Last updated 08/25/2025
Consent Requirements
The parent or guardian of a student shall consent prior to the student receiving behavioral health services via telehealth under this chapter after a provider-patient relationship is established pursuant to this section. The school district shall maintain any such consent form completed by a parent or guardian.
SOURCE: IA Code Title VII Subtitle 6 Chapter 280A.3, (Accessed Aug. 2025).
Medicine & Physician Assistants
A licensee who uses telemedicine shall ensure that the patient provides appropriate informed consent for the medical services provided, including consent for the use of telemedicine to diagnose and treat the patient, and that such informed consent is timely documented in the patient’s medical record.
See rule for more information about how professions must disclose limitations about telemedicine.
SOURCE: SOURCE: IA Admin Code Sec. 481-655.9 & Sec. 481-781.6. (Accessed Aug. 2025).
Speech Pathology and Audiology
Prior to the first telehealth visit, a licensee will obtain informed consent from the patient specific to the services that will be provided in a telehealth visit. At a minimum, the informed consent will specifically inform the patient of the following:
- The risks and limitations of the use of technology to provide speech pathology or audiology services;
- The potential for unauthorized access to protected health information; and
- The potential for disruption of technology during a telehealth visit.
SOURCE: Iowa Admin Code, Sec. 481-741.1, (Accessed Aug. 2025).
Board of Dietetics
Prior to the first telehealth visit, a licensee is to obtain informed consent from the individual or group specific to the services that will be provided in a telehealth visit. At a minimum, the informed consent shall specifically inform the individual or group of the following:
- The risks and limitations of the use of technology to provide dietetics services;
- The potential for unauthorized access to protected health information; and
- The potential for disruption of technology during a telehealth visit.
SOURCE: Iowa Admin Code Sec. 481-921.10. (Accessed Aug. 2025).
Hearing Aid Specialists
Prior to the first telehealth appointment with a client, the licensee will obtain informed consent from the client that is specific to the service or services that will be provided in the telehealth appointment. The informed consent will specifically inform the client of, at a minimum, the following:
- The risks and limitations of the use of technology to the specific service;
- The potential for unauthorized access to protected health information; and
- The potential for disruption of technology during a telehealth appointment.
SOURCE: Iowa Admin Code, Sec. 481-2062.5, (Accessed Aug. 2025).
Nursing – ARNPs
Prior to providing services via telehealth, the licensee shall obtain consent from the patient, or the patient’s legal guardian or legal representative, to receive services via telehealth.
SOURCE: IA Admin Code Sec. 481-621.9, (Accessed Aug. 2025).
Nursing – Midwives
Prior to providing services via telehealth, the CPM shall obtain consent from the client, or the client’s legal guardian or legal representative, to receive services via telehealth
SOURCE: IA Admin Code Sec. 481-623.7, (Accessed Aug. 2025).
Physical/Occupational Therapy
Prior to the first telehealth visit, a licensee shall obtain informed consent from the patient specific to the physical therapy services that will be provided in a telehealth visit. At a minimum, the informed consent shall specifically inform the patient of the following:
- The risks and limitations of the use of technology to provide physical therapy services;
- The potential for unauthorized access to protected health information; and
- The potential for disruption of technology during a telehealth visit.
SOURCE: IA Admin Code Sec. 481-801.3 & 481-806.3, (Accessed Aug. 2025).
Teledentistry
When teledentistry will be utilized, a dentist, in addition to the requirements of rule 481—574.8(153), is responsible for ensuring informed consent covers the following:
- A description of the types of dental care services provided via teledentistry, including limitations on services;
- The identity, contact information, practice location, licensure, credentials, and qualifications of all licensees and registrants involved in the patient’s dental care, which should be publicly displayed on a website or provided in writing to the patient; and
- Precautions for technological failures or emergency situations.
SOURCE: Iowa Admin Code, Sec. 481-574.10, (Accessed Aug. 2025).
