1. A. Except as provided under A.R.S. § 32-3271(A)(2), an individual who provides counseling, social work, marriage and family therapy, or addiction counseling by telehealth to a client located in Arizona shall:

   1. 1. Be licensed by the Board,
   2. 2. Be competent in providing behavioral health services by telehealth, and
   3. 3. Ensure that providing behavioral health services by telehealth is appropriate for the client’s needs.
2. B. Under A.R.S. § 32-3271(A)(2), an individual who is licensed in good standing in another state but who is not licensed by the Board shall not provide counseling, social work, marriage and family therapy, or addiction counseling by telehealth to a client located in Arizona for more than ninety days. The individual providing behavioral health services under A.R.S. § 32-3271(A)(2) by telehealth to a client in Arizona shall ensure the 90 days are consecutive and occur in one calendar year.
3. C. Except as otherwise provided by statute, an individual who provides counseling, social work, marriage and family therapy, or addiction counseling by telehealth only to a client located outside Arizona shall comply with the laws and rules of the jurisdiction in which the client is located.

4. D. An individual who provides counseling, social work, marriage and family therapy, or addiction counseling by telehealth shall:

   1. 1. In addition to complying with the requirements in R4-6-1101, document the limitations and risks associated with telehealth, including but not limited to the following;

      1. a. Inherent confidentiality risks of electronic communication,
      2. b. Potential for technology failure,
      3. c. Emergency procedures when the licensee is unavailable,
      4. d. Manner of identifying the client when using electronic communication that does not involve video, and
      5. e. Local emergency contacts or services; and

   2. 2. In addition to complying with the requirements in R4-6-1103, include the following in the progress note required under R4-6-1103(H):

      1. a. Mode of session, whether interactive audio, video, or electronic communication; and

      2. b. Verification of the client’s:

         1. i. Physical location during the session; and
         2. ii. Local emergency contacts if different from those provided under subsection (D)(1).

Historical Note

New Section made by final exempt rulemaking pursuant to Laws 2015, Chapter 154, § 10, at 21 A.A.R. 2630, effective November 1, 2015 (Supp. 15-4). Amended by final rulemaking at 26 A.A.R. 2881, effective January 3, 2021 (Supp. 20-4). Amended by final rulemaking at 31 A.A.R. 3032 (September 26, 2025), effective November 2, 2025 (Supp. 25-3).