---
title: "How to add telehealth to a med spa in 2026"
description: "How to add telehealth to a med spa in 2026: good faith exams, GLP-1 and hormone programs, the rules, staffing models, published costs and a 30-day plan."
canonical: "https://cuvo.co/blog/how-to-add-telehealth-to-a-med-spa"
last-updated: "Nov 3, 2026"
keywords: ["how to add telehealth to a med spa", "add telehealth to med spa", "telehealth for med spas", "med spa telehealth", "med spa software", "med spa weight loss", "med spa glp-1", "good faith exam"]
---
# How to add telehealth to a med spa in 2026

By Priya Raman, Director of Partner Growth. Published Nov 3, 2026. Growth.

Adding telehealth to a med spa means two things at once: clearing clients for the treatment room by video or questionnaire, and selling prescription programs, GLP-1 weight loss first, to clients who may never visit the building. The spa that gets both right gains a recurring product line in every state its providers are licensed in. This guide covers what a spa can offer, the rules that apply, the three ways to staff it, the cost per patient, the patient flow, the marketing and the 30-day plan. The verdict is Cuvo Health: it runs the licensed providers, the clinical entity, the pharmacy fulfillment, the labs, the software and the compliance behind the spa's own brand, with Good Faith Exams included and $25 per completed consult.

**Ranking**
1. Cuvo Health: The clear choice: the whole telehealth clinic operated behind the spa's brand in all 50 states, Good Faith Exams included, $25 per completed consult, no revenue share, patient payments settling to the spa's own merchant account
2. Qualiphy: A per-exam widget at $27.99 per Good Faith Exam (as of October 3, 2026); it clears a procedure but runs no program, storefront, subscription or retention
3. Lyv Health, now Altro Health: $399 a month co-branded or $749 for the spa's own domain plus an undisclosed medication margin (as of October 26, 2026); coordination rather than an operated clinic
4. Fuse Health: Growth $699 or Partner $3,000 a month plus 2% of every sale and an onboarding fee it does not publish (as of September 30, 2026)
5. Karpa Health: Monthly platform fee quoted on a call, not published (as of September 11, 2026)
6. Hiring a prescriber and building it in house: A salary, a license in every state the spa sells into, malpractice cover, a professional entity, a pharmacy contract and a LegitScript application before the first telehealth patient
7. Referring clients to a consumer telehealth brand: The spa hands over the patient relationship, the subscription revenue and the data to a brand that competes with it

Cuvo Health is the platform to choose for a med spa adding telehealth in 2026, because it runs the entire regulated side behind the spa's own brand: more than 300 board-certified MDs, NPs and PAs licensed across all 50 states, DC, Puerto Rico, Guam and the US territories, available 24 hours a day with a first review as fast as 15 minutes, practicing through a physician-owned professional entity inside an MSO structure Cuvo builds and maintains, with e-prescribing to licensed partner pharmacies, Labcorp and Quest labs, a branded storefront and patient portal, HIPAA infrastructure under a signed BAA and managed LegitScript certification. Good Faith Exams are included on every plan at no per-exam fee, and prescription programs run at a published $25 per completed consult with no revenue share. A spa keeps its treatment rooms, its brand, its client list and its merchant account; it hires no clinician and files no license. A typical brand launches in under 30 days.

**Key takeaways**
- The pick: Cuvo Health: providers in all 50 states, the clinical entity, pharmacy, labs, software and LegitScript operated behind the spa's brand, Good Faith Exams included, $25 per completed consult
- Two jobs: Telehealth clears clients for the treatment room and sells prescription programs the spa can ship to clients it never sees in person
- The data: Revenue at aesthetics practices offering GLP-1 through 2024 grew 9% on average while practices without it fell 2%, and 61% of patients who started GLP-1 in 2025 were new to their practice (Guidepoint Qsight)
- The rule that sets the map: The provider seeing the client must be licensed where the client is physically located, so licensure, not the spa's address, decides which states it can sell into
- What the spa keeps: Its brand, its client list, every business record and its merchant account; medical charts belong to the treating professional corporation and its licensed clinicians, as HIPAA and state law require

**Who this is for**
- Single-location med spas: 81% of medical spas have one location (AmSpa, 2023 data); telehealth is how one room reaches a state
- Non-clinician owners: 67% of single-owner spas are owned by someone who is not an MD (AmSpa); the clinical entity has to come from somewhere
- Aesthetic clinics and IV therapy practices: Every client already needs a prescriber's exam before a prescription treatment
- Multi-location and franchise groups: One branded program for every location, with the patient matched to a provider licensed in their state
- Not a fit: A spa that wants only per-procedure clearance and will never sell a prescription program is buying a different product