Last updated 08/25/2025
Cross State Licensing
Persons considered not engaged in practice: Physicians and surgeons or osteopathic physicians and surgeons of the United States army, navy, air force, marines, public health service, or other uniformed service when acting in the line of duty in this state, and holding a current, active permanent license in good standing in another state, district, or territory of the United States, or physicians and surgeons or osteopathic physicians and surgeons licensed in another state, when incidentally called into this state in consultation with a physician and surgeon or osteopathic physician and surgeon licensed in this state.
SOURCE: Iowa Code, Ch. 148.2, (Accessed Aug. 2025).
Medicine
A physician who uses telemedicine in the diagnosis and treatment of a patient located in Iowa shall hold an active Iowa medical license consistent with state and federal laws. Nothing in this rule shall be construed to supersede the exceptions to licensure contained in 481—subrule 652.2(2).
SOURCE: IA Admin Code Sec. 481-655.9, (Accessed Aug. 2025).
Physician Assistants
License Required: A physician assistant who uses telemedicine in the diagnosis and treatment of a patient located in Iowa will hold an active Iowa physician assistant license consistent with state and federal laws. Nothing in this rule will be construed to supersede the exceptions to licensure contained in rule 481—780.17(148C).
SOURCE: Iowa Admin Code, Sec. 481-781.6, (Accessed Aug. 2025).
Hearing Aid Specialists
Conducting a telehealth appointment with a client who is physically located in Iowa during the appointment, regardless of the location of the hearing aid specialist, requires Iowa licensure.
SOURCE: Iowa Admin Code, Sec. 481-2062.5, (Accessed Aug. 2025).
Nursing – Registered Nurses/Licensed Practical Nurses
A registered nurse or licensed practical nurse who provides services through telehealth to a patient physically located in Iowa must hold an active license issued by the board or have an active privilege to practice in Iowa pursuant to the nurse licensure compact.
SOURCE: IA Admin Code Sec. 481-620.4, (Accessed Aug. 2025).
Board of Nursing – ARNP
An advanced registered nurse practitioner who provides services through telehealth to a patient physically located in Iowa must be licensed by the board. A licensee who provides services through telehealth to a patient physically located in another state shall be subject to the laws and jurisdiction of the state where the patient is physically located.
SOURCE: IA Admin Code Sec. 481-621.9, (Accessed Aug. 2025).
Board of Nursing – Midwives
A CPM who provides services through telehealth to a client physically located in Iowa must be licensed by the board. A CPM who provides services through telehealth to a client physically located in another state shall be subject to the laws and jurisdiction of the state where the client is physically located.
SOURCE: IA Admin Code Sec. 481-623.7, (Accessed Aug. 2025).
Dietitian
Any licensee who provides a telehealth visit to an individual or a group located in Iowa shall be licensed in Iowa
SOURCE: Iowa Admin Code Sec. 481-921.10. (Accessed Aug. 2025).
Occupational Therapy
Any occupational therapist or occupational therapy assistant who provides an occupational therapy telehealth visit to a patient located in Iowa shall be licensed in Iowa.
SOURCE: IA Admin Code 481-806.3, (Accessed Aug. 2025).
Physical Therapy
Any physical therapist or physical therapist assistant who provides a physical therapy telehealth visit to a patient located in Iowa shall be licensed in Iowa or have a compact privilege issued by the physical therapy compact commission.
SOURCE: IA Admin Code Sec. 481-801.3 (Accessed Aug. 2025).
Speech Language Pathology/Audiology
Speech pathology or audiology services in Iowa through telephonic, electronic, or other means constitute the practice of speech pathology or audiology and require Iowa licensure, regardless of the location of the speech/language pathologist or audiologist.
SOURCE: Iowa Admin Code, Sec. 481-741.1, (Accessed Aug. 2025).
Teledentistry
Only dentists, dental hygienists, or dental assistants currently licensed or registered by the board may use teledentistry to provide dental care to patients located in Iowa.
SOURCE: Iowa Admin Code, Sec. 481-574.10, (Accessed Aug. 2025).
