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

Required; in-person or telehealth permitted with physician oversight Conditional; telehealth GFE allowed if physician has adequate clinical information

Michigan · Moderate

Good-Faith Exam Rules for Med Spas in Michigan

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

Can the exam be done by telehealth

Conditional; telehealth GFE allowed if physician has adequate clinical information

Who can perform the exam vs. the injection

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

What to verify in Michigan

Document physician delegation agreements for all RN/NP/PA injectors and maintain clear medical director oversight.

Primary source: Michigan Medical Board; Michigan Board of Nursing

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

See the full Michigan regulation profile →

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