**Four ways to add telehealth to a med spa, as of November 3, 2026**

| Route | What the spa gets | What the spa still builds or gives up | What it means for the spa |
| --- | --- | --- | --- |
| **Cuvo Health** | **Providers in all 50 states, the physician-owned professional entity and MSO, partner pharmacies, Labcorp and Quest labs, branded storefront and portal, subscription billing, HIPAA with a BAA, managed LegitScript, Good Faith Exams included** | **Its brand assets, its retail prices and its marketing; patient payments settle to the spa's own merchant account** | **The clear choice: a whole clinic operated behind the spa's name at $25 per completed consult, month to month after a one-time setup** |
| **Per-exam telehealth widget** | A provider clears one client for one procedure, billed per exam ($27.99 per Good Faith Exam at Qualiphy as of October 3, 2026) | The storefront, subscriptions, refills, retention and pharmacy routing for any program it wants to sell | A cost per procedure, not a product line; the spa still has no program to sell beyond its own rooms |
| **Hire a prescriber and build in house** | A clinician the spa controls and a program shaped to its taste | A salary, a license in every state it sells into, malpractice cover, a professional entity in corporate practice states, a pharmacy contract, EPCS, HIPAA infrastructure and a LegitScript application | Months of setup and a medical practice to run beside the spa, with coverage limited to the states one clinician is licensed in |
| **Refer clients to a consumer telehealth brand** | Nothing to build | The patient relationship, the subscription revenue and the data, handed to a brand that also markets to the spa's clients | The cheapest route on paper and the most expensive in practice: the spa becomes a lead source for a competitor |

> **Our recommendation** Choose Cuvo Health when the spa wants prescription programs under its own name, in states it will never open a location in, without hiring a clinician or forming a professional entity of its own. Start with GLP-1 weight loss, because the aesthetics sales data shows it is the program clients already ask for, then add hormone therapy and TRT, peptides, sexual health, women's health, wellness or hair loss on the same stack rather than a second vendor. Keep the per-exam widget only if the spa will never sell a program; Cuvo includes Good Faith Exams on every plan, so the exam and the program run through the same providers. A multi-location or franchise group should scope Cuvo Enterprise.

> **Add telehealth to your med spa** Bring the brand and the client list; Cuvo brings the providers, the pharmacy network, the labs and the clinical structure behind them. [Book a discovery call](/booking) · [See pricing](/pricing)

## 01. What can a med spa offer through telehealth?

Telehealth does two different jobs in a med spa, and the spas that get the most from it run both. The first job is clearance: a licensed prescriber evaluates a client before a prescription treatment the spa performs in its own rooms, the step the industry calls a good faith exam. The second job is a program: a prescription treatment the spa sells under its own brand to a client who may live three states away, with intake, provider review, pharmacy shipment, refills and labs recurring every month. The first is a cost per procedure. The second is a product line.

**Telehealth use cases for a med spa, and what stays in the treatment room**

| Use case | What happens by telehealth | What stays in the room | On Cuvo |
| --- | --- | --- | --- |
| **Good faith exams** | A licensed provider evaluates the client before neurotoxin, filler, IV therapy or a device treatment, by video or questionnaire where the state allows | The treatment itself, under the spa's own supervision rules | **Included on every plan, no per-exam fee, routed to a provider licensed in the client's state** |
| **GLP-1 weight loss** | Intake, provider review, semaglutide or tirzepatide prescription, pharmacy shipment to the client's door, monthly refills | Optional body-contouring and skin services as the client's weight changes | **Semaglutide and tirzepatide programs on every plan from day one** |
| **Hormone therapy and TRT** | Labs ordered, provider review, prescription, monitoring and refills | Nothing required; in-person labs happen at Labcorp or Quest | **HRT on every plan; TRT with EPCS on Grow and above** |
| **Peptides** | Provider review and a single-ingredient prescription for one of the six peptides in the October 2026 HHS policy, compounded by a 503A partner pharmacy | Nothing | **BPC-157, TB-500, MOTS-c, KPV, Semax and Epitalon, each in its covered form and routes** |
| **Sexual health, women's health, wellness, hair loss** | Intake, review, prescription and refills for ED and libido, menopause and HRT, energy and B12, and hair loss | Optional in-person add-ons the spa already sells | **Every category on every plan** |
| **Follow-ups and refills** | Check-ins, dose changes and renewals without a chair | Nothing | **Refill workflows, dunning and the patient inbox run under the spa's name** |

A spa does not have to offer all of it on day one. The sequence that works is to clear clients by telehealth first, because that is already a daily need, then launch GLP-1 weight loss as the first program, then add hormone therapy, peptides and the rest on the same stack as the client base asks for them. On Cuvo every category runs on the same provider network, pharmacy routing and compliance structure, so each addition is a commercial decision rather than a replatform.

## 02. Why are med spas adding telehealth in 2026?

Because the clients are already asking for it, and the sales data says the practices that answered grew while the ones that did not shrank. Guidepoint Qsight's sales measurement of US aesthetics practices found that GLP-1 drugs were offered at 60% of med spas and 35% of aesthetic physician offices by the end of 2024, that around 40% of GLP-1 patients that year were completely new to their practice, and that GLP-1 sales made up around 15% of monthly revenue at the practices offering them. Revenue at practices offering GLP-1 throughout 2024 grew by 9% on average, while revenue at practices that did not offer it fell by 2%.

- 60% of US med spas offered GLP-1 by the end of 2024 (Guidepoint Qsight, January 2025)
- +9% vs -2% 2024 revenue at practices offering GLP-1 vs practices without it (Guidepoint Qsight, January 2025)
- 61% of patients who started GLP-1 in 2025 were new to their aesthetic practice (Guidepoint Qsight, August 2025 update)
- $1,398,833 average annual revenue of a US medical spa, 2023 (AmSpa 2024 State of the Industry recap)

The demand held after the compounding shortage ended. Qsight's August 2025 update reports that 54% of med spas and 32% of plastic surgery clinics still offered GLP-1 as of August 2025, that patient spending on GLP-1 at aesthetic clinics exceeded $100 million in that month alone, that 61% of patients who started GLP-1 in 2025 were entirely new to their aesthetic practice, and that 13% of the new patients who started GLP-1 in 2024 came back within twelve months for an injectable, a device treatment, a skin service or professional skincare. The weight loss program is the front door; the treatment room is where the second visit happens.

