Michigan · Moderate

Good-Faith Exam Rules for Med Spas in Michigan

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Michigan'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 generally required, telehealth varies by board interpretation

Can the exam be done by telehealth

Conditional. Michigan allows telehealth for certain follow-ups; initial GFE should be in-person. Verify with Michigan Department of Licensing and Regulatory Affairs (LARA)

Who can perform the exam vs. the injection

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

What to verify in Michigan

Establish a clear written delegation and supervision agreement with your medical director and verify compliance with Michigan LARA's current guidance on RN and NP/PA scope.

Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA) / Michigan Medical Board

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.

See the full Michigan regulation profile →

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