Is a good-faith exam required

Required; in-person exam before treatment

Can the exam be done by telehealth

Conditional; telehealth allowed only if physician has established relationship with patient

Who can perform the exam vs. the injection

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

What to verify in Tennessee

Ensure a physician medical director is formally designated and that all delegation agreements comply with TN Medical Board and Board of Nursing standards.

Primary source: TN Medical Board, TN Board of Nursing

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

See the full Tennessee regulation profile →