Illinois good-faith exam for med spas

Good-faith examination in Illinois

The physician has to see the patient and set a course of treatment before anything happens — with one carve-out, new in 2025, that lets a non-ablative laser proceed on an APRN examination and a physician at the end of a phone.

• The physician must examine the patient and determine a course of treatment appropriate to that patient before any procedure. A repeat examination is not required for each of several procedures carried out under an already established treatment plan.

  68 Ill. Adm. Code 1285.336(b) · verified Aug 17, 2026

• Effective January 1, 2025, an on-site physician examination before a non-ablative laser procedure is not required where four conditions are met: the facility follows a physician delegation protocol available to the Department on request; the examination is performed by an advanced practice registered nurse; the procedure is delegated by a physician and performed by an RN or LPN with documented training in each system; and a physician is available remotely by telephone or other electronic means to respond promptly to questions or complications.

  225 ILCS 60/54.2(e) · verified Aug 17, 2026

• Ablative and non-ablative procedures that affect the eyes may be performed only by a physician — this is the one category Illinois does not permit to be delegated to anyone.

  68 Ill. Adm. Code 1285.336(b) · verified Aug 17, 2026

Recent Illinois changes

• IL HB4281: Certified Medical EstheticianJan 7, 2025