South Dakota · Lenient

Good-Faith Exam Rules for Med Spas in South Dakota

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

Required; in-person or telehealth allowed Allowed. Telehealth GFE permitted if physician-patient relationship established and compliant with state telemedicine standards.

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. South 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 GFE permitted if physician-patient relationship established and compliant with state telemedicine standards.

Who can perform the exam vs. the injection

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

What to verify in South Dakota

Establish a clear written agreement with a supervising physician and document all delegation and injection protocols to ensure compliance.

Primary source: South Dakota Medical Board; Board of Nursing

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

See the full South Dakota regulation profile →

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