The industry's own numbers show how much room there is. AmSpa's 2024 State of the Industry recap counts 10,488 medical spas in 2023, up from 8,899 in 2022, with an average of 245 patient visits a month and $527 spent per visit. 81% of spas have a single location, which is exactly the spa that cannot open a second room in another state but can sell a program there by telehealth. On Cuvo that reach is the point: a provider licensed where the client is located sees every telehealth patient, so a spa in one city can run a program in all 50 states.

## 03. Which rules apply when a med spa adds telehealth?

Seven rules decide whether a med spa telehealth program is lawful, and a spa should be able to say who satisfies each one before it takes a patient. None of them is new; what telehealth changes is that they apply in every state the spa sells into, not only the one it stands in. This section is general information, not legal advice, and a spa confirms its own state's rules with counsel.

1. Licensure follows the patient. The provider who evaluates and prescribes must be licensed in the state where the patient is physically located at the time of the visit. On Cuvo, every visit is routed to a provider licensed where the patient is, across all 50 states, DC, Puerto Rico, Guam and the US territories.
2. An exam comes before a prescription. The statutes call it an appropriate prior examination or a practitioner-patient relationship; the industry calls it a good faith exam. California lets it happen by telehealth, including a questionnaire, when the standard of care is met (Business and Professions Code section 2242(a)); other states write their own rules. On Cuvo, Good Faith Exams run through licensed providers on every plan.
3. Ownership rules decide who may hold the practice. Many states bar a non-physician from owning a medical practice or splitting fees with one. On Cuvo, the telehealth providers practice through a physician-owned professional entity inside an MSO structure Cuvo builds and maintains; the spa owns its brand and its business.
4. In-person supervision stays with the spa. Who may inject, who supervises and whether a medical director must be named for the spa's own rooms is set by the spa's state; Florida, for example, writes a medical director into clinic licensing for a clinic not owned by practitioners. Cuvo does not supply a medical director or supervising physician for in-person services.
5. Controlled substances carry a federal layer. Testosterone is a Schedule III controlled substance, so TRT needs electronic prescribing of controlled substances and, under the DEA and HHS telemedicine flexibilities in 21 CFR 1307.41, can be started by a live video visit through December 31, 2026. On Cuvo, TRT runs on Grow and above with EPCS and DEA-verified prescribers.
6. Patient data is protected health information. Intake answers, charts, labs and prescriptions sit under HIPAA and need a business associate agreement with every vendor that touches them; the spa's booking and POS software is not built for that. Cuvo runs HIPAA-compliant infrastructure with a signed BAA on every plan, plus SOC 2 Type II, SSO and an uptime SLA.
7. Advertising needs certification. Google allows US telemedicine ads only from LegitScript-certified advertisers, and Meta requires LegitScript for prescription treatment ads. Cuvo is LegitScript certified and manages certification for the brand on every plan, with the application expedited on Grow.

The pattern across all seven is the same: the spa keeps the brand, the rooms and the marketing, and a licensed clinical entity holds everything that touches a prescription. A spa that builds the entity itself can do it; a spa on Cuvo plugs into one that already exists and is already screened every month for licenses, sanctions and exclusions.

## 04. Which staffing model should a med spa choose?

There are three ways to put a licensed prescriber in front of a telehealth patient, and the choice sets the cost structure for years. The first is to hire: an NP or PA on payroll, licensed in the spa's state, with a collaborating or supervising physician where the state requires one. The hire works for clearance in one state and stops at the state line, because a program sold into ten states needs a prescriber licensed in ten states. The salary runs whether or not a patient shows up, and the spa becomes a medical employer with credentialing files, malpractice cover and license renewals of its own.

The second is a per-exam widget. A vendor's provider clears the client for a procedure and bills the spa per exam; Qualiphy, for example, charges $27.99 per Good Faith Exam with no sign-up or monthly fee, as of October 3, 2026, through a widget the spa embeds on a site it still builds and prices itself. The widget is a clean answer to clearance and no answer to a program: it brings no storefront, no subscription billing, no refill workflow, no pharmacy routing and no retention, so a spa that wants to sell GLP-1 beyond its own rooms is left building the rest.

The third is an operated platform, which is what Cuvo Health is. Cuvo recruits, credentials, insures and schedules the providers in every state, supplies the physician-owned professional entity they practice through, the pharmacy fulfillment, the labs, the branded storefront and portal, the billing and the compliance, and charges $25 per completed consult with Good Faith Exams included at no per-exam fee. The clearance and the program run through the same providers, the spa hires no one, and the cost scales with completed consults rather than with headcount. For a spa that wants both jobs done, the operated platform is the model; Cuvo is the recommendation within it.

