Guam Policies and Regulations

Guam’s “The Telemedicine Act of 2008 (PDF)” outlines the requirements for non-resident physicians before consulting with Guam providers and patients. The law further requires non-resident physicians to be licensed in the United States.

The law states:

A licensed physician who resides outside of Guam within a State, Federal jurisdiction or country is not subject to Guam medical licensure requirements where said licensed physician is providing consultation to a Guam licensed physician through the use of telemedicine technology if:

1. the non-resident licensed consulting physician operates no clinical practice or office on Guam; 

2. the non-resident licensed consulting physician does not render any final written or otherwise documented final medical opinion concerning the diagnosis or treatment of a patient on Guam directly to the patient; and 

3. the non-resident licensed consulting physician does not render any treatment to any patient on Guam. 

4. The non-resident licensed consulting physician may render care and provide final diagnostic and treatment decisions without an active Guam license if the consultant is to act as a receiving physician for the patient in the consultant’s jurisdiction. 

5. The non-resident licensed consulting physician may render care and provide diagnostic and treatment recommendations without an active Guam license if the consulting physician acts jointly and directly with the local attending physician of the patient who is the subject of the consultation. 

6. The non-resident licensed consulting physician rendering consultation shall abide by all local and federal laws with regard to patient confidentiality.