North Dakota · Lenient

Good-Faith Exam Rules for Med Spas in North Dakota

Q: Is a good-faith exam required before treatment in North Dakota, and can it be done by telehealth?

Required; in-person or telehealth allowed. Allowed; telehealth good-faith exam permitted for initial visit if clinically appropriate.

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. North Dakota'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.

Can the exam be done by telehealth

Allowed; telehealth good-faith exam permitted for initial visit if clinically appropriate.

Who can perform the exam vs. the injection

MD/DO, NP/PA with or without physician supervision (varies by setting), RN under physician delegation.

What to verify in North Dakota

Verify with the North Dakota Medical Board whether your specific ownership and delegation model requires a medical director, as rules vary by practice structure.

Primary source: North Dakota Medical Board; Board of Nursing.

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

See the full North Dakota regulation profile →

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