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 clinically appropriate.
Who can perform the exam vs. the injection
MD/DO, NP/PA under physician supervision, RN under physician delegation
What to verify in Michigan
Verify with the Michigan Department of Licensing and Regulatory Affairs (LARA) that your medical director's supervision protocols comply with current board guidance on RN/NP delegation.
Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA); Board of Medicine; Board of Nursing
General business information for Michigan medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Michigan board (and your own counsel) before you act.