Texas good-faith exam for med spas

Requirements for the good-faith examination before treatment. Below are the Texas rules that govern it, each linked to its primary source.

Good-faith examination in Texas

Before a delegated cosmetic act Texas requires a practitioner-patient relationship to be established — by a physician, or by a PA or APRN acting under the physician’s delegation — and an adequate medical RECORD to be maintained. A physician, PA or APRN must be onsite or immediately available, and at least one person trained in basic life support must be present.

Before a delegated cosmetic act, a practitioner-patient relationship must be established by a physician, or by a PA or APRN acting under the physician’s delegation, and an adequate medical record must be maintained. The identity and title of the person who will perform the act must be disclosed to the patient.
22 TAC §169.26 · verified Jul 26, 2026 · read at Cornell Legal Information Institute
A physician, PA, or APRN must be onsite during the procedure or immediately available for emergency consultation, and at least one person trained in basic life support must be present while the patient is onsite.
22 TAC §169.26 · verified Jul 26, 2026 · read at Cornell Legal Information Institute
For purposes of the requirement of a practitioner-patient relationship for a valid prescription, a valid practitioner-patient relationship is present between a practitioner providing a telemedicine medical service and a patient receiving the service as long as the practitioner complies with the standard of care described in Section 111.007 and has a preexisting relationship with the patient, communicates under a call coverage agreement, or provides the service through synchronous audiovisual interaction, asynchronous store and forward technology using clinically relevant images or the relevant clinical records, or another method that allows the practitioner to use the clinical information the standard of care requires.
Tex. Occ. Code §111.005(a) · verified Sep 8, 2026

Recent Texas changes

Get Texas changes as they publish

We scan the Texas legislature and licensing boards daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.

Free · unsubscribe in one click · we never sell your address

See all Texas rules on the Texas compliance hub →

MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.