Can the pre-treatment exam be done by telehealth in Michigan?

Intake · part of The Practice Perimeter

Short answer
The cited rules do not settle this — they set no pre-treatment exam rule for botulinum toxin or fillers, impose a consent duty when care is delivered remotely, and require a bona fide prescriber-patient relationship plus follow-up for Schedule 2–5 drugs.

Where care is delivered remotely Michigan does impose a consent duty by statute rather than leaving it to the standard of care, and it sits in the same article as the delegation rule — which is where a reader looking for a pre-treatment requirement would find it if one existed. (Complete through PA 38 of 2025.)

Mich. Comp. Laws § 333.16284 · verified Sep 2, 2026 · regulatory monitoring, not legal advice

The rest of what Michigan says on this

  • ⚠️ no examination rule for cosmetic injectables. Part 161 of the Public Health Code was surveyed via the section index and imposes no pre-treatment or “good faith” examination requirement for botulinum toxin or fillers. ⚠️ read that strictly — it is about NON-CONTROLLED cosmetic drugs. Controlled substances are governed separately by § 333.7303a(2) below, and testosterone is Schedule III.

    Mich. Comp. Laws pt. 161 — section index (surveyed in full) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule

  • ⚠️ and the controlled-substance rule is a relationship test with a follow-up duty. “a licensed prescriber shall not prescribe a controlled substance listed in schedules 2 TO 5 unless the prescriber is in a bona fide prescriber-patient relationship with the patient for whom the controlled substance is being prescribed”, and the prescriber “shall provide follow-up care to the patient to monitor the efficacy” of the treatment — or refer the patient to their primary care provider, or to another geographically accessible prescriber, if unable to.

    Mich. Comp. Laws § 333.7303a(2) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule

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