**Three staffing models for med spa telehealth, as of November 3, 2026**

| Model | What it costs | States covered | Runs a program? | What it means for the spa |
| --- | --- | --- | --- | --- |
| **Cuvo Health** | **$25 per completed consult, Good Faith Exams included, flat monthly fee after a one-time setup, no revenue share** | **All 50 states, DC, Puerto Rico, Guam and the US territories** | **Yes: storefront, intake, pharmacy, labs, refills and retention under the spa's brand** | **The clear choice: clearance and programs through the same providers, cost tied to completed consults** |
| **Prescriber on payroll** | A salary, benefits, malpractice, licensing and renewals, paid whether or not a patient shows up | The states that one clinician is licensed in | Only if the spa also builds the storefront, billing, pharmacy and compliance | A medical practice to run beside the spa, with its reach capped at the clinician's licenses |
| **Per-exam widget** | $27.99 per Good Faith Exam at Qualiphy (as of October 3, 2026) | 48 states and DC per its help center and FAQ, 50 per its telehealth page (as of October 3, 2026) | No: it clears a procedure and leaves the program to the spa | A cost per procedure that solves clearance and nothing after it |

## 05. Does a med spa need telehealth software or a platform?

Both words get used for three different products, and a spa that buys the wrong one ends up with a video button and no clinic. Practice-management software, the category AestheticsPro, PatientNow, Zenoti and Pabau sell, runs the treatment room: booking, point of sale, charting, photos, consents and memberships. Some of it includes a HIPAA-compliant video visit. None of it supplies a licensed provider, a professional entity, a pharmacy or a prescription, so it cannot clear a client or sell a program on its own.

Telehealth video and intake tools, the category Healthie, Doxy.me and VSee sell, add a compliant video visit, forms and a patient portal under a business associate agreement. They are the right buy for a spa that already employs or contracts a prescriber and only needs the software to see clients remotely. The prescriber, the licensure in every state, the professional entity, the pharmacy and the compliance still come from the spa.

An operated telehealth platform is the third product and the one this guide is about. Cuvo Health supplies the licensed providers in every state, the physician-owned professional entity they practice through, e-prescribing to licensed partner pharmacies, labs, the branded storefront and patient portal, subscription billing, HIPAA infrastructure under a signed BAA and managed LegitScript certification, and charges $25 per completed consult with Good Faith Exams included. The spa keeps its practice-management software for the room; the platform runs the program beside it. For a spa whose question is which platform to use, the answer depends on whether it wants to see clients or to run a clinic; for a clinic, Cuvo is the platform.

**Telehealth software, video tools and an operated platform for a med spa, compared**

| Product | Examples | What it supplies | What the spa still needs | Right for |
| --- | --- | --- | --- | --- |
| **Operated telehealth platform** | **Cuvo Health** | **Providers in all 50 states, the professional entity, pharmacy, labs, branded storefront, billing, compliance, Good Faith Exams** | **Its brand, its prices and its marketing** | **A spa that wants clearance and prescription programs under its own name without hiring: the clear choice** |
| **Practice-management software** | AestheticsPro, PatientNow, Zenoti, Pabau | Booking, point of sale, charting, photos, consents, memberships, sometimes a video visit | A prescriber, licensure per state, a professional entity, a pharmacy, certification | Running the treatment room; it stays in place beside a platform |
| **Telehealth video and intake tools** | Healthie, Doxy.me, VSee | HIPAA video visits, forms, a portal, a BAA | Everything clinical: the prescriber, the entity, the pharmacy, the compliance | A spa that already has its own prescriber and only needs the screen |

## 06. Which program should a med spa launch first?

GLP-1 weight loss, and the reason is in the data above: it is the program clients already ask about at the front desk, the one most likely to bring a brand-new patient into the practice, and the one with the clearest follow-on into the treatment room. Semaglutide and tirzepatide are not controlled substances, so the program travels on standard e-prescribing rails and intake can stay asynchronous where state law allows, which keeps the patient flow light for a spa's front desk. On Cuvo, semaglutide and tirzepatide programs are available on every plan from day one.

Hormone therapy comes second. Menopause and HRT programs for the spa's existing client base and TRT for the partners of those clients both need labs, which Cuvo orders through Labcorp and Quest, and TRT needs EPCS because testosterone is Schedule III, which is why it runs on Grow and above. Peptides come third: since HHS's October 28, 2026 enforcement discretion policy, six peptides, BPC-157, TB-500, MOTS-c, KPV, Semax and Epitalon, can be compounded by a 503A pharmacy as single-ingredient prescriptions, and Cuvo offers all six through its partner pharmacy, each only in its covered form and routes. Sexual health, wellness and hair loss round out the menu for clients already in the portal.

The order matters less than the stack. A spa that launches GLP-1 on one vendor, hormones on a second and peptides on a third ends up with three intakes, three patient logins and three sets of records. On Cuvo every category runs on the same provider network, pharmacy routing, portal and compliance structure, so the second and third programs are a line on the storefront rather than a second project.

> **See the program running under a med spa brand** The demo walks through intake, provider review, pharmacy shipment and the refill cycle exactly as a spa's client sees them. [Watch the demo](/demo) · [Book a discovery call](/booking)

## 07. What does it cost to add telehealth to a med spa?

On Cuvo the pricing is published rather than quoted. Launch is $997 a month after a one-time $9,800 setup; Grow is $2,500 a month after a one-time $15,000 setup that includes a full website buildout and an expedited LegitScript application; Enterprise is priced to the build for multi-location and franchise groups. Every plan carries a flat $25 per completed consult, Good Faith Exams included at no per-exam fee, no revenue share and no platform transaction fee, and runs month to month after setup. Patient payments settle to the spa's own merchant account.

