Maryland · Moderate

Good-Faith Exam Rules for Med Spas in Maryland

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 varies by board interpretation

Can the exam be done by telehealth

Conditional. Telehealth GFE may be permitted for established patients or certain procedures; verify with Maryland Board of Physicians

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 with Maryland Board of Physicians whether your proposed ownership/delegation model complies with current guidance on RN and NP/PA scope.

Primary source: Maryland Board of Physicians

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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