1. IntroductionHealth care delivery has always been influenced by technological developments and innovations. This is especially true for modern healthcare professionals, who are obsessed with technology and rush to apply it. One of the most recent applications of ICT – Information and computer technologies – is telemedicine. Telemedicine is the use of communication, diagnostics, and information technology to provide healthcare when patients and providers are geographically separated [2], technologies include video conferencing, Internet, store-and-forward imaging, streaming media, communications terrestrial and wireless. Telemedicine could be as simple as two healthcare professionals discussing a case over the phone or as sophisticated as performing robotic surgery between facilities located at different ends of the globe. The temptation for both IT professionals and healthcare professionals is to follow the technological imperative and see telemedicine implementation as a mere technical problem where all problems can be solved by developing technical solutions. While this technology provides efficient and cost-effective services, there is a danger that focusing primarily on pragmatic considerations ignores profound ethical and legal issues that could interfere with its implementation [1-2].2. Telemedicine Challenges The relationship between informed consent, doctor-patient relationship, and electronic health records (EHR) are important variables when addressing ethical and legal issues in telemedicine service implementation. In fact, electronic health records are critical to the implementation of telemedicine. In the traditional doctor-patient relationship model, the doctor had control of the paper-based teleconsultation in the absence of a pre-existing doctor-patient relationship - Systematic review and expert investigation. Journal of Medical Internet Research, 2(1).[2] Kluge, E. H. W. (2011). Ethical and legal challenges for healthcare telematics in a global world: telemedicine 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 cardiac telemonitoring 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. Progr. Methods Biomedical, 64 (3), 175–187