BRITISH COLUMBIA · VIRTUAL PSYCHIATRIC CONSULTATION

Specialized Psychiatric Consultation for Patients in British Columbia

Verigrate provides private virtual psychiatric consultation for eligible patients located in British Columbia. Consultations are conducted from the United States by a U.S.-licensed, board-certified physician and are designed for patients seeking careful diagnostic review, treatment clarification, and specialist psychiatric perspective.

British Columbia’s current virtual-care framework permits physicians located outside the province who hold an active licence with another medical regulatory body to provide virtual care to patients in British Columbia without obtaining an additional British Columbia medical licence.

The consulting physician is located and licensed in the United States and is not licensed by the College of Physicians and Surgeons of British Columbia.

Snow-capped Coast Mountains rising above a calm forest-lined lake in British Columbia

CROSS-BORDER VIRTUAL CARE

How Virtual Consultation Is Permitted in British Columbia

The College of Physicians and Surgeons of British Columbia distinguishes between physicians who hold CPSBC licensure and physicians who are physically located outside the province.

Under the CPSBC Virtual Care practice standard, a physician or surgeon located outside British Columbia who holds an active licence with another medical regulatory body does not need to obtain an additional British Columbia licence solely to provide virtual care to a patient located in British Columbia.

01

Physician location

The consultation is provided while the physician is physically located outside British Columbia.

02

Active medical licensure

The physician maintains an active medical licence with the applicable U.S. medical regulatory authority.

03

Transparent disclosure

Patients are informed of the physician’s identity, physical location, licensing jurisdiction, and the limitations inherent to virtual care.

Regulatory reference

CPSBC Virtual Care Practice Standard, Version 9.3, April 8, 2026: physicians located outside British Columbia who hold an active licence with another regulatory body do not need an additional licence to provide virtual care to patients in British Columbia.

This description is provided for transparency and does not imply endorsement, approval, or licensure by the College of Physicians and Surgeons of British Columbia.

CLINICAL CONSULTATION

A Focused Psychiatric Review

Diagnostic clarification

Review of symptoms, prior diagnoses, clinical history, and areas of diagnostic uncertainty.

Complex psychiatric consultation

Specialist review when symptoms have persisted despite previous evaluation or treatment.

Medication and treatment review

Careful review of previous and current treatment approaches, response, tolerability, and reasonable next steps.

Metabolic psychiatry consultation

Consideration of metabolic, sleep, behavioral, nutritional, and medical factors relevant to psychiatric health when clinically appropriate.

Treatment-resistant presentations

Review of cases in which symptoms have remained significant despite multiple prior interventions.

Second opinions

Independent specialist perspective for patients, families, and treating clinicians seeking additional clarity.

CROSS-BORDER CARE

Consultation and Prescribing Are Not the Same

A virtual psychiatric consultation can provide diagnostic assessment, specialist recommendations, and a detailed treatment plan. Cross-border pharmacy rules are separate from the rules governing the consultation itself.

During the consultation

  • Psychiatric history and assessment

  • Diagnostic formulation

  • Review of existing medications

  • Discussion of treatment options

  • Recommendations for additional evaluation

  • Written clinical recommendations when appropriate

If medication is recommended

A prescription issued solely by an out-of-country practitioner cannot ordinarily be dispensed by a British Columbia pharmacy. When medication requiring a local prescription is recommended, implementation may require an appropriately authorized Canadian prescriber to issue, rewrite, or co-sign the prescription.

Verigrate will not represent that a U.S. prescription can automatically be filled in British Columbia.

THE CONSULTATION

Structured Around Clinical Clarity

01

Request

Submit a consultation request and confirm that you will be physically located in British Columbia at the time of the appointment.

01

Request

Submit a consultation request and confirm that you will be physically located in British Columbia at the time of the appointment.

02

Clinical review

Relevant history, medications, prior evaluations, records, and treatment history may be reviewed before or during the consultation.

02

Clinical review

Relevant history, medications, prior evaluations, records, and treatment history may be reviewed before or during the consultation.

03

Consultation

Meet privately by secure video for a detailed psychiatric assessment and discussion.

03

Consultation

Meet privately by secure video for a detailed psychiatric assessment and discussion.

04

Recommendations

Receive a clinical formulation and recommendations, including coordination with an existing Canadian clinician when appropriate.

04

Recommendations

Receive a clinical formulation and recommendations, including coordination with an existing Canadian clinician when appropriate.

When Virtual Consultation May Not Be Appropriate

Virtual psychiatric consultation is not appropriate for every clinical situation. An in-person assessment, urgent evaluation, laboratory testing, physical examination, or local longitudinal clinician may be recommended when clinically necessary.

This service is not an emergency service. Patients experiencing an immediate psychiatric or medical emergency should use local emergency services.

PHYSICIAN CREDENTIALS

Clear About Where Care Is Provided

Board certification

Board Certified in Psychiatry, American Board of Psychiatry and Neurology (ABPN), 2025–Present

Physician location during consultation

United States

Medical licensure

Active U.S. medical licensure across 37 states and Washington, D.C.; current jurisdictions are listed on the States Served page.

British Columbia status

Physician is not licensed by CPSBC and provides consultation from outside British Columbia pursuant to the CPSBC cross-border virtual-care framework.

BRITISH COLUMBIA CONSULTATION

Common Questions

Can a physician outside British Columbia provide me with virtual care?

Yes. The current CPSBC Virtual Care practice standard states that physicians located outside British Columbia who hold an active licence with another medical regulatory body do not need an additional British Columbia licence to provide virtual care to patients in BC.

Does the Verigrate physician hold CPSBC licensure?

No. The physician providing this service is physically located and licensed in the United States. The service relies on the CPSBC framework applicable to physicians located outside British Columbia.

Is this the same as seeing a psychiatrist licensed by CPSBC?

No. This is cross-border virtual psychiatric consultation. When local examination, ongoing local care, prescribing, emergency treatment, or other services are required, coordination with a Canadian clinician may be appropriate.

Can medication be prescribed?

Medication options may be discussed as part of the consultation. A prescription issued solely by a practitioner outside Canada cannot ordinarily be dispensed by a British Columbia pharmacy; a Canadian authorized prescriber may need to issue, rewrite, or co-sign a prescription.

Can my existing physician participate?

Yes. With appropriate patient authorization, recommendations can be shared with an existing physician or other treating clinician to support continuity of care.

Where must I be during the consultation?

The patient should confirm their physical location at the beginning of the appointment. This page applies to patients physically located in British Columbia during the consultation.

BRITISH COLUMBIA CONSULTATION

Begin with a thoughtful psychiatric consultation.

For patients in British Columbia seeking an independent specialist perspective, Verigrate offers a structured virtual consultation centered on diagnostic clarity, careful review, and practical next steps.