Nevada good faith exam requirements

Who can perform a good faith exam in Nevada

Nevada-licensed physicians (MD/DO), advanced practice registered nurses (APRNs) with prescriptive authority, and physician assistants under physician supervision. The performing provider must hold a current Nevada license and prescriptive authority appropriate to the medication being prescribed.

Visit format rules in Nevada

Synchronous visit required: Yes. Audio-only permitted: No. Prior in-person exam required: No. Synchronous audio-visual is the standard for Nevada telehealth GFE. Audio-only is permitted in limited circumstances but is not sufficient for new-patient GFE for compounded medications, controlled substances, or aesthetic treatments.

When a good faith exam is required in Nevada

Nevada requires GFE before any new prescription via telehealth, before initiating compounded medication therapy (GLP-1, hormone, peptides), before aesthetic medical procedures, before administering IV therapy, and before ordering diagnostic studies that inform treatment.

What must be documented

Patient identification verification Medical history including current medications and allergies Clinical assessment supporting the prescribed treatment Medical decision-making with rationale Treatment plan with dosing and follow-up cadence Documentation of synchronous audio-visual telehealth encounter Provider signature with Nevada license credentials

Enforcement context in Nevada

Nevada has been particularly active in enforcing GFE compliance against telehealth aesthetic and IV therapy programs serving the Las Vegas market. The Nevada State Board of Medical Examiners and Board of Pharmacy have issued cease-and-desist orders against multiple non-compliant programs in 2025-2026.

Statutes and rules cited

NRS 630.020 — Nevada practice of medicine: Defines the practice of medicine in Nevada and establishes that practitioners must be Nevada-licensed to practice on Nevada patients — including telehealth practice. NRS 633.171 — Telehealth practice standards: Establishes telehealth practice standards in Nevada including the requirement to meet the same standard of care as in-person practice. NAC 630.420 — Board of Medical Examiners regulations: Nevada Board of Medical Examiners regulations on prescribing, examination, and documentation standards.

Frequently asked questions

Does Nevada require the prescribing physician to be Nevada-licensed?

Yes. NRS 630.020 requires that any practitioner treating Nevada patients hold a current Nevada license. This applies to telehealth practice — out-of-state providers cannot prescribe to Nevada patients without obtaining Nevada licensure or qualifying for a specific telehealth licensure exception.

What is Nevada's stance on IV therapy GFE?

Nevada requires a good faith examination by a Nevada-licensed prescriber before administering IV therapy. The Board of Medical Examiners has issued enforcement actions against IV therapy programs operating without proper GFE workflows or medical director oversight. IV therapy is the practice of medicine in Nevada and requires full GFE compliance.

Can Nevada APRNs independently perform GFE?

Yes — Nevada APRNs with prescriptive authority can independently perform GFE within their scope per Nevada Board of Nursing regulations. APRNs must hold current Nevada licensure and prescriptive authority appropriate to the medication or treatment in question.

What does Nevada enforcement against telehealth GFE look like?

Nevada Board of Medical Examiners and Board of Pharmacy disciplinary actions in 2025-2026 cite: prescribing without Nevada licensure, asynchronous-only GFE, template-only chart notes, no documented medical decision-making, and IV therapy administration without prescribed GFE. Penalties include cease-and-desist orders, fines, and license revocation.