Is an exam required before a patient can be treated in Texas?

Intake · part of The Practice Perimeter

Texas does not use the phrase “good-faith exam.” The operative requirement is establishing a practitioner-patient relationship before the delegated act.

22 TAC §169.26 · verified Jul 26, 2026 · regulatory monitoring, not legal advice

The rest of what Texas says on this

Every other rule we have verified under good-faith examination, each linked to its primary source.

  • 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

  • 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

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← All Texas rules and changes · Med Spa Radar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).