---
title: The Legal Reality of Issuing Second Opinions for Out of State Patients
description: States regulate the practice of medicine within their borders differently. A provider must be licensed in the state in which the patient is located unless there is an exception. This white paper explores those exceptions..
---

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# WHITE PAPER The Legal Reality of Issuing Second Opinions for Out of State Patients

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The Legal Reality of Issuing Second Opinions for Out of State Patients

Updated as of May, 2026

![Screen Shot 2025-04-30 at 1.51.27 PM](https://www.purview.net/hs-fs/hubfs/Screen%20Shot%202025-04-30%20at%201.51.27%20PM.png?width=329&height=242&name=Screen%20Shot%202025-04-30%20at%201.51.27%20PM.png)

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