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

Required; in-person exam mandatory for initial visit Not allowed for initial visit; in-person physician exam required

Illinois · Strict

Good-Faith Exam Rules for Med Spas in Illinois

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Illinois'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 mandatory for initial visit

Can the exam be done by telehealth

Not allowed for initial visit; in-person physician exam required

Who can perform the exam vs. the injection

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

What to verify in Illinois

Ensure your medical director is on-site or immediately available for all injection procedures and that all RN/NP/PA delegations are in writing.

Primary source: Illinois Department of Financial and Professional Regulation (IDFPR) / Medical Board

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

See the full Illinois regulation profile →

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