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

Required; in-person exam before treatment Not allowed for initial aesthetic treatment

Hawaii · Strict

Good-Faith Exam Rules for Med Spas in Hawaii

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

Can the exam be done by telehealth

Not allowed for initial aesthetic treatment

Who can perform the exam vs. the injection

MD, DO only; NP/PA/RN may not inject injectables

What to verify in Hawaii

Verify that your medical spa is physician-owned or physician-controlled, and ensure only MDs or DOs perform all injections; do not delegate injectables to RNs, NPs, or PAs.

Primary source: Hawaii Medical Board

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

See the full Hawaii regulation profile →

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