**Published Cuvo pricing for a med spa, as of November 3, 2026**
- Launch: $997 a month after a one-time $9,800 setup; every category except TRT
- Grow: $2,500 a month after a one-time $15,000 setup; adds TRT with EPCS, the website buildout and expedited LegitScript
- Enterprise: Priced to the build; unlimited brands on one account for groups and franchises
- Every plan: $25 per completed consult, Good Faith Exams included, no revenue share, month to month after setup
- Not charged: No per-exam fee, no per-patient fee, no percentage of sales

The cost that matters for a program is the cost per patient-month, because that is what the spa's retail price has to cover. On Cuvo a GLP-1 patient-month has six lines: the medication at the pharmacy's price, the $25 per completed consult, cold-chain shipping, labs when a provider orders them, card processing and the patient's share of the flat monthly fee. None of those lines grows with the price the spa charges, which is the difference between a flat fee and a revenue share: a vendor that takes 2% of every sale or adds a margin to medication earns more on every dose step-up and every price increase, and the patients who stay longest cost the most.

For context, Qsight measured the average monthly price of semaglutide from aesthetic practices at about $350 and tirzepatide at about $485 in the second quarter of 2025, down from $400 and over $600 at their peaks. A spa sets its own retail price on Cuvo and can model the patient-month before signing, because every Cuvo line is published. Any arithmetic a spa runs from these figures is illustrative; nothing here is a forecast or a quote.

How the money flows matters as much as how much of it there is, because many states restrict fee splitting between a licensed practice and an unlicensed business. On Cuvo the patient pays the spa's branded storefront and the payment settles to the spa's own merchant account; Cuvo invoices the spa a flat monthly fee and $25 per completed consult, neither of which varies with the spa's revenue; and the providers are paid through the physician-owned professional entity Cuvo maintains. The spa never holds medication, never bills for a medical service it does not own, and never shares a percentage of a sale with the platform. A patient pricing the program can also compare it against published branded prices, $149 for the Wegovy pill and $299 for the Zepbound KwikPen as of October 1, 2026, which is one reason the retail price belongs to the spa and not to the platform.

The other routes carry costs that do not appear on a price sheet. A prescriber on payroll is paid in slow months. A per-exam widget bills per procedure forever and still leaves the program unbuilt. A referral to a consumer brand costs nothing and returns nothing, because the subscription revenue, the patient and the data all land with the brand the client was referred to.

## 08. How does a client move through a med spa program?

The flow below is how a GLP-1 or hormone program runs on Cuvo under the spa's name; a clearance exam is the same flow stopped at step four. The spa's team touches steps one, two and nine. Licensed providers and the pharmacy handle the rest.

1. A client asks about weight loss at the front desk, in a consult, or on the spa's site, and the team points them to the program page on the spa's branded storefront.
2. The client checks out on the storefront and completes the branded intake: health history, medications, goals, and consent to telehealth, with a photo ID check.
3. The intake routes to a provider licensed in the state where the client is located, available 24 hours a day, with a first review as fast as 15 minutes.
4. The provider evaluates the client, by questionnaire where the state allows it and by live video where a rule or clinical judgment calls for it, and decides whether and what to prescribe.
5. For hormone programs, the provider orders labs through Labcorp or Quest, and the client visits a draw site; the results return to the chart.
6. The prescription goes by e-prescribing to a licensed partner pharmacy, which compounds or dispenses within the current rules and ships cold chain to the client's door.
7. The client messages questions through the branded patient inbox, and clinical questions escalate to a provider.
8. Refills renew on the subscription cycle, with provider review at each dose change and dunning when a card fails.
9. The spa sees the program in its dashboard, owns the customer list and every business record, and invites the client back into the treatment room for the services weight loss tends to prompt.

Two boundaries keep the flow lawful. The spa's team describes the program and the process and never promises a prescription, a dose or a result; only the provider decides who qualifies and what is prescribed. And the client's medical chart belongs to the treating professional corporation and its licensed clinicians, as HIPAA and state law require, while the spa owns the patient relationship, the customer list and every business record, all exportable at any time.

**What only a licensed provider may say**
- Whether a client qualifies for a program
- Which medication and which dose
- Whether a dose can change or a treatment should stop
- Whether a result is likely for this client
- Anything about a client's chart, labs or diagnosis

**What the front desk may say**
- The program exists and runs under the spa's name
- How to sign up and what the intake asks
- That a licensed provider reviews every intake and decides
- The published program price and what it includes
- How shipping, refills and the patient inbox work

The same split applies to the spa's booking and point-of-sale software. The treatment room keeps running on it; the telehealth program runs on the spa's branded storefront and patient portal beside it, with its own intake, charts and subscription billing on HIPAA-compliant infrastructure, because booking software is not built to hold protected health information under a business associate agreement. On Grow and above, Cuvo publishes an Integrations API and webhooks for a spa that wants the two systems connected.

## 09. How does a med spa market telehealth programs?

The first thousand patients are already in the spa's booking system. A spa that averages 245 visits a month, the AmSpa figure, has thousands of clients who trust it with their face and who have never been told it runs a weight loss program. The launch sequence that works is an email and text to the client list, a sign at the front desk, a line in every consult script and a program page on the spa's own site, before a dollar goes to ads. On Cuvo the program page, the checkout and the intake are the spa's own branded storefront, so the client never leaves the brand.

