## Q73 key (Four-State Telehealth Map)

1. Antidepressants: Dr. Lee may treat Alder patients under the full license, Birch patients under the compact privilege, and Dune patients under the registration. NP Vale may treat Cedar patients, and Clearpath's Cedar entity permit completes that state's requirements. Missed: one clinician's authority is generalized across states.
2. New stimulants: Alder permits Dr. Lee only after Clearpath's same practice performs an in-person examination within 12 months; Birch permits Dr. Lee after video evaluation plus documented monitoring-database check; Cedar permits NP Vale only after Clearpath conducts the first visit in person; Dune permits none because registration bars controlled telehealth and no full Dune license exists. Missed: a four-state virtual launch creates unlicensed or prohibited prescribing.
3. An outside primary-care examination satisfies neither Alder's same-practice condition nor Cedar's prescribing-practice condition. Clearpath's Alder and Cedar clinics can create lawful hybrid pathways; Birch needs no in-person visit under the supplied matrix. Missed: unrelated examinations are treated as statutory substitutes.
4. Renewals: Alder video renewal is lawful for 12 months after Clearpath's in-person exam; Birch renewal is lawful with each required database check; Cedar renewal is lawful for 12 months after Clearpath's in-person first exam; Dune stimulant renewal remains blocked. Missed: an initial barrier is fixed but renewals are left ungoverned.
5. Every visit must verify patient location and document telehealth consent. The platform must route only to an authorized clinician, require Birch database documentation, and hard-block stimulant orders when state conditions are unmet. Missed: compliance is left to marketing or clinician memory.
6. Advertise fully virtual antidepressant care in all four states with the stated clinician coverage. Do not advertise fully virtual ADHD treatment in all four: Birch is virtual, Alder and Cedar are hybrid, and Dune is unavailable. Missed: a false rollout claim drives prohibited encounters.