available.

For renewals: Alder allows video if an in-person exam occurred within the preceding 12 months (rolling lookback per prescription, so annual re-examination needed); Birch permits video renewals with PDMP checks each time; Cedar allows video renewals for 12 months post-exam, then requires a new in-person visit; Dune has no renewal pathway. Location verification and state determination must happen at each visit start, with travel to Dune blocking stimulant prescribing entirely.

For platform enforcement: Vale gets blocked from Alder, Birch, and Dune encounters; Lee cannot see Cedar patients; stimulant prescribing is blocked entirely in Dune regardless of clinician or pathway; new-patient video stimulant first prescriptions in Alder and Cedar require documented same-practice in-person exams beforehand.

Additional restrictions: can't use outside PCP records to bypass Alder/Cedar stimulant requirements; Birch stimulant prescriptions need documented PDMP checks; all visits require location verification and consent; stimulant renewals are blocked if the last in-person exam was over 12 months ago.

For marketing messaging, I need to be precise: fully virtual ADHD treatment is only available in Birch; Alder and Cedar offer hybrid care requiring one in-person visit at the clinic; Dune provides telehealth for antidepressants and non-controlled medications only, no ADHD stimulants. There's also a staffing vulnerability in Cedar that's a single point of failure, and Dune has no physical clinic location.