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What Are the Requirements For Good Faith Exams At a Medical Spa?

What Is a GFE, and What Significance Does It Hold?

gfe

Almost all aesthetic services provided by medical spa offices are considered ‘practice of medicine’. Med spas must establish the physician-patient relationship and ensure that a med spa patient is a good candidate for the proceduresis safe. This is the purpose of the Good Faith Evaluation(GFE). Good faith evaluations go by many names, and in fact, the term “good faith evaluation” has been replaced in many states’ laws. It is common to hear the good faith evaluation referred to as the “good faith exam”, “initial exam,” “physical exam” “medical clearance” or “initial consult.” It is important to remember that the good faith evaluation must happen before a patient receives a treatment to assess their current condition, note their medical history and ensure they are fit for the procedure. The goal of the good faith evaluation is to make a diagnosis and determine an appropriate treatment plan for the patient.

Does the Patient Have to Have a GFE Before Receiving a Treatment?

Both the state medical and nursing boards have mandated that this is the “standard of care” for all aesthetic treatments. These laws exist to ensure patient safety and protection. GFE provides medical clearance prior to patient treatment.

Who Can Do It?

The good faith evaluation must be performed by a physician, physician assistant (PA) or nurse practitioner(NP). Both PA or NP must be delegated the ability to perform good faith evaluations by their supervising or collaborating physician. Registered nurses (RN) may aid the physician, PA or NP in administering the good faith evaluation, but they cannot clear patients for treatment based on the evaluation. A physician, PA or NP would need to review the RN’s findings and generate the treatment plan and order.

What Constitutes a Good Faith Evaluation?

good-faith-evaluation

The good faith evaluation proceeds in two parts: obtaining a patient’s medical history and performing an appropriate physical examination of the patient. The medical history is a brief account of the patient’s general lifestyle, medical events and on-going treatments that may contain relevant information regarding the patient’s health. The appropriate physical examination is an assessment of the patient’s physical condition, generally and specifically, of the areas where the patient will receive treatment.

When Does the Good Faith Evaluation Need to be Performed?

The good faith evaluation should be performed prior to a patient receiving a treatment, but it does not have to be performed every time you see the patient. Especially in the med spa context, a treatment plan will likely encompass multiple treatments over a period of time. If a patient seeks additional treatments not covered in the initial treatment plan, the patient’s health substantially changes or enough time has elapsed since the initial good faith evaluation, a new good faith evaluation should be performed. It is a good rule of thumb that a good faith evaluation should be performed at least annually on a patient.

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Consent - At Health Covers Online, we require a live consultation to ensure the treatments you select are tailored to your specific needs. We may contact you via phone, text, or email to schedule your consultation, as well as for appointment reminders, financial transactions, treatment-specific details, and marketing purposes. If you prefer, you can schedule your live consultation by calling us directly at (877) 811-4331. By submitting your information through the website, you consent to receiving such communications, including recurring calls and texts, which may be sent using an automatic telephone dialing system or artificial/pre recorded voice technology. Consent is not required as a condition of purchase. Messages may be sent via SMS, MMS, or RCS technology. You can opt out at any time by texting STOP, or text HELP for assistance. Message frequency may vary, and standard message and data rates may apply. You understand that the website uses Google’s reCAPTCHA for verification. If you have any questions, please reach out—we’re here to help!
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Medical Health Covers Inc. operates solely as an independent technology platform that facilitates connections between clinics and licensed healthcare providers who perform Good Faith Examinations (“GFEs”). Read More

Telehealth services facilitated through clinics using this platform are provided by licensed healthcare professionals in accordance with applicable state laws who exercise their own independent clinical judgment to determine whether a patient may safely proceed with a requested treatment or service based on the information provided. Availability of services may vary by state, and patients must be physically located in a state where the evaluating provider is licensed at the time of the examination. Medical Health Covers Inc. is not a medical provider and does not practice medicine or provide healthcare services. The company does not diagnose medical conditions, provide medical advice, or determine treatment plans. Medical Health Covers Inc. does not manufacture, sell, market, promote, prescribe, dispense, or fulfill medications, treatments, or medical devices, and does not participate in the commercial sale, marketing, fulfillment, or payment processing of medical treatments or prescriptions. All medical decisions — including whether to provide treatment, prescribe medication, or issue medical clearance — are made solely by the evaluating licensed healthcare provider, the clinic’s designated medical director, or the dispensing pharmacy, where applicable. A Good Faith Examination or medical clearance does not guarantee that any treatment, procedure, or prescription will be provided. Clinics, pharmacies, and licensed healthcare providers remain fully responsible for their own clinical decisions, regulatory compliance, and patient care. The content on this website is provided for informational purposes only and does not constitute medical advice. Patients should consult directly with a licensed healthcare professional regarding any medical condition or treatment.

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