The short answer for Maryland. Physician or an authorised licensee.
A good faith exam is a clinical evaluation by a licensed provider, before treatment, establishing that the treatment is appropriate for that patient. What differs between states is who is allowed to perform it, whether it may happen remotely, and what has to be documented. This page sets out what we have verified for Maryland against primary sources, and says so plainly where a question is unsettled.
Who may perform the good faith exam in Maryland
Physician or an authorised licensee.
Medical director. MD or DO, with the administrative side held by a separately owned management company.
Delegation and supervision. Delegation to unlicensed personnel runs through COMAR 10.32.09, with physician responsibility and training documented — and never for a surgical act.
The gate that catches operators in Maryland
The Board of Physicians treats laser hair removal as a SURGICAL act (Declaratory Ruling 00-1, October 2002), which sets the ceiling on who may perform it: physicians, certified nurse practitioners, RNs under the Board of Nursing’s own ruling, and PAs.
Three regulators to keep straight: the Board of Physicians defines which procedures are medical, the Board of Nursing governs nursing scope, and facility licensing sits elsewhere again.
What makes the exam defensible
Nobody is ever asked to produce a good faith exam on a good day. The request arrives after a complication, a board complaint, an insurance audit or a buyer’s diligence. Five things decide whether what you hand over helps you:
- A qualified practitioner, permitted in that state, actually performed it.
- A real evaluation happened — history, indications, contraindications, and a decision.
- The treatment plan and the order are specific: drug or device, site, dose or settings.
- Informed consent was taken and recorded before treatment, not after.
- The record still exists, unaltered and retrievable, two years later when somebody asks.
Only the first of those is state-specific. The other four fail in exactly the same way in Maryland as everywhere else, and they are where most exam processes actually break — not on the licence question, but on documentation nobody kept.
How Maryland sits on structure
Corporate practice of medicine. Yes. No business entity may practise medicine, and none may employ physicians to deliver professional medical services.
The exam and the structure are separate questions and they fail separately. A perfectly documented exam performed inside an entity that may not lawfully deliver the service is still a problem, and a clean entity does not save a rubber-stamped exam. See medical direction in Maryland for the structure side.
What MDside provides in Maryland
- Maryland-licensed physicians performing the exam themselves — not a queue of signatures.
- A written evaluation, treatment plan and order per patient, in a record you keep and can export.
- Protocols and delegation written to Maryland, matched to the services actually on your menu.
- A named Maryland medical director doing the work, where your structure needs one.
- 503A and 503B pharmacy relationships and in-house lab draws where the treatment calls for them.
Book a call and we will read your current exam process against the five tests above, in Maryland and any other state you operate in. The review is free and you are not obliged to use us for the fix.
Read the detail on Maryland
Frequently asked questions
Who can perform a good faith exam in Maryland?
Physician or an authorised licensee.
Can the exam be done by telehealth in Maryland?
That depends on the state rule above and on the treatment. Where we have verified a restriction it is stated on this page; where the position is unsettled we say so rather than guess, and we confirm it with the board before you build a remote funnel.
Does Maryland require a physician medical director?
MD or DO, with the administrative side held by a separately owned management company.
What happens if the exam is not documented?
The exam effectively did not happen. In a complaint, an audit or a sale, an undocumented evaluation is treated as no evaluation — which is why the record, not the call, is the thing you are actually buying.
Primary sources for Maryland: Md. Health Occ. § 14-303(a); Board of Physicians Declaratory Ruling 00-1 (Oct 2002); COMAR 10.32.09. Last reviewed 2026-09-03. Corrections are welcome and get made: contact us.
General information about good faith exams and practice structure in Maryland, not legal advice. Requirements differ by state and change often. Confirm your obligations with healthcare counsel licensed in Maryland.