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

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

Maryland · Moderate

Good-Faith Exam Rules for Med Spas in Maryland

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

Can the exam be done by telehealth

Allowed for initial visit with physician oversight

Who can perform the exam vs. the injection

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

What to verify in Maryland

Establish clear physician delegation protocols and ensure medical director oversight for all injector staff.

Primary source: Maryland Medical Board; Board of Nursing

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

See the full Maryland regulation profile →

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