West Virginia · Moderate

Good-Faith Exam Rules for Med Spas in West Virginia

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. West Virginia'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 preferred, telehealth varies by board interpretation

Can the exam be done by telehealth

Conditional. Telehealth GFE permitted in some contexts but in-person strongly preferred for initial aesthetic treatment; verify with West Virginia Medical Board.

Who can perform the exam vs. the injection

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

What to verify in West Virginia

Confirm medical director requirements and delegation protocols with the West Virginia Medical Board before launch.

Primary source: West Virginia Medical Board

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

See the full West Virginia regulation profile →

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