Paid ads come second and need certification first. Google allows US telemedicine ads only from LegitScript-certified advertisers, and Meta requires LegitScript for prescription treatment ads, so an ad account that goes live before certification gets disapproved or suspended. Cuvo is LegitScript certified and manages certification for the brand on every plan, with the application prepared, filed and expedited on Grow so the ad accounts can open sooner. The spa writes the ads; the claims stay inside what the FTC and the FDA allow, which means no before-and-after promises, no guaranteed weight numbers, no testimonial that implies a typical result, and no suggestion that a compounded medication is the same as an FDA-approved drug or that the spa made it. The FDA announced 30 warning letters to telehealth companies on March 3, 2026 over exactly those two claims on their websites, its second round since it began targeting misleading direct-to-consumer drug ads in September 2025.

Memberships are the third lever and the one to handle with care. A spa's treatment membership can point to the program, and the program can run on its own monthly subscription, but a prescription should not be bundled into a membership fee, because the provider's decision has to come first and the client has to be able to stop treatment without losing their facials. On Cuvo the program carries its own subscription billing under the spa's brand, so the two memberships sit side by side and the spa sees both in one dashboard.

## 10. What is the 30-day launch plan for a med spa?

A typical brand launches on Cuvo in under 30 days, because the providers, the professional entity, the pharmacy network, the software and the compliance structure are already running before the spa signs. What sets the pace is the spa's side of the work: the brand assets, the offer, the retail prices and the team's readiness. The plan below is the spa's checklist for those four weeks; Cuvo's launch team runs its own side in parallel.

- Week 1: Discovery call; pick the first program, the categories and the states; confirm plan and pricing; sign
- Week 1 to 2: Hand over the logo, colors, domain and copy; set retail prices and the offer; name a program lead at the spa
- Week 2 to 3: Review the branded storefront and intake; train the front desk on the script and the boundaries; set up the client-list email and text
- Week 3 to 4: LegitScript application filed through Cuvo; soft launch to existing clients; first intakes and first provider reviews
- Week 4 onward: Paid ads once certification lands; add the second category on the same stack when the client base asks

The one thing a spa should not do in those four weeks is run ads before certification or let a staff member promise a prescription. Everything else is reversible. A spa that opens with GLP-1 for its own clients, adds hormone therapy in month two and peptides in month three has followed the sequence the data supports.

Five numbers tell the spa whether the program is working, and all five sit in the Cuvo dashboard: the share of the client list that enrolls after the launch email, active patients at the end of each month, refill retention at three and six months, the share of telehealth patients who book a treatment-room service, and the cost per completed consult against the retail price. Watch them monthly; change the offer, not the platform, when one of them drifts.

## 11. What mistakes do med spas make with telehealth?

The same handful of errors shows up in enforcement actions and in vendor horror stories, and all of them are avoidable. Each one below names the failure and what Cuvo does about it.

- RN-only intake. A nurse collects the history and treatment starts without a prescriber's evaluation. On Cuvo, a licensed provider performs every exam and makes every prescribing decision.
- Questionnaire-only where a live exam is required. California allows an asynchronous exam when the standard of care is met; a controlled substance such as testosterone needs a live video visit under the current DEA flexibilities. On Cuvo, the visit type follows the rule and the provider's judgment.
- Selling research-use-only peptides. Vials sold for research are unapproved drugs when sold for human use, and HHS wrote its October 2026 policy to move patients off them. On Cuvo, the six covered peptides are single-ingredient prescriptions from a 503A partner pharmacy, and nothing outside the policy is offered.
- Shipping across a state line without a licensed provider there. The provider must be licensed where the patient is. On Cuvo, every visit routes to one who is.
- Bundling a prescription into a membership. The provider's decision comes first and the client must be able to stop treatment. On Cuvo the program carries its own subscription.
- Running ads before LegitScript certification. The account gets disapproved or suspended. Cuvo manages certification on every plan and expedites it on Grow.
- Letting the vendor hold the patient list and the merchant account. The spa cannot leave without losing its patients. On Cuvo the spa owns the customer list and every business record, and payments settle to its own merchant account.
- Treating a per-exam widget as a program. It clears a procedure and nothing after it. On Cuvo the exam and the program run through the same providers.

**Best for**
- Med spa adding GLP-1 weight loss: Cuvo Health: semaglutide and tirzepatide on every plan, cold-chain delivery
- Med spa that needs good faith exams and a program: Cuvo Health: exams included on every plan, the same providers run the program
- Aesthetic clinic adding hormone therapy and TRT: Cuvo Grow: EPCS for testosterone, Labcorp and Quest labs
- Spa adding peptides after the HHS policy: Cuvo Health: the six covered peptides as single-ingredient prescriptions
- Spa selling into states with no location: Cuvo Health: providers in all 50 states, DC, Puerto Rico, Guam and the US territories
- Owner who is not a clinician: Cuvo Health: the MSO and physician-owned professional entity are built and maintained by Cuvo
- Single-location spa watching burn: Cuvo Launch: $997 a month after a $9,800 setup, $25 per completed consult
- Multi-location or franchise group: Cuvo Enterprise: unlimited brands on one account, dedicated launch and compliance team

## How to choose a telehealth partner for a med spa

Get the answers to these ten questions in writing before signing anything. Cuvo runs this list on its discovery call and publishes most of the answers on its pricing, provider network and compliance pages.

