Is a good-faith exam required before treatment in Illinois, and can it be done by telehealth?

Required; in-person exam mandatory before any treatment Not allowed. Illinois requires in-person physician evaluation before injection treatment.

Illinois · Strict

Good-Faith Exam Rules for Med Spas in Illinois

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Illinois's rules on who performs it — and whether it can happen over telehealth — directly affect how you schedule and staff.

By Evan at Inside MedSpa

Is a good-faith exam required

Required; in-person exam mandatory before any treatment

Can the exam be done by telehealth

Not allowed. Illinois requires in-person physician evaluation before injection treatment.

Who can perform the exam vs. the injection

MD/DO only; RN/LPN/NP/PA cannot inject neurotoxins or fillers

What to verify in Illinois

If you are not a physician, establish a physician-owned or physician-controlled MSO structure; verify that your medical director meets on-site or availability requirements under Illinois State Medical Practice Act.

Primary source: Illinois State Medical Board; Illinois Department of Financial and Professional Regulation (IDFPR)

General business information for Illinois medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Illinois board (and your own counsel) before you act.

See the full Illinois regulation profile →

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