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Common questions

How the program works for clinicians and specialists.

No. Doctor2Doctor is an informal, educational curbside service. The responding specialist does not establish a physician-patient relationship, review the patient's medical records, or provide a billable consultation. Guidance supports your clinical reasoning. It does not replace a formal referral when one is indicated.

Currently available to licensed clinicians in North Dakota, South Dakota, and Montana, with plans to expand. Designed for physicians and nurse practitioners caring for patients with neurologic or psychiatric conditions, as well as neurologists and psychiatrists who want a second opinion or subspecialized perspective.

Never share any identifying information: no name, date of birth, address, or MRN. Describe the case using clinical details only — age range, sex, symptoms, relevant history, medications, and your specific question. This protects your patient and the program.

This service is best for non-urgent clinical questions where a second perspective may be helpful. Responses may take up to one week, so it's not intended for emergencies or situations requiring immediate decision-making. For time-sensitive concerns, please follow your usual clinical pathways.

No. There is no billing to the clinician, patient, or insurer. This service is supported by grant funding.

This service is designed to support peer-to-peer clinical discussion, similar to traditional curbside consultation. Specialists provide general guidance based on the information shared, and do not establish a direct patient relationship. The treating clinician remains responsible for clinical decision-making and patient care. The platform carries liability insurance that covers participating specialists.

This service is designed for licensed clinicians, not for direct patient use. If you're a patient looking for guidance, your best resource is your healthcare provider.

To protect privacy, messages are shared anonymously. Instead of names, each clinician is identified by their professional title and years of experience (such as Family Medicine Doctor, 10 years in practice, or Child Psychiatrist, 6 years in practice). This allows you to understand others' expertise while maintaining confidentiality. Names are never shared publicly, with patients, or with insurance.

E-consults are typically formal, documented exchanges between clinicians, often routed through the EHR and designed for patient-specific recommendations. This service is more informal — closer to a hallway conversation where you can run a case by a specialist and get general guidance before deciding on next steps.