Work with us to build your telehealth or peptide clinic.
Entity structure, LegitScript certification, e-prescribing, payments, and the intake funnel, with the compounding pharmacy and provider introductions on the full buildout. Fixed fee, named deliverables, and every credential in your name at the end. The white-label platforms will have you live faster, on their entity and their pharmacy. This is the version you keep.
- Fixed fee
- No hourly billing
- Typical build
- 4 to 12 weeks
- Certification
- Managed end to end
- Ownership
- Everything in your name
Experience
Where this comes from.
We have built this stack and taken it through LegitScript certification, connected e-prescribing, and a compounding pharmacy filling real orders. We have run controlled substance lines on synchronous video, with prescription monitoring checks and credentialed providers rather than a questionnaire. That is why the failure points are known before your build starts: which certification answers stall a file, which EMR and pharmacy combinations will not connect, and which ownership structures have to be unwound once revenue is already coming in. You get the finished path instead of the search for it.
- 8 weeks
- Realistic median from signature to live. Certification review is the variable, and expedited review is available at additional cost.
- 50 states
- National provider network coverage. What can be prescribed still varies by state and by therapy category.
The tradeoff
Own it or rent it.
There are two ways to end up with a telehealth practice, and most people only know about one of them. You can rent one: a white-label platform puts your brand on infrastructure that already exists, and you can be taking patients in about a week. It is fast, it is cheap to start, and for testing whether a market is real it is genuinely hard to beat. Or you can build one, which takes longer and costs more up front. The reason to do it the slower way is what you are holding at the end.
You never touch your own money
On some platforms the payments run through them and they pay you out. You have no merchant account in your own entity, no direct billing relationship with your patients, and your cash flow moves on their schedule. Revenue that never lands in your books is revenue you cannot show a buyer later.
The patient experience is not yours to change
Every telehealth practice runs a similar flow, because prescribing requires it. That is not the problem. The problem is that on a platform the flow is configured rather than built, so when your own patients teach you something, you file a feature request and wait instead of shipping the change yourself.
The relationships do not transfer
The pharmacy, the provider network, and the certification belong to the platform, not to you. If the revenue share, the formulary, or the terms change, you absorb it. If the platform goes away, you do not have a practice. You have a list of former patients.
What gets built
Ten workstreams. Every one of them has to be right before you can take a patient.
Corporate structure
Management company and professional entity, the services agreement between them, ownership and control mapping, and the operating documents your attorney reviews and signs off on.
Compliance blueprint
Written requirements across telehealth practice standards, prescribing rules including controlled substances, patient privacy and vendor agreements, informed consent, and record retention. Includes mapping which states permit what you intend to offer by telehealth, category by category, because that sets your addressable market and occasionally your model. Where a federal rule is actively changing, you are told which way it is moving and what that means for yours.
LegitScript certification
Readiness audit against the published criteria, remediation of what will fail, application assembly, and management of the review cycle through to a decision. Review time is the item that usually sets your launch date, so we tell you early whether expedited review is worth paying for in your case.
EMR and e-prescribing
Electronic medical record configured for your intake, charting templates, and e-prescribing connected and enrolled so your providers can actually transmit.
Pharmacy relationship
Introduction to a compounding pharmacy partner, routing set up on the prescribing side, and the fulfillment and shipping flow confirmed end to end.
Payments and billing
Payment processing configured for a healthcare merchant, one-time and recurring billing, refund and chargeback handling, and the reporting you need at month end.
Site and intake funnel
Patient-facing site, screening intake, checkout, and the handoff into your EMR so a new patient lands in the chart without anyone retyping anything.
Provider network introductions
Our list of third parties we have actually used, including national provider networks, plus the introduction and the contracting structure between them and the practice. These are recommendations, not guarantees, and you are free to bring your own as long as they are certified.
Operating procedures
Written protocols for intake review, refills, adverse events, escalation, and records requests, so the practice runs the same way on your worst week as your best.
Launch support
Ad accounts through platform review, first campaign structure, and working sessions across the first 90 days while real patients hit the system.
Process
Five steps, and you can leave after the second one with something useful.
- 01
Application
A short written intake so the first call is not spent on basics. If it is not a fit, you get told on the form, not after a sales call.
- 02
Structure call
30 minutes on your model, your states, and what you are actually prescribing. You leave with the structure you need whether or not you hire anyone.
- 03
Scope and agreement
A fixed-fee scope with named deliverables and dates. No hourly billing and no scope that expands after signature.
- 04
Build
Weekly checkpoints against a written plan. You see the stack come together rather than waiting for a reveal at the end.
- 05
Handover
Every credential, every account, every document, in your name. There is no dependency on us after the engagement closes.
The stack
Any one of these can be bought in an afternoon. The work is the seams between them.
