Who may perform the pre-treatment exam in Texas?
Intake · part of The Practice Perimeter
Short answer
Only a physician, or a PA or APRN acting under the physician's delegation, may establish the practitioner-patient relationship before a delegated cosmetic act, and an adequate medical record must be maintained.
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 · regulatory monitoring, not legal advice
The rest of what Texas says on this
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
How other states answer this
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