Is a good-faith exam required
Required; in-person exam generally required, telehealth varies by board interpretation
Can the exam be done by telehealth
Conditional. Telehealth GFE may be permitted for established patients in limited circumstances; verify with Tennessee Medical Board.
Who can perform the exam vs. the injection
MD, DO, NP, PA, RN under physician supervision
What to verify in Tennessee
Obtain written protocols from the Tennessee Medical Board regarding RN injection authority and ensure a qualified medical director oversees all aesthetic procedures.
Primary source: Tennessee Medical Board; Tennessee Board of Nursing
General business information for Tennessee medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Tennessee board (and your own counsel) before you act.