A good faith exam (GFE) is a critical step in ensuring patient safety and compliance within medical spa settings. This medical evaluation involves a thorough assessment of a patient’s medical history and current health status before administering any aesthetic or medical treatments.
In this article, we look into their purpose, components, and importance in the realm of medical spas. We will also discuss best practices and legal considerations to help healthcare providers ensure compliance and quality patient care.

Definition and Purpose of a Good Faith Exam
A GFE is a comprehensive medical evaluation performed by a licensed medical professional, such as a physician, nurse practitioner, or physician assistant, before any medical or aesthetic procedure or treatment.
The primary purpose of the exam is to ensure the patient is a viable candidate for the medical procedure or aesthetic treatment—such as photobiomodulation, low-level laser therapy or red light therapy—minimizing potential risks and ensuring patient safety. It establishes a foundation for making informed decisions about treatment plans tailored specifically to the patient’s health status and aesthetic goals.
Many states now require a GFE before offering certain medical spa treatments to ensure compliance with healthcare standards and legal regulations.
Key Components of a Good Faith Exam
The exam consists of two main parts: obtaining and reviewing the patient’s comprehensive medical history and conducting a physical examination focused on assessing the patient’s current health and suitability for the proposed aesthetic treatment.
Obtaining a thorough medical history involves discussing past and current health conditions, medications, allergies, and any relevant lifestyle factors. This medical history review helps identify contraindications or potential risks that could impact the safety or effectiveness of the treatment.
The physical examination is performed by a licensed medical professional and includes assessing the areas of the body that will receive treatment. This tailored evaluation ensures that the patient is medically fit and that the planned procedure aligns with their health profile. In some cases, virtual exams are permitted, provided the exam process maintains the standards of care and compliance required by state law.
Importance of Good Faith Exams
By conducting a thorough evaluation before med spa procedures, healthcare providers can prevent adverse medical events and tailor treatments to individual needs, ensuring treatments are both safe and effective. This process also helps medical spas maintain compliance with state laws and medical boards, reducing legal risks.
These exams build trust between the patient and the healthcare provider, demonstrating a commitment to high standards of patient care and ethical medical practice.
Ensuring a patient is a possible candidate based on a comprehensive medical evaluation promotes positive outcomes and ongoing treatments that align with the patient’s evolving health status and aesthetic goals.
Good Faith Exams in Various Healthcare Settings
Good faith exams are conducted across multiple healthcare environments—both in-person and through virtual platforms—always adhering to established medical standards. These examinations must be performed by qualified medical professionals such as medical directors, physicians, or advanced practice nurses (APNs).
GFEs are integral in primary care clinics, dermatology offices, cosmetic surgery centers, and outpatient treatment facilities. In each context, they serve to evaluate patients’ medical histories and current health status to ensure safe, personalized care.

Best Practices and Ethical Considerations
Medical spas should ensure clear communication during the exam process, obtaining informed consent while respecting patient confidentiality.
Conducting these exams according to evidence-based medical standards and state regulations reinforces ethical patient care and the integrity of the medical practice.
To maintain compliant operations, exams should be documented thoroughly, including details on the medical professional conducting the exam, findings, and the treatment plan generated based on the exam results.
Regular updates or repeat exams may be necessary if the patient’s health status changes or for ongoing treatments, generally at least annually or as required by state law.
Challenges and Solutions in Conducting GFEs
Despite their critical importance, conducting GFEs can pose challenges such as administrative burdens and scheduling complexities within med spa settings. To enhance efficiency without compromising quality, some providers integrate virtual good faith exams, ensuring these still comply with medical board requirements and uphold rigorous standards of care.
Implementing targeted staff training alongside technology solutions helps standardize the exam process. This approach promotes consistent, thorough, and compliant patient evaluations—minimizing errors and streamlining workflows.
Legal and Regulatory Context
Many states mandate Good Faith exams before certain medical spa procedures, requiring that exams be performed by qualified healthcare providers under the supervision of medical directors or physicians. Compliance with state law is crucial for licensing and avoiding legal liabilities.
Medical spas must ensure their exam protocols meet these requirements and that their providers have the ability to perform these exams and generate orders for treatments based on the exam findings.
Final Thoughts from Quantum Wellness Center
Good faith exams are indispensable for medical spas aiming to provide safe, effective, and personalized wellness care. By thoroughly assessing the patient’s medical history and current health status, these exams ensure treatments are tailored to individual needs and comply with medical standards and legal regulations.
At Quantum Wellness Center, we prioritize GFEs as the foundation of every client’s wellness treatment experience. Our licensed medical professionals take the time to listen, evaluate, and understand each patient’s unique concerns and goals, ensuring every treatment plan is not just effective, but medically appropriate.