Maryland · Moderate

Good-Faith Exam Rules for Med Spas in Maryland

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

Required; in-person preferred, telehealth conditional Conditional. Telehealth GFE may be permitted if physician-patient relationship established and appropriate for procedure.

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Maryland'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 preferred, telehealth conditional

Can the exam be done by telehealth

Conditional. Telehealth GFE may be permitted if physician-patient relationship established and appropriate for procedure.

Who can perform the exam vs. the injection

MD/DO, NP/PA under physician supervision, RN under physician delegation

What to verify in Maryland

Verify medical director credentials and ensure physician supervision protocols are documented in writing.

Primary source: Maryland Board of Physicians; Board of Nursing

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

See the full Maryland regulation profile →

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