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

Required; in-person or telehealth allowed for established patients Conditional — allowed for established patients; initial visit typically in-person

Missouri · Moderate

Good-Faith Exam Rules for Med Spas in Missouri

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Missouri'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 or telehealth allowed for established patients

Can the exam be done by telehealth

Conditional — allowed for established patients; initial visit typically in-person

Who can perform the exam vs. the injection

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

What to verify in Missouri

Confirm your medical director's scope and ensure written delegation protocols for all injectors are documented and board-compliant.

Primary source: Missouri State Board of Nursing and Missouri State Board of Registration for the Healing Arts

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

See the full Missouri regulation profile →

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