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

Short answer
The cited rules do not settle this — they define a physician-patient relationship as one formed to provide diagnosis or treatment, and make diagnosis, prescribing, and judging medical necessity the practice of medicine, but set no pre-treatment exam rule.

Wyoming defines both halves of the question in the Medical Practice Act. A “physician-patient relationship” means a relationship between a licensee and any person formed for the purpose of the licensee providing medical diagnosis or treatment, whether or not for compensation — a purpose test, with no in-person requirement stated in the definition. “Telemedicine” means the practice of medicine by electronic communication or other means from a physician in one location to a patient in another, with or without an intervening health care provider. The licensing statute then says a board MAY adopt rules allowing telemedicine and telehealth within the applicable profession, with the term to be defined inside each promulgated rule. Whether any examination or intake requirement applies to a Wyoming med spa, in statute or in board rules, is NOT surveyed by these claims; confirm it with the board or counsel. What the statute does supply is the standard: making false or misleading statements regarding the licensee's skill or the efficacy or value of a treatment or remedy is a ground for discipline.