diff --git a/care/facility/api/serializers/daily_round.py b/care/facility/api/serializers/daily_round.py
index 94f1297977..d7e079fd27 100644
--- a/care/facility/api/serializers/daily_round.py
+++ b/care/facility/api/serializers/daily_round.py
@@ -17,7 +17,11 @@
 from care.facility.models.bed import Bed
 from care.facility.models.daily_round import DailyRound
 from care.facility.models.notification import Notification
-from care.facility.models.patient_base import CURRENT_HEALTH_CHOICES, SYMPTOM_CHOICES
+from care.facility.models.patient_base import (
+    CURRENT_HEALTH_CHOICES,
+    SYMPTOM_CHOICES,
+    SuggestionChoices,
+)
 from care.users.api.serializers.user import UserBaseMinimumSerializer
 from care.utils.notification_handler import NotificationGenerator
 from care.utils.queryset.consultation import get_consultation_queryset
@@ -180,14 +184,24 @@ def create(self, validated_data):
         # Authorisation Checks End
 
         with transaction.atomic():
+            consultation = get_object_or_404(
+                get_consultation_queryset(self.context["request"].user).filter(
+                    id=validated_data["consultation"].id
+                )
+            )
+            if (
+                validated_data.get("rounds_type")
+                == DailyRound.RoundsType.TELEMEDICINE.value
+                and consultation.suggestion != SuggestionChoices.DC
+            ):
+                raise ValidationError(
+                    {
+                        "rounds_type": "Telemedicine Rounds are only allowed for Domiciliary Care patients"
+                    }
+                )
             if "clone_last" in validated_data:
                 should_clone = validated_data.pop("clone_last")
                 if should_clone:
-                    consultation = get_object_or_404(
-                        get_consultation_queryset(self.context["request"].user).filter(
-                            id=validated_data["consultation"].id
-                        )
-                    )
                     last_objects = DailyRound.objects.filter(
                         consultation=consultation
                     ).order_by("-created_date")
diff --git a/care/facility/migrations/0403_alter_dailyround_rounds_type.py b/care/facility/migrations/0403_alter_dailyround_rounds_type.py
new file mode 100644
index 0000000000..c51b7743d9
--- /dev/null
+++ b/care/facility/migrations/0403_alter_dailyround_rounds_type.py
@@ -0,0 +1,26 @@
+# Generated by Django 4.2.6 on 2023-12-09 10:13
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0402_patientconsultation_new_discharge_reason"),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name="dailyround",
+            name="rounds_type",
+            field=models.IntegerField(
+                choices=[
+                    (0, "NORMAL"),
+                    (100, "VENTILATOR"),
+                    (200, "ICU"),
+                    (300, "AUTOMATED"),
+                    (400, "TELEMEDICINE"),
+                ],
+                default=0,
+            ),
+        ),
+    ]
diff --git a/care/facility/models/daily_round.py b/care/facility/models/daily_round.py
index daf1ba4d4c..0b95a0720d 100644
--- a/care/facility/models/daily_round.py
+++ b/care/facility/models/daily_round.py
@@ -37,6 +37,7 @@ class RoundsType(enum.Enum):
         VENTILATOR = 100
         ICU = 200
         AUTOMATED = 300
+        TELEMEDICINE = 400
 
     RoundsTypeChoice = [(e.value, e.name) for e in RoundsType]
     RoundsTypeDict = covert_choice_dict(RoundsTypeChoice)