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

Required; in-person or telehealth permitted under certain conditions Conditional; telehealth GFE allowed if physician-patient relationship established and appropriate for procedure

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 or telehealth permitted under certain conditions

Can the exam be done by telehealth

Conditional; telehealth GFE allowed if physician-patient relationship established and appropriate for procedure

Who can perform the exam vs. the injection

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

What to verify in Texas

Verify with the Texas Medical Board and Board of Nursing whether your specific injector scope and telehealth GFE model comply, as Texas rules allow flexibility but require clear documentation.

Primary source: Texas Medical Board and 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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