North Carolina · Moderate

Good-Faith Exam Rules for Med Spas in North Carolina

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

Can the exam be done by telehealth

Conditional. Telehealth may be permitted for follow-up or consultation, but initial exam typically requires in-person visit—verify with board.

Who can perform the exam vs. the injection

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

What to verify in North Carolina

Establish a written delegation agreement with a supervising physician and document all protocols for RN/NP/PA injector oversight.

Primary source: North Carolina Medical Board / Board of Nursing

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

See the full North Carolina regulation profile →

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