Amidst the COVID-19 pandemic, the imperative of physical distancing has underscored the necessity for telemedicine solutions. Traditionally, telemedicine systems have operated synchronously, requiring scheduled appointments. This study introduces an innovative telemedicine system integrating Artificial Intelligence (AI) to enable asynchronous communication between physicians and patients, eliminating the need for appointments and providing round-the-clock access from any location. The AI-Telemedicine system was developed utilizing Google Sheets and Google Forms. Patients can receive dietary recommendations from the AI acting as the physician and submit self-reports through the system. Physicians have access to patients’ submitted reports and can adjust AI settings to tailor recommendations accordingly. The AI-Telemedicine system for patients requiring daily dietary recommendations has been successfully developed, meeting all nine system requirements. System privacy and security are ensured through user account access controls within Google Sheets. This AI-Telemedicine system facilitates seamless communication between physicians and patients in situations requiring physical distancing, eliminating the need for appointments. Patients have round-the-clock access to the system, with AI serving as a physician surrogate whenever necessary. This system serves as a potential model for future telemedicine solutions.

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