Terms & Conditions For Mississippi patients we need to arrange an in person evaluation before continuing with Tele Med appointments and we must see you in person once yearly. For Louisiana patients Tele Med evaluations and appointments can be done via internet. In order to schedule evaluations and appointments the appointments must be paid in full prior to being placed on the schedule, the appointments may be changed up to 48 hours in advance to a different time or day however if the appointment is missed it will not be refunded.