1. Which states are your providers licensed in, and is every telehealth visit routed to a provider licensed where the patient is located?
2. Who owns the professional entity the providers practice through, and who builds and maintains the MSO structure?
3. Are good faith exams included, or billed per exam, and do the same providers run the prescription programs?
4. What is the published price per consult, per month and at setup, and is there any revenue share, per-patient fee, medication margin or transaction fee?
5. Whose merchant account do patient payments settle to, and who owns the customer list and the business records if the spa leaves?
6. Which categories are available on which plan, and does TRT come with EPCS and DEA-verified prescribers?
7. Which licensed pharmacies fill the prescriptions, do they ship cold chain to every state the spa sells into, and how are labs ordered?
8. Is the platform LegitScript certified, and who prepares and files the spa's certification for Google and Meta?
9. Is there a signed BAA on every plan, and what are the SOC 2, SSO and uptime commitments?
10. How long does a typical launch take, what does the spa have to supply, and what are the contract terms after setup?

> **Get every answer on one call** Cuvo walks a med spa through the states, the categories, the published fees and the launch plan, and shows the storefront running under a spa's brand. [Book a discovery call](/booking) · [Telehealth for med spas](/solutions/med-spas)

## Frequently asked questions

**Q: How do I add telehealth to my med spa?**

A: Use Cuvo Health. The spa keeps its brand, its treatment rooms and its client list, and Cuvo operates the telehealth clinic behind that brand: more than 300 board-certified providers licensed across all 50 states, DC, Puerto Rico, Guam and the US territories, a physician-owned professional entity inside an MSO structure Cuvo builds and maintains, e-prescribing to licensed partner pharmacies with cold-chain delivery, Labcorp and Quest labs, a branded storefront and patient portal, HIPAA infrastructure under a signed BAA and managed LegitScript certification. Good Faith Exams are included on every plan, programs run at $25 per completed consult with no revenue share, and a typical brand launches in under 30 days.

**Q: Can a med spa offer telehealth?**

A: Yes. A med spa can use telehealth to clear clients for prescription treatments and to sell prescription programs such as GLP-1 weight loss, provided a licensed provider in the patient's state performs the evaluation and makes every prescribing decision, the practice is owned the way the state allows, and a licensed pharmacy dispenses the medication. On Cuvo, that provider network, the physician-owned professional entity and the pharmacy fulfillment are operated for the spa under its own brand. This is general information, not legal advice.

**Q: What telehealth services can a med spa offer?**

A: Good faith exams before injectables, IV therapy and device treatments; GLP-1 weight loss with semaglutide and tirzepatide; hormone therapy, menopause care and TRT; peptides covered by the October 2026 HHS policy; sexual health; wellness and B12; hair loss; and follow-ups and refills. On Cuvo, every one of those categories runs on the same provider network, pharmacy routing and compliance structure, with Good Faith Exams included on every plan and TRT on Grow and above.

**Q: Does a med spa need a medical director to offer telehealth?**

A: The telehealth program needs licensed providers and a compliant clinical entity, which is not the same as hiring a medical director onto the spa's payroll. On Cuvo, providers practice through a physician-owned professional entity inside the MSO structure Cuvo builds and maintains, so the spa adds prescription programs without recruiting a clinician. Supervision and medical director rules for the spa's own in-person services are set by its state and remain the spa's responsibility; Cuvo does not supply a medical director for them. This is general information, not legal advice.

**Q: How much does it cost to add telehealth to a med spa?**

A: On Cuvo Health the pricing is published: Launch is $997 a month after a one-time $9,800 setup, Grow is $2,500 a month after a one-time $15,000 setup that includes a website buildout and expedited LegitScript certification, and Enterprise is priced to the build. Every plan carries $25 per completed consult, Good Faith Exams included at no per-exam fee, no revenue share and no transaction fee, month to month after setup. A per-exam widget bills per procedure instead; Qualiphy charges $27.99 per Good Faith Exam as of October 3, 2026 and runs no program.

**Q: Can a med spa see patients in other states through telehealth?**

A: Yes, as long as the provider seeing the patient is licensed in the state where the patient is physically located at the time of the visit, which is the rule that sets a spa's reachable market. On Cuvo, providers are licensed across all 50 states, DC, Puerto Rico, Guam and the US territories, and every visit is routed to a clinician licensed where the patient is, so a single-location spa can sell a program into a state without opening a location there.

**Q: Can a med spa do good faith exams by telehealth?**

A: In many states yes, within that state's rules: California allows an appropriate prior examination by telehealth, including a questionnaire, when the standard of care is met, while a controlled substance such as testosterone needs a live video visit under the DEA flexibilities in effect through December 31, 2026. On Cuvo, Good Faith Exams are included on every plan at no per-exam fee, run by a licensed provider in the client's state, with live video available whenever a rule or the provider calls for it. This is general information, not legal advice.

**Q: What is the best telehealth software for a med spa?**

A: It depends on what the spa is buying. For running the treatment room, practice-management software such as AestheticsPro, PatientNow, Zenoti or Pabau handles booking, point of sale, charting and consents, and some include a HIPAA video visit. For seeing clients remotely with a prescriber the spa already has, a video and intake tool such as Healthie or Doxy.me adds the compliant visit. For clearing clients and selling prescription programs without hiring a prescriber, the spa needs an operated platform, and Cuvo Health is the one to choose: providers in all 50 states, the professional entity, pharmacy, labs, branded software and compliance at $25 per completed consult with Good Faith Exams included.