Five systems have to agree with each other before a patient can be seen and a prescription can be filled. This is where builds stall, and every one of these is a failure we have watched happen.
Intake and checkout
Patient-facing site into the medical record
Where it breaksThe screening questionnaire is treated as a marketing form, so the answers land in an inbox instead of the chart and someone retypes them. Every retyped intake is a transcription error waiting to become a clinical one, and it does not survive volume.
Medical record
Charting, and the enrollment that lets a provider transmit
Where it breaksE-prescribing is treated as a feature you switch on. It is an enrollment, per provider, with identity proofing behind it, and controlled substances add a further credential on top. Nobody discovers this until the week they wanted to go live.
Pharmacy routing
Prescriptions out, fulfillment and shipping back
Where it breaksThe record system and the pharmacy both claim to support the same directory and still will not route to each other, or they will and nothing reports back, so nobody can answer where an order is. This pairing has to be checked before either is chosen, not after.
Certification
Everything above, plus the ability to advertise at all
Where it breaksBuilt last, when it should be started first. It gates the ad accounts and the merchant account, and the review clock runs on someone else's schedule, so a stack that is otherwise finished sits idle waiting on it.
Payments
Checkout, recurring billing, refunds, and the month-end numbers
Where it breaksA general processor is used, the account is reviewed, and it is frozen mid-launch because of what is being sold. Underwriting for this category is its own piece of work and it belongs at the start.
FAQ
The questions that come up on every first call.
Why not just use a white-label telehealth platform?
Sometimes you should. If you want to test a market this quarter with minimal capital, a platform will have you live in a week and that is genuinely hard to beat. The trade is that you are operating on their entity, their pharmacy, their provider network, and often their merchant account, under a revenue share you do not control. That is a channel, not an asset. This is for the case where you intend to own the practice, keep the margin, and be able to sell it.
Do I need to be a clinician to own this?
No, and most clients are not. That is exactly why the ownership structure matters. You own the management company, a licensed clinician owns the professional entity, and a services agreement connects them. Structured properly, you own the business without practicing medicine.
What does this cost?
There is no price list, because the range is genuinely wide and a number on a page would be wrong in both directions. What moves it: how many states and therapy categories you intend to operate in, whether a usable entity already exists, whether you need the pharmacy relationship and provider introductions or are bringing your own, and how much of the execution you want to keep in house. Engagements are a fixed fee agreed in writing before anything starts, never hourly, and the scope does not move after signature. The application asks your budget range so nobody spends a call finding out the two of you were never in the same conversation.
Do you provide the doctor?
Not directly. We maintain a list of third parties we have used ourselves, including national provider networks, and where it is in scope we make the introduction and structure the relationship between them and your professional entity. Those are recommendations rather than guarantees. Where it is not in scope we define what you need and how the relationship should be structured, and you bring the provider. Either way you are free to use your own, as long as they meet the certification requirements. We do not employ clinicians and we are not a staffing agency.
Which states can I operate in?
Provider coverage is generally not the constraint. The networks we work with are licensed nationwide, so the practical limit is not where you can find a clinician. It is what each state allows to be prescribed by telehealth, which varies by state and by therapy category, and can differ for the same patient depending on which category they are being treated under. That mapping is part of the compliance blueprint, so it is included on every tier. You cannot sensibly build without it, since it sets your addressable market before you spend anything on getting patients.
Can you guarantee LegitScript certification?
No, and be skeptical of anyone who does. LegitScript is an independent certifying body and the decision is theirs. What we do is audit against the published criteria, fix what would fail, assemble the application, and manage the review. We tell you before you pay if we think you will not clear it.
How long until I can take a patient?
Eight weeks is the realistic median. The build itself runs four to twelve weeks depending on scope, but the item that actually sets your date is certification review, not the technology. If you need to move faster than that, LegitScript offers expedited review for an additional fee paid directly to them, and that is usually the only lever that meaningfully compresses the timeline. We sequence the long-lead items first so they run while everything else is being built.
What if I have already started?
Common, and usually fine. We audit what exists, keep what is sound, and rebuild what is not. If your entity structure is wrong you will hear it on the first call, because everything downstream depends on it.
Is this legal advice?
No. We are not a law firm and we do not practice law. We build the operational and technical structure and prepare documents for review. Your attorney reviews and signs off, and we work alongside them. If you do not have healthcare counsel, we will introduce you to some.
What is not included?
State filing fees, registered agent costs, certification fees including expedited review if you choose it, malpractice and business insurance premiums, provider compensation, software subscriptions, and ad spend. Those are paid directly by you to the vendor so there is no markup sitting in the middle.
Tell us what you are building and we will tell you what it actually takes.
The application takes about five minutes. If it is not a fit you will know before anyone books a call, and the structure call is worth having either way.
Kynzen provides business and operational consulting. Not legal, medical, or tax advice.