Last updated 08/25/2025
Definitions
Telecommunications and Technology Commission
“Telemedicine means use of a telecommunications system for diagnostic, clinical, consultative, data, and educational services for the delivery of health care services or related health care activities by licensed health care professionals, licensed medical professionals, and staff who function under the direction of a physician, a licensed health care professional, or hospital, for the purpose of developing a comprehensive, statewide telemedicine network or education.”
SOURCE: IA Admin. Code, 751 7.1(8D). (Accessed Aug. 2025).
Multiple Professions Regulations
“Asynchronous store-and-forward transmission” means the collection of a patient’s relevant health information and the subsequent transmission of the data from an originating site to a health care provider at a distant site without the presence of the patient.
“Telemedicine” means the practice of medicine using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telemedicine includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telemedicine, for the purposes of this rule establishing standards of practice, does not include the provision of medical services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.
SOURCE: Iowa Admin Code, 481, Sec. 655.9, & Sec. 481-781.6, [listed in multiple other sections], (Accessed Aug. 2025).
Registered Nurses & APRNs
“Telehealth” means the practice of nursing using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and-forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telehealth, for the purposes of this rule, does not include the provision of nursing services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.
SOURCE: IA Admin Code 481-620.1, & IA Admin Code Sec. 481-621.1 (Accessed Aug. 2025).
“Telehealth” means the practice of nursing using electronic audiovisual communications and information technologies or other means, including interactive audio with asynchronous store-and- forward transmission, between a licensee in one location and a patient in another location with or without an intervening health care provider. Telehealth includes asynchronous store-and-forward technologies, remote monitoring, and real-time interactive services, including teleradiology and telepathology. Telehealth, for the purposes of this rule, does not include the provision of nursing services only through an audio-only telephone, email messages, facsimile transmissions, or U.S. mail or other parcel service, or any combination thereof.
Psychologists
“Telepsychology” means the provision of psychological services using telecommunication technologies.
SOURCE: Iowa Admin Code, Sec. 481-884.1, (Accessed Aug. 2025).
Physical & Occupational Therapy
Telehealth visit means the provision of occupational/physical therapy services by a licensee to a patient using technology where the licensee and the patient are not at the same physical location for the physical/occupational therapy session.
SOURCE: IA Admin Code Sec. 481-801.3 & 481-806.3, (Accessed Aug. 2025).
Dietitians
“Telehealth visit” means the provision of dietetic services by a licensee to an individual or a group using technology where the licensee and the individual or group are not at the same physical location for the therapy session.
SOURCE: Iowa Admin Code Sec. 481-921.10. (Accessed Aug. 2025).
Speech Pathology and Audiology
“Telehealth visit” means the provision of speech pathology or audiology services by a licensee to a patient using technology where the licensee and the patient are not at the same physical location during the appointment.
SOURCE: Iowa Admin Code, Sec. 481-741.1, (Accessed Aug. 2025).
Hearing Aid Dispenser
A “telehealth appointment” is one wherein the licensee provides testing or adjustment services to a client using technology where the hearing aid specialist and the client are not at the same physical location during the appointment.
SOURCE: Iowa Admin Code, Sec. 481-2062.5, (Accessed Aug. 2025).
Teledentistry
“Teledentistry” means a dentist is providing or supervising dental services using technology when the patient is in another location.
SOURCE: Iowa Admin Code, Sec. 481-574.10, (Accessed Aug. 2025).
Last updated 08/25/2025
Licensure Compacts
Member of Audiology and Speech Language Pathology Interstate Compact.
SOURCE: ASLP-IC Compact, Compact Map, (Accessed Aug. 2025).
Member of Counseling Compact.
SOURCE: Counseling Compact, Compact Map, (Accessed Aug. 2025).
Member of Dietitian Compact
SOURCE: HF 532 (2025 Session) & Dietitians Compact, Compact Map, (Accessed Aug. 2025).
Member of the EMS Compact.
SOURCE: Interstate Commission for EMS Personnel Practice. The EMS Compact. (Accessed Aug. 2025).
