Is a good-faith exam required

Required; in-person examination mandatory before treatment

Can the exam be done by telehealth

Not allowed. Pennsylvania requires in-person good-faith exam; telehealth not permitted for initial injectable consultation.

Who can perform the exam vs. the injection

MD, DO only; RN/NP/PA may not inject injectables

What to verify in Pennsylvania

Ensure the medical spa is owned and operated by a licensed MD or DO; non-physician ownership is not permitted under Pennsylvania law.

Primary source: Pennsylvania Medical Board; Pennsylvania Board of Nursing

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

See the full Pennsylvania regulation profile →