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

Required; in-person or telehealth allowed Allowed; telehealth good-faith exam permitted for initial visit

South Dakota · Lenient

Good-Faith Exam Rules for Med Spas in South Dakota

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. South 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 allowed

Can the exam be done by telehealth

Allowed; telehealth good-faith exam permitted for initial visit

Who can perform the exam vs. the injection

MD, DO, NP, PA, RN under delegation; RN may inject with physician oversight

What to verify in South Dakota

Establish clear delegation and telehealth protocols with your supervising physician to ensure compliance with state nursing and medical board standards.

Primary source: SD Medical Board, SD Board of Nursing

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

See the full South Dakota regulation profile →

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