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

Required; in-person or telehealth exam permitted before treatment. Allowed. Telehealth good-faith exam is permitted for initial injectable consultation.

North Dakota · Lenient

Good-Faith Exam Rules for Med Spas in North Dakota

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

Can the exam be done by telehealth

Allowed. Telehealth good-faith exam is permitted for initial injectable consultation.

Who can perform the exam vs. the injection

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

What to verify in North Dakota

Establish a clear collaboration or delegation agreement with a physician and document telehealth or in-person exam protocols.

Primary source: North Dakota Medical Board / Board of Nursing

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

See the full North Dakota regulation profile →

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