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Service · Telehealth Consulting

Telehealth Consulting to Start an Independent Clinic
Without the Brick-and-Mortar.

Lower overhead and a wider reach, with the system our team has used to launch hundreds of clinics.

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Free 30-minute call · No obligation

1K to 10K
Monthly U.S. “Online TRT” Searches
$0
Royalties. No Franchise Fees.
50
States Served
Hundreds
of Clinics Launched by Our Team
Telehealth vs. a Physical Clinic

What a Telehealth Clinic Changes,
and What It Does Not

Not a lesser version or a workaround: the same system behind our brick-and-mortar clinic launch, on virtual infrastructure.

What Changes
  • No commercial lease or buildout
  • Little or no clinical equipment for many services
  • Lower startup capital
  • Patients in every state where your clinicians are licensed
  • Run the business from anywhere
What Does Not Change
The Telehealth Market

Telehealth Demand Is Real.
The Premium Lane Is Open.

Patients already look for care online: U.S. searches for “online TRT” run 1,000 to 10,000 a month (Google Keyword Planner).

Our team has structured the common cash-pay telehealth categories virtually: an online TRT clinic, a medical weight loss clinic on FDA-approved GLP-1s, and peptide therapy on what is lawful to compound.

Commodity telehealth brands win on price. A premium practice wins the patient who wants a real clinical relationship, and that is the business ACG helps you build. The telehealth clinic business model lays out the full picture.

Patient Demand. U.S. Monthly Searches
GLP-1 weight loss10K to 100K
Peptide therapy10K to 100K
Online TRT1K to 10K
Bioidentical hormones1K to 10K

Google Keyword Planner, U.S., Sep 2025 to Aug 2026, in the ranges Google reports. Category searches, not telehealth alone.

The Compliance Picture

Telehealth Regulation Is Complex.
ACG Knows It Cold.

Telehealth rules have changed repeatedly since 2020. Here is where they stand in October 2026.

Licensure Follows the Patient

Medicine is practiced where the patient is located during the visit, so clinicians generally need a license in each patient's state. The Interstate Medical Licensure Compact speeds that up for physicians in its 44 member states.

Ryan Haight Act & Controlled Substances

Federal law generally requires an in-person medical evaluation before a controlled substance is prescribed remotely. Testosterone is Schedule III, so online TRT depends on DEA's rules for controlled substance prescribing via telehealth.

DEA Flexibilities Run Through December 31, 2026

A temporary DEA and HHS rule lifts that requirement for Schedule II to V medications, when its conditions are met, through December 31, 2026. DEA's permanent special registration rule is in final review, not yet published. ACG plans your prescribing for both outcomes.

NP vs. MD Prescribing Authority

Nurse practitioner authority varies by state: full, reduced or restricted practice. ACG works with partner Medical Director networks that cover all 50 states.

Current as of October 2026. Confirm with your Medical Director and qualified counsel; this is not legal or medical advice.

Engagement Scope

What Our Telehealth Consultants Deliver
on Every Engagement

Always Included
  • Medical Director introduction and oversight agreements
  • State licensing navigation for each target state
  • Protocol support, with Medical Director sign-off
  • HIPAA-compliant intake and EMR setup
  • Organic-first marketing strategy
  • Supplier connections for compounded and clinical products
  • 60-day target launch, market and regulatory conditions permitting
Scoped on the Call
  • Which states to serve, and in what order
  • The service menu: hormones, peptides, weight loss or a mix
  • The prescribing model for controlled substances such as testosterone
  • Paid advertising feasibility by category and platform
  • A multistate expansion roadmap

Websites and marketing execution are separate engagements.

Who This Model Is Built For

Is a Telehealth Clinic Right for You?

