A good faith exam (GFE) is an in-person medical evaluation by a licensed physician or, in some states, a qualified nurse practitioner or physician assistant, conducted before a patient receives injectable or procedural aesthetic treatment. It establishes medical necessity, screens for contraindications, and creates the legal documentation that protects both the practice and the patient. Without it, you expose your practice to liability, regulatory action, and potential loss of licensure.
The GFE requirement exists because aesthetic medicine is still medicine. The FDA classifies neuromodulators (botulinum toxin) and dermal fillers as drugs or devices; state medical boards classify their administration as the practice of medicine. A GFE documents that a qualified physician has evaluated the patient, reviewed medical history, assessed anatomy and skin condition, and determined that treatment is appropriate. It's the clinical and legal anchor for every syringe or unit administered.