Member of the Interstate Medical Licensure Compact.
SOURCE: Interstate Medical Licensure Compact. The IMLC. (Accessed Aug. 2025).
Member of Nurse Licensure Compact.
SOURCE: Nurse Compact. NCSBN. (Accessed Aug. 2025).
Member of Occupational Therapy Licensure Compact.
SOURCE: Occupational Therapy Compact, Compact Map, (Accessed Aug. 2025).
Member of Physician Assistant Compact
SOURCE: PA Compact, Compact Map, (Accessed Aug. 2025).
Member of Physical Therapy Compact.
SOURCE: Physical Therapy Compact. Compact Map. (Accessed Aug. 2025).
Member of Social Worker Compact
SOURCE: Social Work Compact, Compact Map, (Accessed Aug. 2025).
* See Compact websites for implementation and license issuing status and other related requirements.
Last updated 08/25/2025
Miscellaneous
The following persons and entities may use or access the network for data and video services including access to the Internet if the use is for telemedicine or educational purposes:
- Licensed health care professionals or licensed health care professionals who function under the direction of or in collaboration with a physician or a hospital, or both, for example, other doctors, students, nurses, physician’s assistants, therapists, clinical social workers, psychologists;
- Hospital or physician clinic staff members;
- Professional boards on which health professionals serve, for example, a nurse serving on the board of the American Cancer Society;
- Patients acting under the direction of a licensed health care professional;
- Health care employees of facilities that have a contractual agreement with the hospital or physician;
- Health care employees of facilities that do not have a contractual agreement with the hospital or physician clinic;
- Employees of health care associations for various health care employees, for example, Association of Iowa Hospitals and Health Systems, Iowa Medical Society, Iowa Osteopathic Medical Association, Iowa Chiropractic Society, Iowa Nurses Association;
- Professional board members where a health care professional serves as a member of a board, for example, a physician serving on the board of the American Cancer Society
SOURCE: IA Admin. Code, 751 7.11(8D). (Accessed Aug. 2025).
Level II maternal care hospital. … Types of health care providers. In addition to meeting the health care provider requirements of a Level I maternal care hospital, a Level II maternal care hospital will have: …
- Access to a maternal-fetal medicine subspecialist for consultation, available on site, by telephone, or by telemedicine as needed.
Level III maternal care hospital. Provider of subspecialty care. A Level III maternal care hospital provides care to women that includes all Level I and Level II services and has subspecialists available on site, by telephone, or by telemedicine to assist in providing care for more complex maternal and fetal conditions.
Types of health care providers. In addition to meeting the health care provider requirements of a Level II maternal care hospital, a Level III maternal care hospital will have: …
- A maternal-fetal medicine subspecialist with inpatient privileges, available at all times, either on site, by telephone, or by telemedicine.
Level II neonatal care hospital. Medical personnel. In addition to having the medical personnel of a Level II neonatal care hospital, a Level III neonatal care hospital will …
- Provide prompt and readily available access to the following, either on site or by prearranged consultative agreement. Using telemedicine technology or telephone consultation, a prearranged consultation can be performed from a distant location by:
- Pediatric medical subspecialists,
- A pediatric surgical specialist,
- A pediatric anesthesiologist, and
- A pediatric ophthalmologist.
SOURCE: IA Admin. Code, 641-150.6 to 150.8. (Accessed Aug. 2025).
Last updated 08/25/2025
Online Prescribing
Generally, a licensee shall perform an in-person medical interview and physical examination for each patient. However, the medical interview and physical examination may not be in-person if the technology utilized in a telemedicine encounter is sufficient to establish an informed diagnosis as though the medical interview and physical examination had been performed in-person. Prior to providing treatment, including issuing prescriptions, electronically or otherwise, a licensee who uses telemedicine shall interview the patient to collect the relevant medical history and perform a physical examination, when medically necessary, sufficient for the diagnosis and treatment of the patient. An Internet questionnaire that is a static set of questions provided to the patient, to which the patient responds with a static set of answers, in contrast to an adaptive, interactive and responsive online interview, does not constitute an acceptable medical interview and physical examination for the provision of treatment, including issuance of prescriptions, electronically or otherwise, by a licensee.
