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

Required; in-person or telehealth allowed under certain conditions Conditional; allowed with physician oversight and proper documentation

Washington · Moderate

Good-Faith Exam Rules for Med Spas in Washington

The good-faith exam (GFE) is the legal gate before any injectable or device treatment. Washington'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 under certain conditions

Can the exam be done by telehealth

Conditional; allowed with physician oversight and proper documentation

Who can perform the exam vs. the injection

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

What to verify in Washington

Establish a clear physician delegation agreement and verify telehealth GFE protocols with the Washington Medical Commission before launch.

Primary source: Washington Medical Commission; Washington Nursing Care Quality Assurance Commission

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

See the full Washington regulation profile →

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