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

Required; in-person or telehealth permitted with physician discretion Allowed. Telehealth GFE permitted if physician determines it is appropriate for the specific treatment.

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 permitted with physician discretion

Can the exam be done by telehealth

Allowed. Telehealth GFE permitted if physician determines it is appropriate for the specific treatment.

Who can perform the exam vs. the injection

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

What to verify in Missouri

Verify with the Missouri State Board of Nursing and Medical Board that your delegation and supervision protocols comply with current interpretations.

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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