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

Required; in-person or telehealth permitted if clinically appropriate Allowed; telehealth GFE permitted if physician documents clinical appropriateness

Montana · Lenient

Good-Faith Exam Rules for Med Spas in Montana

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

Can the exam be done by telehealth

Allowed; telehealth GFE permitted if physician documents clinical appropriateness

Who can perform the exam vs. the injection

MD/DO, NP/PA with physician collaboration, RN under physician delegation

What to verify in Montana

Confirm with the Montana Board of Nursing and Medical Examiners whether your specific staffing model (RN-led vs. NP-led) requires on-site physician presence or remote supervision.

Primary source: Montana Board of Nursing and Montana Board of Medical Examiners

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

See the full Montana regulation profile →

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