1. IntroductionHealthcare delivery has always been influenced by technological developments and innovations. This is especially true among modern healthcare professionals, who are obsessed with technology and eager to apply it. One of the most recent applications of ICT – information technology and computing – is telehealth. Telehealth is the use of communication, diagnostic, and information technologies to provide health care when patients and providers are geographically separated [2]. Technologies include video conferencing, Internet, stock-and-forward imaging, media streaming, terrestrial and wireless communications. Telehealth can be as simple as two medical professionals discussing a case over the phone or as sophisticated as performing robotic surgery between facilities on different sides of the world. The temptation for IT professionals and healthcare providers is to follow the technology imperative and view telehealth implementation as simply a technical problem where all problems can be solved by developing technical solutions . Although this technology provides cost-effective and efficient services, the risk exists that focusing primarily on pragmatic considerations ignores profound ethical and legal issues that could interfere with its implementation [1-2].2. Challenges of Telehealth The relationship between informed consent, the doctor-patient relationship, and electronic health records (EHRs) are important variables when addressing ethical and legal issues related to the implementation of telehealth services. In fact, EHRs are at the heart of telehealth implementation. In the traditional model of the doctor-patient relationship, the doctor had control Middle of paper ...... telecounseling in the absence of a pre-existing patient-doctor relationship - Systematic review and expert survey. Journal of Medical Internet Research, 2(1).[2] Kluge, EHW (2011). Ethical and legal challenges of health telematics in a globalized world: telehealth and the technological imperative. International Journal of Medical Informatics, 80(2), e1-e5.[3] Akabayashi, A., Slingsby, B.T. (2006). Informed consent revisited: Japan and the United States Am. J. Bioethics, 6 (1) 9-14.[4] Oudshoorn, N. (2008) Remote diagnosis: the invisible work of patients and healthcare professionals in remote cardiac monitoring technology. Soc. Health Disease, 30 (2), 272-288.[5] Bellazzi, R., Montani, S., Riva, A., Stefanelli, M. (2001) Web-based telemedicine systems for home care: technical issues and experiences. Calculate. Prog Methods Biomedicine, 64 (3), 175–187