We often think about Botox and dermal fillers such as Restylane and Juvederm as cosmetic, “fun” treatments that can be doled out in a spa or party-like setting, but it is important to remember that these are FDA-approved drugs/devices that require a prescription in the state of California before they can be used on a patient. Like any other prescription product, you need a medical history and exam prior to receiving them to make sure you are healthy and a good candidate for treatment. This means that while an RN (registered nurse) may inject you, you need a Good Faith Exam given by a practitioner with an advanced medical degree. This is usually an NP (nurse practitioner), PA (physician assistant) or an MD. A Good Faith Exam only happens once, prior to your first injection, and after that, you do not have to have further exams before the same injection procedure.

While it may sound like an inconvenience or hassle, we understand. We admit that it is really a formality, but we perform Good Faith Exams at Celibre Medical because it is mandated by the state law and it’s the standard of care set forth by both the California medical and nursing boards. Before you think that doesn’t really matter, consider these three points:

  1. The laws are in place for your safety and protection. Like we stated above, these products are prescriptions that have undergone rigorous FDA testing and approval. Despite their proven record of safety, there are people who shouldn’t receive them. While most patients are often aware of the restrictions on these treatments, some aren’t. A Good Faith Exam ensures that all the “ducks are in a row” prior to your injection. This reduces the risk of unwanted, dangerous side effects and/or unforeseen problems down the road. Lastly, it’s the law. Here at Celibre, we only provide the highest level of medical care, so we adhere to each and every law pertaining to what we do here in the state of California.
  1. Many facilities don’t perform Good Faith Exams because it costs more to do so. Having an advanced degree practitioner on staff to perform these exams costs more than simply having RN’s that can perform the injections. But if a practice is willing to skimp on costs like that regarding the safety and protection of their patients, what else are they willing to skimp on?
  1. If a facility doesn’t know about Good Faith Exams, what else don’t they know? If you’re a first-time injection patient asking about a Good Faith Exam and you’re met with a blank stare, you may want to consider going elsewhere. It is hard to decide what’s worse: knowing about the state law and ignoring it anyway or simply not knowing in the first place.

Each state has its own unique laws that dictate the standard of practice prior to receiving cosmetic injections. Just to clarify, in California you only need one Good Faith Exam by a NP, PA or MD if an RN is providing your first injection treatment. After that, you may see the RN for continued treatment without further exams. And while it may seem like an unnecessary step, it is in place for your protection, and here at Celibre we respect and uphold the current laws in place that govern our practice.


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