Spakinect has been setting the standard for Good Faith Exams since 2012. As states tighten enforcement and documentation standards, the provider behind your GFE matters more than ever.
We built this category to protect providers, patients, and the industry; and we continue to set and raise the standard.
Good Faith Exams have always been a legal requirement. What’s changed is how aggressively that requirement is being enforced.
Regulatory guidance. Board investigations.
Some of that is helpful clarification. Some of it is noise.
Here’s what’s actually happening:
Medical boards want to see real clinical judgment behind every Good Faith Exam, not a generic clearance or a templated form. Several states are writing new legislation around scope of practice and documentation standards for aesthetic procedures.
None of this is new ground. It’s the same standard providers have always been held to. It’s just harder to overlook now.
“State medical boards are increasingly focused on whether documentation reflects individualized clinical judgment for the specific patient being treated, not just whether a form was completed.”
— Lengea Law
A Good Faith Exam is a clinical decision, not a checkbox.
A Good Faith Exam is a licensed provider’s evaluation of a specific patient, for a specific treatment, conducted before that treatment begins.
No one wants more boxes to check or more paperwork to file. At Spakinect, we treat a Good Faith Exam as more than admin work: it’s a clinical decision that protects your patients and your license. A real provider looks at a real patient and makes a real call, every time. That’s the standard every Spakinect exam is built on.
A valid Good Faith Exam requires five things:
That is what every Spakinect exam delivers, and it always has been.
Each exam functions as a patient-specific order: a licensed provider, an individualized assessment, and a documented directive for a specific patient and treatment. That standard is not new to us. It has been our operating model since 2012.
Our providers adjust the evaluation based on the procedure and the patient. A first-time neuromodulator patient with autoimmune history gets a different clinical conversation than someone returning for their third filler appointment. That’s how assessment actually works.
Every chart reflects the specific patient’s presentation, the provider’s clinical reasoning, the credentials of the issuing provider, and the state license under which the order was authorized. Stored securely. Retained for the long haul. Ready for any board that asks.
From injectables and energy devices to IV therapy, PRP, hormone therapy, and weight loss treatments, Spakinect covers 170+ qualifying treatments. Up to 11 can be evaluated in one health screening, under one fee. No per-treatment charges stacking against your margins.
Most virtual GFE providers rely on a network of 1099 contractors. Our 30+ nurse practitioners are W-2 employees of Spakinect. They complete over 40 hours of specialized training in aesthetic compliance and state-specific law before their first exam.When a Spakinect provider issues a Good Faith Exam, it’s traceable to them personally, inside an accountable employment structure.
Compliance shouldn’t slow down your clinic. Your patients connect with a licensed provider in an average of 31 seconds. Treatment flow stays on schedule.
With state-specific compliance tracking for each
And growing every month!
Each trained 40+ hours in aesthetics and state compliance law
Your GFE documentation needs to hold up if a medical board ever asks for it.
The provider behind your exam determines whether it does.
| Criteria | GFE Standard | Spakinect | Pay-per-GFE |
| Who can issue | Licensed MD, DO, NP, or PA within state scope | W-2 employed NPs | They typically hire ~1099 contractors |
| Documentation | Must reflect the individual patient’s presentation | Individual patient’s presentation, audit-ready chart on every exam | Varies by provider and isn’t typically disclosed |
A Good Faith Exam and a patient-specific order describe the same compliance standard.
Meeting it fully is what protects your practice and your patients.
Treatments Requiring a Good Faith Exam
Any aesthetic or wellness treatment classified as the practice of medicine requires an individualized clinical assessment authorized by a licensed provider before treatment begins. In practice, that means most of what a Med Spa offers, and all 170+ treatments Spakinect covers, are issued as patient-specific orders.
The categories below are where state enforcement is most active right now.
If you offer any of these, your compliance partner needs to be issuing real Good Faith Exams.
State laws vary on telehealth modality, scope of practice, supervision requirements, and documentation standards. The underlying requirement, a licensed provider making an individualized clinical decision before treatment, is consistent.
This table is a starting point, not legal advice. State laws change. Procedure-by-procedure rules vary. Supervision and delegation requirements differ.
| State | Telehealth GFE Permitted |
Async Permitted | Provider Scope | Documentation Standard |
| California | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
| Texas | Yes | Yes | MD, DO, NP, PA | Individualized chart required |
| Florida | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
| New York | Yes | Procedure-dependent | MD, DO, NP, PA (supervision rules apply) |
Individualized chart required |
| Illinois | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
| Georgia | Yes | Yes | MD, DO, NP, PA | Individualized chart required |
| North Carolina | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
| Arizona | Yes | Yes | MD, DO, NP, PA | Individualized chart required |
| Ohio | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
| Nevada | Yes | Procedure-dependent | MD, DO, NP, PA | Individualized chart required |
For a full state list and the procedures we cover in each, see States We Service.
Six questions. Ask your current provider.
The answers tell you everything.
Contractor models concentrate volume and dilute accountability. W-2 employment puts the clinical decision under a structured chain of responsibility. The order is traceable to a named provider operating under direct supervision and consistent training.
A one-provider setup is a single point of failure. Depth is what keeps coverage running. Spakinect’s answer: 30+ providers, all W-2 employed NPs.
If everyone gets the same form, that isn’t an assessment. It’s paperwork.
A real clinical decision includes the possibility of “no.” If approvals are automatic, there’s no judgment happening.
Ask for the audit record. Ask for specifics. Real numbers, not marketing language.
Spakinect’s answer: 1.56 million exams. Zero failures.
Compliance isn’t static. State regulations continue to evolve, with ongoing updates to scope of practice, clinical oversight, and documentation standards. Your provider should have legal counsel reviewing every state they serve.
If the answer to any of these is unclear, your Good Faith Exams aren’t what they need to be.
We can walk you through what a fully documented, audit-ready workflow looks like in practice.
Yes. A properly conducted Good Faith Exam meets every requirement of a patient-specific order: a licensed provider, an individualized assessment, a documented directive tied to a specific patient and treatment.
At Spakinect, every GFE has been issued as a patient-specific order since 2012.
See How PSOs Work
Yes. In every state, a licensed provider must conduct a Good Faith Exam before any medical aesthetic procedure can be performed. This content reflects general industry context and is not legal advice.
In most states, yes, under conditions that vary by jurisdiction. Spakinect automatically aligns each exam with your state’s telehealth requirements.
Missing or incomplete documentation is one of the most common triggers for medical board investigations. Penalties vary by state and circumstance, but can be significant. Spakinect documentation is structured for audit from the moment each exam is completed.
If a returning patient is requesting a different treatment type, yes. Spakinect’s intake process accounts for both new and returning patients.
31 seconds on average. Your schedule stays on track.
Spakinect currently operates in 40 states and is actively expanding.
For a full state list and the procedures we cover in each, see States We Service.
Yes. Spakinect integrates with Zenoti, Boulevard, Aesthetic Record, and other leading EMR platforms. Contact us to confirm compatibility with your specific system.
Spakinect provides compliance infrastructure, not legal counsel. For state-specific guidance, consult a qualified healthcare attorney in your jurisdiction.
Good Faith Exams, Done the Right Way
Save time, grow with confidence, and never turn a patient away.
Spakinect helps your Med Spa become the gold standard in patient care.
Save time, grow with confidence and never turn a patient away.
Spakinect helps your Med Spa become the Gold Standard in patient care.
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