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October 30, 2026

Can a Good Faith Exam Be Done by Telehealth?

In many cases, yes. A good faith exam can often be completed through telehealth, where a licensed professional reviews the patient’s history and planned treatment online instead of in person. State rules differ, though, so confirm what your state board allows and check with a healthcare attorney before relying on a telehealth GFE.

What Is a Telehealth GFE?

A telehealth GFE is a pre-treatment medical evaluation done remotely. The licensed professional reviews the patient’s health information, may speak with the patient, and decides whether treatment is appropriate. Depending on the state and the platform, the review might use live video, a secure questionnaire or both. The result is a documented decision that goes in the patient’s chart.

Why Do Med Spas Use Online Good Faith Exams?

An online good faith exam solves a practical problem. Patients book treatments at different times, and an in-house provider is not always available. Telehealth lets a practice complete evaluations without extra scheduling.

Common reasons practices choose it:

It depends on the state. Many states allow telehealth for patient evaluations, and some set conditions for who may perform them, how they are documented and how consent is handled. Other rules may affect aesthetics specifically. Because laws change, the safest approach is to confirm with your state board and healthcare attorney before you rely on a telehealth GFE.

Things your attorney can help you check:

What Does a Telehealth GFE Involve?

Every platform works a little differently. With MHC, the workflow looks like this:

  1. Enter the patient’s information. Your team uses our HIPAA-compliant, browser-based platform.
  2. Choose the exam type. Select on-demand or scheduled.
  3. A licensed professional reviews. MHC coordinates with licensed professionals who make independent clinical decisions.
  4. Receive the outcome. The result and documentation come back to your practice.
  5. File the record. Add it to the patient’s chart before treatment.

Where consent and privacy rules allow, an optional video-recorded GFE is available for added documentation.

Who Can Perform a Telehealth Good Faith Exam?

The professional must be licensed and allowed to perform evaluations in the state where the patient is located. Depending on the state, that can include physicians, nurse practitioners, and physician assistants. See our guide on who can perform a good faith exam for more detail on each role.

How Is a Telehealth GFE Different From an In-Person Exam?

The clinical purpose is the same: decide whether treatment is appropriate. The differences are mostly about delivery.

FactorTelehealth GFEIn-person GFE
LocationPatient and professional connect remotelyPatient visits a physical office
SchedulingOn-demand or scheduledDepends on the provider’s availability
Physical examLimited to what can be assessed remotelyHands-on assessment possible
DocumentationDigital recordDigital or paper record
RulesVary by stateVary by state

If a patient has a condition that needs hands-on assessment, the professional may recommend an in-person visit. That is a clinical judgment, and it is a good sign that the process is working.

What Are the Limits of an Online Good Faith Exam?

A telehealth GFE is not a substitute for judgment. The professional may ask for more information, request an in-person evaluation, or decline to clear the patient. Telehealth also does not remove your own obligations. Your practice still needs consent forms, treatment protocols, medical director oversight, and a state-compliant process for the procedures you offer.

Telehealth involves patient information moving online, so privacy matters. Use a HIPAA-compliant platform, tell patients what you’ll collect and why, and keep records in the chart. If a video-recorded exam is used, get consent in the way your state requires, and explain how the recording will be stored. Rules on recording vary, so ask your attorney to review your consent forms. Patients are more comfortable when they understand each step before it happens, and clear communication also reduces questions at check-in.

The same care applies to your own staff. Train front desk and injectors on what the platform asks for, who sees the information, and where records are stored.

A Quick Checklist Before You Start

How Much Does a Telehealth GFE Cost?

Good faith exams through MHC start at $27. Always confirm what is included before you book, and ask any provider for a written explanation of fees.

How Do I Find the Rules for My State?

Start with your state’s medical and nursing boards, then ask a healthcare attorney who works with med spas. MHC serves practices in California, Texas, Florida, New York, Arizona, Nevada, Illinois, Georgia, and Colorado, and you can browse each location on our good faith exam services hub.

What Should I Look For in a Telehealth GFE Provider?

Frequently Asked Questions

It depends on the nurse’s role and the state. Many states expect a nurse practitioner, physician assistant or physician to make the clearance decision.

Not always. Some states and protocols require live video, while others allow a questionnaire-based review. Confirm what applies to you.

Our platform is HIPAA-compliant and browser-based, so patient details are handled in a secure system rather than by email or text.

How often a new exam is needed depends on your state and medical director. Ask for written protocols.

Next Steps!

If you want an online good faith exam with a licensed professional behind it, see how MHC works or call 877-811-4331. We are open Monday to Saturday, 7:00 AM to 6:00 PM, and Sunday, 9:00 AM to 5:00 PM, in English and Spanish.

Ready for Your Next Good Faith Exam?

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