Under certain circumstances, whether or not such circumstances involve the use of telemedicine, a licensee may treat a patient who has not been personally interviewed, examined and diagnosed by the licensee:
- Situations in which the licensee prescribes medications on a short-term basis for a new patient and has scheduled or is in the process of scheduling an appointment to personally examine the patient;
- For institutional settings, including writing initial admission orders for a newly hospitalized patient;
- Call situations in which a licensee is taking call for another licensee who has an established physician-patient relationship with the patient;
- Cross-coverage situations in which a licensee is taking call for another licensee who has an established physician-patient relationship with the patient;
- Situations in which the patient has been examined in person by an advanced registered nurse practitioner or a physician assistant or other licensed practitioner with whom the licensee has a supervisory or collaborative relationship;
- Emergency situations in which the life or health of the patient is in imminent danger;
- Emergency situations that constitute an immediate threat to the public health including but not limited to empiric treatment or prophylaxis to prevent or control an infectious disease outbreak;
- Situations in which the licensee has diagnosed a sexually transmitted disease in a patient and the licensee prescribes or dispenses antibiotics to the patient’s named sexual partner(s) for the treatment of the sexually transmitted disease as recommended by the U.S. Centers for Disease Control and Prevention; and
- For licensed or certified nursing facilities, residential care facilities, intermediate care facilities, assisted living facilities and hospice settings.
Prescribing to a patient based solely on an Internet request or Internet questionnaire (i.e., a static questionnaire provided to a patient, to which the patient responds with a static set of answers, in contrast to an adaptive, interactive and responsive online interview) is prohibited. Absent a valid physician-patient relationship, a licensee’s prescribing to a patient based solely on a telephonic evaluation is prohibited, with the exception of the circumstances described in subrule 655.9(20).
SOURCE: IA Admin Code Sec. 481-655.9, (Accessed Aug. 2025).
A physician shall not induce an abortion by providing an abortion-inducing drug unless the physician has first reviewed the lab results, ultrasound images, and medical history provided by the patient to determine, and document in the woman’s medical record, the gestational age and intrauterine location of the pregnancy. A physician may utilize telemedicine pursuant to rule 481—655.9(147,148,272C).
SOURCE: IA Admin. Code, 481-655.8, (Accessed Aug. 2025).
Specific requirements apply for mental health professionals establishing a provider-patient relationship in a school-based setting. See full law text for details.
A mental health professional with prescribing authority who provides telehealth services in accordance with this section shall not prescribe any new medication to a student during a telehealth session. However, a mental health professional with prescribing authority may initiate new prescriptions, alter the dosage of an existing medication, or discontinue an existing medication for the treatment of the student’s behavioral health condition after consultation with the student’s parent or guardian.
SOURCE: IA Code Chapter 280A.4 (Accessed Aug. 2025).
If a mental health professional provides behavioral health services via telehealth on school/AEA premises, the mental health professional will first establish a valid provider-patient relationship. The provider-patient relationship is established when:
- The student, with the consent of the student’s parent or guardian when the student has not yet reached the age of majority, seeks help from a mental health professional;
- The mental health professional agrees to provide treatment of the student; and
- The student’s parent or guardian agrees to have the student treated by the mental health professional.
If a provider-patient relationship is established and the student has not yet reached the age of majority, parent or guardian consent will be obtained prior to the student receiving behavioral health services via telehealth in a school or AEA setting and is necessary each academic year that the student receives telehealth services.
SOURCE: IA Admin Code 281.14.22, (Accessed Aug. 2025).
Behavioral health services provided via telehealth in a school setting: Iowa Code section 280A.4 is incorporated by this reference.
[see code above]
SOURCE: IA Admin Code 281.14.23, (Accessed Aug. 2025).
