How telehealth fits in a concierge practice
Telehealth has become a standard part of how medicine is delivered, and it fits particularly well with the concierge model. Not as a replacement for in-person visits but as a way to handle the things that genuinely don't need one.
When video visits work well
Follow-up appointments. Checking in on a new medication, reviewing lab results, discussing ongoing symptoms. Most of these conversations don't require a physical exam.
Quick consultations. A rash you're concerned about, a new symptom you want evaluated, a question about whether something needs further workup. A quick video call often resolves it.
Travel coverage. For seasonal residents who split time between states, or patients traveling for work, a video visit keeps care continuous without waiting until you're back in town.
Mental health check-ins. Conversations about stress, sleep, mood, and general wellness are often more comfortable from home than in an office.
When video visits don't replace an office visit
Telehealth can't replace a physical exam when one is needed. Cardiac and pulmonary auscultation, abdominal palpation, neurological examination, full-body skin exam, anything requiring hands-on assessment. For these situations, an in-person visit or a house call is the right answer.
Part of what the concierge relationship provides is knowing which type of visit fits the situation. That's a judgment call I make each time.
How it works in my practice
I use HIPAA-compliant video tools. There's no app to download for the patient; you click a link and we're connected. The platform integrates with your medical record so notes, prescriptions, and follow-up planning stay unified.
Unlike telehealth-only services where you might see a different provider each time, video visits in my practice happen with me. I know your history, your baseline, and your preferences. That continuity is what makes the model work.
If you want to talk through whether this fits
If you want to discuss how a mix of in-person and video care would work for your situation, reach out.
