The short answer for Vermont. An evaluation and order by a practitioner permitted to make it. § 9772’s stated purpose is to keep clinical and treatment decisions EXCLUSIVELY in the hands of health care providers.
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 Vermont against primary sources, and says so plainly where a question is unsettled.
Who may perform the good faith exam in Vermont
An evaluation and order by a practitioner permitted to make it. § 9772’s stated purpose is to keep clinical and treatment decisions EXCLUSIVELY in the hands of health care providers.
Medical director. A Vermont-licensed MD or DO with genuine authority over clinical decisions. Vermont grants nurse practitioners full practice authority within NP scope.
Delegation and supervision. NP independent within scope; PA under the applicable arrangement; RN within scope on a valid order.
The gate that catches operators in Vermont
⚠️ § 9773: EVERY health care facility AND EVERY management services organization must file with the Green Mountain Care Board ON OR BEFORE 1 MARCH 2027 — the full ownership report if a private equity group or hedge fund held an interest as of 1 June 2026, otherwise an ATTESTATION that none did. There is no “not applicable” option.
§ 9772 enumerates four forms of interference with provider judgment and eight controls that may not be exercised or delegated — the clearest published articulation of improper MSO control in the country, and worth using as a checklist outside Vermont.
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 Vermont as everywhere else, and they are where most exam processes actually break — not on the licence question, but on documentation nobody kept.
How Vermont sits on structure
Corporate practice of medicine. NEW. H.583 was signed 15 June 2026 and took effect 1 July 2026 — drafted as a CONTROL and DISCLOSURE statute rather than an ownership ban.
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 Vermont for the structure side.
What MDside provides in Vermont
- Vermont-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 Vermont, matched to the services actually on your menu.
- A named Vermont 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 Vermont 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 Vermont
Frequently asked questions
Who can perform a good faith exam in Vermont?
An evaluation and order by a practitioner permitted to make it. § 9772’s stated purpose is to keep clinical and treatment decisions EXCLUSIVELY in the hands of health care providers.
Can the exam be done by telehealth in Vermont?
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 Vermont require a physician medical director?
A Vermont-licensed MD or DO with genuine authority over clinical decisions. Vermont grants nurse practitioners full practice authority within NP scope.
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 Vermont: Vt. H.583 (2026), § 9772, § 9773; 26 V.S.A. ch. 23 (Medicine). Last reviewed 2026-09-03. Corrections are welcome and get made: contact us.
General information about good faith exams and practice structure in Vermont, not legal advice. Requirements differ by state and change often. Confirm your obligations with healthcare counsel licensed in Vermont.