This Model Fits You If
  • You're in a high-cost metro where a lease is hard to justify at launch
  • You want to test patient demand before committing to a lease
  • Your focus is hormones, peptides or medical weight loss, which run well on telehealth
  • You plan to start virtual and add a physical location as volume grows
Honest About the Limitations
  • Services given in person, such as IV therapy, injectables, procedures or shockwave, need a physical location
  • ACG helps you open in-person clinics too, through a separate launch path

Not sure which model fits? Compare the 13 clinic types by patient demand, or ask on the 30-minute strategy call.

Telehealth Questions

Questions About Starting
a Telehealth Clinic

Straight answers on licensing, prescribing and Medical Directors. Anything else, ask on the strategy call.

View All FAQs
How do I start a telehealth company?+
Choose your services and first states, then line up a Medical Director, prescribers licensed in each patient's state, a HIPAA-compliant platform and a plan for any controlled substances. For the full walk-through, read how to open a telehealth clinic.
Can telehealth providers prescribe testosterone?+
Yes, within DEA rules. Testosterone is a Schedule III controlled substance. A temporary DEA and HHS rule allows telemedicine prescribing without an in-person evaluation, when its conditions are met, through December 31, 2026. ACG plans your prescribing for what follows.
What states can a telehealth clinic serve?+
Any state where your clinicians are licensed, because medicine is practiced where the patient is located. ACG maps which states you can serve from day one and the order to add the rest.
Do I need a Medical Director for a telehealth clinic?+
Yes. No medical background is required to own the business; an independent, state-licensed Medical Director directs all clinical care. ACG works with partner Medical Director networks that cover all 50 states, including for virtual delivery.
Can I start with telehealth and add a physical clinic later?+
Yes. Many ACG clients build the telehealth practice first, then open a physical wellness clinic once demand in their market is proven.
Do I need a telehealth consultant?+
No. Founders do start telehealth companies on their own, but virtual care adds rules a physical clinic does not face: prescribers generally need a license in each patient's state, and controlled substances such as testosterone follow DEA telemedicine rules. A good telehealth consultant should map your first states, the Medical Director and prescriber structure, and a prescribing plan for what follows the temporary DEA rule. Ask any firm whether its team has opened telehealth practices, and get what its fee covers in writing. Our telehealth consulting covers each of these steps, and you can meet the clinic consultants who lead it.
Grayson Miller, Head of Sales and Growth Strategy at Altos Consulting Group
Free 30-Minute Strategy Call

Start Your Telehealth Clinic With the Team Behind Hundreds of Launches

Talk with Grayson Miller about the states you want to serve, your service menu and the prescribing rules for 2027. No pitch. No obligation.

  • A state-by-state licensing map
  • A prescribing plan for 2027
  • An honest read on fit
Book a Strategy Call

ACG is a consulting and advisory firm, not a medical practice; an independent, state-licensed Medical Director directs all clinical care. Results are not guarantees of income. Individual outcomes vary. The 60-day launch is a target, market and regulatory conditions permitting.

Built for Compliance

Structured to keep you on the right side of the line.

Knowing the rules is the foundation of every clinic we help launch.

Your Medical Director Directs Care

You own and run the business. An independent, state-licensed Medical Director makes every clinical, prescribing and treatment decision, structured for your state's Corporate Practice of Medicine laws. We connect you to a vetted network; you retain your own provider.

We Know the Regulatory Lines

PRP, peptides, GLP-1 medications and cellular products each carry federal and state rules, and not every product or use is FDA-approved. Exosomes for therapeutic use are not FDA-approved at all, and we steer you away from them. Your menu and marketing are built to hold up to FDA, FTC and state medical board scrutiny.

No Hype. No Guarantees.

We show real ranges and never promise an income or a clinical outcome. What you earn depends on your market, your capital and your execution.

Altos Consulting Group is a business consulting and advisory firm, not a medical practice, and does not provide, prescribe or sell any drug, biologic, device or therapy. The FDA has stated there are currently no FDA-approved exosome products for the treatment of any disease; clinic owners are responsible for the compliance of every product, therapy and claim. See the full regulatory notice below.

Built by operators. Our team has launched hundreds of clinics.