Physician Assistant-Patient Relationship
A licensee who uses telemedicine will establish a valid physician assistant-patient relationship with the person who receives telemedicine services. The physician assistant-patient relationship begins when:
- The person with a health-related matter seeks assistance from a licensee;
- The licensee agrees to undertake diagnosis and treatment of the person; and
- The person agrees to be treated by the licensee whether or not there has been an in-person encounter between the physician assistant and the person.
A valid physician assistant-patient relationship may be established by:
- In-person encounter. Through an in-person medical interview and physical examination where the standard of care would require an in-person encounter;
- Consultation with another licensee. Through consultation with another licensee (or other health care provider) who has an established relationship with the patient and who agrees to participate in, or supervise, the patient’s care; or
- Telemedicine encounter. Through telemedicine, if the standard of care does not require an in-person encounter, and in accordance with evidence-based standards of practice and telemedicine practice guidelines that address the clinical and technological aspects of telemedicine.
Generally, a licensee will perform an in-person medical interview and physical examination for each patient. However, the medical interview and physical examination may not be in person if the technology utilized in a telemedicine encounter is sufficient to establish an informed diagnosis as though the medical interview and physical examination had been performed in person. Prior to providing treatment, including issuing prescriptions, electronically or otherwise, a licensee who uses telemedicine will interview the patient to collect the relevant medical history and perform a physical examination, when medically necessary, sufficient for the diagnosis and treatment of the patient. An Internet questionnaire that is a static set of questions provided to the patient, to which the patient responds with a static set of answers, in contrast to an adaptive, interactive and responsive online interview, does not constitute an acceptable medical interview and physical examination for the provision of treatment, including issuance of prescriptions, electronically or otherwise, by a licensee.
See rule for circumstances where the standard of care may not require a licensee to personally interview or examine a patient.
Prescribing to a patient based solely on an Internet request or Internet questionnaire (i.e., a static questionnaire provided to a patient, to which the patient responds with a static set of answers, in contrast to an adaptive, interactive and responsive online interview) is prohibited. Absent a valid physician assistant-patient relationship, a licensee’s prescribing to a patient based solely on a telephonic evaluation is prohibited, with the exception of the circumstances described in subrule 327.9(21).
SOURCE: Iowa Admin Code, Sec. 481-781.6, (Accessed Aug. 2025).
Nursing – ARNPs
Prior to providing services through telehealth, the licensee shall first establish a practitioner-patient relationship. A practitioner-patient relationship is established when:
- The person with a health-related matter seeks assistance from the licensee;
- The licensee agrees to provide services; and
- The person agrees to be treated, or the person’s legal guardian or legal representative agrees to the person’s being treated, by the licensee regardless of whether there has been a previous in-person
encounter between the licensee and the person.
A practitioner-patient relationship can be established through an in-person encounter, consultation with another licensee or health care provider, or telehealth encounter.
Notwithstanding paragraphs 7.9(5) “a” and “b,” services may be provided through telehealth without first establishing a practitioner-patient relationship in the following settings or circumstances:
- Institutional settings;
- Licensed or certified nursing facilities, residential care facilities, intermediate care facilities, assisted living facilities, and hospice settings;
- In response to an emergency or disaster;
- Informal consultations with another health care provider performed by a licensee outside of the context of a contractual relationship, or on an irregular or infrequent basis, without the expectation or exchange of direct or indirect compensation;
- Episodic consultations by a specialist located in another jurisdiction who provides consultation services upon request to a licensee;
- A substitute licensee acting on behalf and at the designation of an absent licensee or other health care provider in the same specialty on an on-call or cross-coverage basis; or
- When a sexually transmitted disease has been diagnosed in a patient, a licensee prescribes or dispenses antibiotics to the patient’s named sexual partner(s) for the treatment of the sexually transmitted disease as recommended by the U.S. Centers for Disease Control and Prevention.
A licensee providing services through telehealth may issue a prescription to a patient as long as the issuance of such prescription is consistent with the standard of care applicable to the in-person setting.
SOURCE: IA Admin Code Sec. 481-621.9, (Accessed Aug. 2025).
