Is a good-faith exam required before treatment in Texas, and can it be done by telehealth?

Required; in-person exam required before injection Not allowed. Texas Medical Board requires in-person good-faith exam before aesthetic injections.

Texas · Moderate

Good-Faith Exam Rules for Med Spas in Texas

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

Can the exam be done by telehealth

Not allowed. Texas Medical Board requires in-person good-faith exam before aesthetic injections.

Who can perform the exam vs. the injection

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

What to verify in Texas

Ensure a qualified Texas-licensed physician serves as medical director and establish written delegation protocols for all RN/NP/PA injectors; document all in-person good-faith exams.

Primary source: Texas Medical Board; Texas Board of Nursing

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

See the full Texas regulation profile →

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