Colorado — Good Faith Exam

Good Faith Exam Requirements in Colorado

Who can perform the good faith exam in Colorado, whether an RN can, the telehealth nuance, and why the GFE gates every injectable treatment — from Colorado board and statutory sources, reviewed by Faisal Darwiche, NP.

Colorado at a glance

GFE required before treatment?Yes — every patient
Who may perform itPhysician, NP, or PA — never an RN
Can an RN perform it?No
Telehealth GFECommonly permitted — confirm state rule
Medical directorYes — physician medical director
NP practice authorityFull Practice Authority

Last reviewed 2026-06-27 · Faisal Darwiche, NP. General guidance, not legal advice — confirm with your Colorado board and counsel.

Who can perform the good faith exam in Colorado?

In Colorado the Good Faith Exam is the practice of medicine — it has to be performed by a physician or a mid-level provider (a nurse practitioner or physician assistant) who can diagnose and order. An RN cannot perform it; she carries out the treatment after a qualified provider examines the patient, makes the diagnosis, and writes the order. The exam can generally be done by compliant telehealth as long as the standard of care is met. So your structure has a prescriber who owns the exam-and-order step. Confirm your GFE workflow with a Colorado healthcare attorney.

  • GFE performed by a physician, NP, or PA — never the RN
  • RN executes treatment only after a qualified provider examines, diagnoses, and orders
  • GFE generally permitted by compliant telehealth if the standard of care is met

Sources: American Med Spa Association — How To Use Telemedicine for the Good Faith Exam (GFE by a prescriber; telehealth permitted when standard of care met) · Spakinect — Who Can Perform a Good Faith Exam (physician/NP/PA; RN cannot) · Verified 2026-06-26.

Why the good faith exam matters more than people think

The GFE isn't paperwork — it's the legal hinge of the whole treatment. It establishes the patient relationship, the diagnosis, the plan, and the order that makes the injection a delegated medical act instead of unlicensed practice. In Colorado, skipping or shortcutting it is the single most common compliance failure for a new med spa. Build the exam into your patient flow from day one — it protects the patient, the injector, and the owner.

Telehealth good faith exams in Colorado

Many states allow the GFE to be performed by compliant synchronous (live audiovisual) telehealth, which is why per-patient telehealth-GFE and medical-director services have become a standard way to source the exam and order before an RN injects. Whether Coloradopermits a telehealth-only GFE with no prior in-person visit — and under what conditions — should be confirmed with the Colorado board and your healthcare attorney before you build your protocol around it.

Build your Colorado good-faith-exam and treatment flow correctly.

The free 17-question assessment returns a Colorado-specific plan: how to source the GFE and orders for your credential, your medical-director path, and your exact next action. 7 minutes, no card. Built by Faisal Darwiche, NP.

Take the assessment →Colorado medical director rules

Frequently asked

Who can perform a good faith exam in Colorado?

In Colorado the good faith exam must be done by a provider who can diagnose and order treatment — a physician, nurse practitioner, or physician assistant. The exam establishes the treatment plan and the order for the product before any injectable is administered.

Can an RN perform a good faith exam in Colorado?

No. An RN in Colorado can gather history and assist, and can administer injectables under a valid order, but cannot perform the GFE or write the treatment order — that is the practice of medicine. The exam and order come from a physician, NP, or PA.

Can the good faith exam be done by telehealth in Colorado?

In many states a GFE can be done by compliant synchronous (audiovisual) telehealth, which is why per-patient telehealth-GFE services are common. The exact Colorado rule and any in-person requirement should be confirmed with the Colorado board and your healthcare attorney.

What happens if a med spa skips the good faith exam in Colorado?

Treating without a valid GFE is one of the most common ways a Colorado med spa draws enforcement — it means treating without an order, i.e. the unlicensed practice of medicine. Every patient needs a documented exam, plan, and order before their first treatment.

Keep going in Colorado

Medical director requirements in Colorado
Who can serve · ownership · pay
Open a Med Spa in Colorado
The full 90-day setup path
Colorado NP scope of practice
Source-cited scope deep-dive
All credential × state guides
The national hub

General guidance only. Not legal advice. State statutes change — verify with the Colorado Board of Nursing and a Colorado healthcare attorney before relying on this content.

Online training does not constitute hands-on clinical certification.

Reviewed 2026-06-27 by Faisal Darwiche, NP — 27 years, three practices opened. Read the master guide at /open-medspa.