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

Required, in-person or telehealth conditional on physician judgment Conditional; physician may conduct telehealth GFE if clinically appropriate and documented

Missouri · Moderate

Good-Faith Exam Rules for Med Spas in Missouri

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Missouri'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 conditional on physician judgment

Can the exam be done by telehealth

Conditional; physician may conduct telehealth GFE if clinically appropriate and documented

Who can perform the exam vs. the injection

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

What to verify in Missouri

Verify with the Missouri State Board of Nursing and Medical Board that your delegation and supervision protocols comply with current interpretations, as RN scope in aesthetics can vary.

Primary source: Missouri State Board of Nursing and Missouri State Board of Registration for the Healing Arts

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

See the full Missouri regulation profile →

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