What an async telehealth review actually involved, start to finish

Posting this because I could not find a plain description of the process before I did it, and the vendor pages are marketing rather than description. What actually happened, in order: 1. Long intake form. Full medical history, medication list, supplements, surgeries, family history, pregnancy status, cancer history, anticoagulants. Longer than my last new patient paperwork at an actual clinic. 2. Recent labs required. I had to get bloodwork done, they would not proceed without it. 3. Photos and description of the injury, plus what my treating clinician had said. 4. A clinician review that came back with questions rather than an approval. Specifically about a supplement I was taking and about a family history item. 5. Answered those, then approval with a specific plan and a follow up interval. 6. Compounded pharmacy shipped it. Cold pack, dated, labelled with a beyond use date. What I would tell people: if any step in that list is missing from a service you are looking at, that is the finding. A process that approves you in ten minutes with no labs and no questions is not a convenience feature. The step 4 questions are the part that made me trust it. They were not rubber stamping.