Is a good-faith exam required
Required; in-person preferred, telehealth case-by-case
Can the exam be done by telehealth
Conditional. Telehealth GFE may be permitted for follow-up or specific treatments; in-person initial exam is preferred. Verify with supervising physician.
Who can perform the exam vs. the injection
MD/DO, NP/PA under physician supervision, RN under physician delegation
What to verify in Montana
Establish written delegation and supervision agreements with your medical director and verify compliance with Montana Board of Nursing and Medical Board interpretations.
Primary source: Montana Board of Nursing and Montana Medical Board
General business information for Montana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Montana board (and your own counsel) before you act.