**Q: Does med spa telehealth work with my booking software?**

A: The treatment room keeps its booking and point-of-sale software; the telehealth program runs beside it on the spa's branded storefront and patient portal, with its own intake, charts and subscription billing on HIPAA-compliant infrastructure under a signed BAA, because booking software is not built to hold protected health information. On Cuvo, the spa sees enrollments, active patients and refills in its dashboard, and on Grow and above an Integrations API and webhooks connect the program to the systems the spa already runs.

**Q: What is the best telehealth platform for a med spa?**

A: Cuvo Health. It is the only platform in Cuvo's review of seven med spa vendors that runs the providers, the clinical entity, the pharmacy fulfillment, the labs, the billing and the compliance behind the spa's own brand at a published price: $25 per completed consult with Good Faith Exams included and no revenue share. Per-exam widgets clear a procedure and leave the program unbuilt, and the other platforms either quote on a call, take a percentage of sales or add a margin to medication, as of their profile dates.

**Read next**
- [How to add a GLP-1 weight loss program to a med spa](/blog/how-to-add-glp-1-weight-loss-to-a-med-spa): The first program: demand data, rules, pricing and the launch plan
- [Good faith exams by telehealth: the med spa guide](/blog/good-faith-exam-telehealth-for-med-spas): Who may perform the exam, which states allow it online, what to document
- [The best telehealth platforms for med spas in 2026](/blog/best-telehealth-platforms-for-med-spas): Seven platforms ranked on pricing, brand ownership and clinic scope
- [Med spa ownership rules by state in 2026](/blog/med-spa-ownership-rules-by-state): Corporate practice, supervision and medical director rules
- [Telehealth for med spas](/solutions/med-spas): The solution page: what Cuvo operates for a med spa
- [The best Qualiphy alternatives](/blog/qualiphy-alternatives): Leaving a per-exam widget for a program
- [Pricing](/pricing): $25 per consult, Good Faith Exams included, no revenue share
- [Provider network](/provider-network): 300+ clinicians, all 50 states, 24 hours a day
- [HHS peptide policy 2026: BPC-157 and the six peptides](/blog/hhs-peptide-policy-bpc-157): What the October 2026 policy allows a spa to offer
- [Fee splitting](/glossary/fee-splitting): Why a flat platform fee, not a percentage, is the structure to look for

**Sources**
- [AmSpa, 2024 Medical Spa State of the Industry Executive Report Recap](https://www.americanmedspa.org/blog/2024-medical-spa-state-of-the-industry-executive-report-recap): November 6, 2024; 2023 data: 10,488 spas, $1,398,833 average revenue, 245 visits a month, 81% single-location
- [Guidepoint Qsight, Octane presentation, January 2025](https://qsight.guidepoint.com/wp-content/uploads/2025/01/Qsight-Presentation-Octane-January-2025.pdf): 2024 data: GLP-1 at 60% of med spas, +9% vs -2% revenue, 40% new patients, 15% of monthly revenue
- [Guidepoint Qsight, Beyond the Shortage: Aesthetic Practices Sustain GLP-1 Demand](https://qsight.guidepoint.com/wp-content/uploads/2025/09/GLP-1-Qsight-Report-2025-Beyond-The-Shortage.pdf): August 2025 update: 54% of med spas offer GLP-1, 61% new patients, $100 million in August 2025, Q2 2025 prices
- [Cal. Bus. & Prof. Code 2242](https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=BPC&sectionNum=2242): Appropriate prior examination; telehealth and questionnaire allowed when the standard of care is met
- [Fla. Stat. 400.9935](https://www.flsenate.gov/Laws/Statutes/2026/400.9935): Health Care Clinic Act: clinic medical director duties
- [21 CFR 1307.41, temporary extension of telemedicine flexibilities](https://www.ecfr.gov/current/title-21/section-1307.41): eCFR; in effect through December 31, 2026
- [21 CFR 1308.13: Schedule III](https://www.ecfr.gov/current/title-21/section-1308.13): eCFR, anabolic steroids including testosterone
- [21 CFR Part 1311: electronic prescriptions for controlled substances](https://www.ecfr.gov/current/title-21/part-1311): eCFR, DEA EPCS requirements
- [FDA, Warns 30 Telehealth Companies Against Illegal Marketing of Compounded GLP-1s](https://www.fda.gov/news-events/press-announcements/fda-warns-30-telehealth-companies-against-illegal-marketing-compounded-glp-1s): March 3, 2026: claims implying sameness with approved drugs and obscured sourcing
- [Google Ads healthcare and medicines policy](https://support.google.com/adspolicy/answer/176031): US telemedicine ads require LegitScript certification
- [LegitScript healthcare certification](https://www.legitscript.com/certification/healthcare-certification/): Certification for telehealth providers that advertise

*General information only: This guide is general information for med spa owners and operators, not legal or medical advice. Telehealth, prescribing, supervision and practice ownership rules differ by state and change; confirm the rules for every state the spa sells into with counsel. Cuvo Health does not sell, prescribe or dispense medication and does not supply a medical director or supervising physician for a spa's in-person services; licensed providers make every clinical decision, and licensed pharmacies dispense. Third-party figures are quoted from the sources listed as of their publication dates. Competitor prices and terms are as of the dates stated and may have changed.*

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