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The online consultation: what it can and cannot settle

A video conversation with a rehabilitation physician before you travel — what it establishes, and the line it does not cross.

Reading time
1 min
Written by
Romatem International editorial team
Last updated

After the written plan, most families want to speak to the person who wrote it. The online consultation exists for that, and its limits are worth stating plainly.

What it is

It is an information conversation. The physician goes through your records with you, explains what the programme would involve, and answers questions. It is not a remote diagnosis and no treatment is prescribed on the call.

For patients in Germany and Austria that distinction is a legal requirement rather than a formality, which is why the call is described as a non-binding information conversation.

What it can establish

A great deal, in practice. The physician can see how the patient moves, sits and transfers, which a discharge summary rarely conveys. Families can ask what a day will actually look like, what the companion will be asked to do, and what the plan assumes that might turn out to be wrong.

What it cannot establish is anything that needs hands on the patient: tone, joint range, and the fine detail of gait are assessed on arrival, not through a camera.

Questions worth asking on the call

Who examines the patient on arrival, and how quickly does the plan change if the assessment differs from the records? What is written in the discharge document, and in which language? Who continues this after we go home?

A physician who answers those directly is describing a service they control. Vague answers on the call usually mean vague answers later.

Where to next

Talk to someone before you decide

Four ways to reach the international office, depending on where you are. Nothing here commits you to treatment — a second opinion, a video consultation and a written plan are all free, and you can start with a question.