Nursing – Midwives
Prior to initiating contact with a client for the purpose of providing services to the client using telehealth, a CPM shall:
- Review the client’s history and all relevant medical records; and
- Determine as to each unique client encounter whether the CPM will be able to provide the same standard of care using telehealth as would be provided if the services were provided in person
Prior to providing services through telehealth, the CPM shall first establish a CPM-client relationship. A CPM-client relationship is established when:
- The client seeks assistance from the CPM;
- The CPM agrees to provide services; and
- The client agrees to be treated, or the client’s legal guardian or legal representative agrees to the client being treated, by the CPM regardless of whether there has been a previous in-person encounter between the CPM and the client.
A CPM-client relationship can be established through an in-person encounter, consultation with another CPM or health care provider, or telehealth encounter.
Notwithstanding paragraphs 16.7(5)“a” and “b,” services may be provided through telehealth without first establishing a CPM-client relationship in the following settings or circumstances:
- In response to an emergency or disaster;
- Via informal consultations with another health care provider performed by a CPM outside of the context of a contractual relationship, or on an irregular or infrequent basis, without the expectation or
exchange of direct or indirect compensation;
- A substitute CPM acting on behalf and at the designation of an absent CPM in the same specialty on an on-call or cross-coverage basis
SOURCE: IA Admin Code Sec. 481-623.7, (Accessed Aug. 2025).
A licensee under the purview of the board who provides treatment for the correction of malpositions of human teeth or the initial use of orthodontic appliances shall not begin orthodontic treatment on a new patient unless one of the following conditions is met:
- The licensee performs an initial in-person or teledentistry examination of the teeth and supporting structures of the new patient prior to beginning orthodontic treatment.
- The new patient provides the licensee with the portion of the dental record taken within the prior six months of an in-person or teledentistry examination of the teeth and supporting structures of the new patient prior to the licensee beginning orthodontic treatment.
SOURCE: Iowa Annotated Statute Sec. 153.24, (Accessed Aug. 2025).
Teledentistry
When teledentistry will be utilized, a dentist, in addition to the requirements of rule 481—574.8(153), is responsible for ensuring informed consent covers the following:
- A description of the types of dental care services provided via teledentistry, including limitations on services;
- The identity, contact information, practice location, licensure, credentials, and qualifications of all licensees and registrants involved in the patient’s dental care, which should be publicly displayed on a website or provided in writing to the patient; and
- Precautions for technological failures or emergency situations.
SOURCE: Iowa Admin Code, Sec. 481-574.10, (Accessed Aug. 2025).
Last updated 08/25/2025
Professional Boards Standards
Board of Dentistry
SOURCE: Iowa Admin Code, Sec. 481-574.10, (Accessed Aug. 2025).
IA Board of Medicine
SOURCE: IA Admin Code Sec. 481-655.9, (Accessed Aug. 2025).
IA Board of Physical and Occupational Therapists
SOURCE: IA Admin Code Sec. 481-801.3 & 481-806.3, (Accessed Aug. 2025).
IA Board of Nursing
SOURCE: IA Admin Code Sec. 481-620.4, (Accessed Aug. 2025).
IA Board of Dietetics
SOURCE: Iowa Admin Code Sec. 481-921.10. (Accessed Aug. 2025).
Education Department Standards
SOURCE: IA Code 281.14.22, (Accessed Aug. 2025).
Board of Physician Assistants
SOURCE: Iowa Admin Code, Sec. 481-781.6, (Accessed Aug. 2025).
Board of Speech Pathology and Audiology
SOURCE: Iowa Admin Code, Sec. 481-741.1, (Accessed Aug. 2025).
Hearing Aid Specialists
SOURCE: Iowa Admin Code, Sec. 481-2062.5, (Accessed Aug. 2025).
Board of Nursing – ARNP
SOURCE: IA Admin Code Sec. 481-621.9, (Accessed Aug. 2025).
Board of Nursing – Midwives
SOURCE: IA Admin Code Sec. 481-623.7, (Accessed Aug. 2025).
