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

Required; in-person or telehealth allowed with physician oversight Allowed for initial visit with physician supervision

Washington · Moderate

Good-Faith Exam Rules for Med Spas in Washington

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Washington'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 with physician oversight

Can the exam be done by telehealth

Allowed for initial visit with physician supervision

Who can perform the exam vs. the injection

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

What to verify in Washington

Verify RN delegation scope with Washington State Board of Nursing and establish clear protocols for physician oversight of all injections.

Primary source: Washington Medical Commission; Washington State Board of Nursing

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

See the full Washington regulation profile →

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