Good Faith Exam Policy
Last updated: 2026-05-08
A “good faith exam” is the clinical evaluation a licensed prescriber does before authorizing a medication or procedure. In Missouri, prescription medications and IV-administered substances — including the components of our IV therapy and our injectable program — require a good faith exam on file before treatment.
This page explains what that exam looks like at LoveMeIV, how it relates to your visit, and your rights as a patient.
Who performs the exam
LoveMeIV’s nurse practitioner — the same clinician who runs your visit — performs the good faith exam. There is no separate visit, no separate fee, and no separate prescriber. The same clinician who orders the drip evaluates you, and the same clinician administers the treatment.
This is the structural difference between an NP-led practice and a model where a separate physician “signs the order” for nurses they have never met. Missouri allows both models; we operate the first one on purpose.
What the exam covers
For a first visit, the exam covers:
- Identity and intake review. Confirming your medical history, current medications, allergies, and the goals you stated at booking.
- Vital signs. Blood pressure, heart rate, oxygen saturation. Sometimes temperature.
- Targeted history for the requested treatment. For Hangover Recovery, that includes screening for kidney disease and recent NSAID use (because of the ketorolac). For Semaglutide, that includes a personal and family history screen for medullary thyroid carcinoma. For NAD+, that includes screening for pregnancy and recent cardiovascular events.
- Consent for the specific drip or injection. A written consent form covering the medications, the contraindications, and the side-effect profile. You sign it on a tablet; a copy is emailed to you and added to your chart.
For a return visit, the exam is shorter — confirming nothing has changed since the last visit and that the planned treatment is still appropriate.
When LoveMeIV declines a visit
The good faith exam is not a formality. LoveMeIV may decline a visit at the door if the clinical picture has changed in a way that makes the planned treatment unsafe or inappropriate. Examples:
- A patient who books Hangover Recovery but is still actively intoxicated at the door.
- A patient on a new anticoagulant who books a drip that includes ketorolac.
- A patient whose vital signs at intake suggest urgent care is the right call instead.
- A patient who discloses, at intake, a contraindication that did not appear on the booking form.
When LoveMeIV declines a visit, you are not charged the visit fee. We will explain the reason in plain English and, where appropriate, refer you to urgent care or your primary care provider.
Telehealth alternative
Some patients prefer the good faith exam by telehealth before the in-person visit — particularly for the semaglutide weight-loss program, where the first visit benefits from a longer conversation. Telehealth visits are conducted by the same nurse practitioner. There is no extra fee for the telehealth exam when it is bundled with a planned in-person visit.
Your rights
- You may decline any portion of the exam. We will not administer treatment without consent.
- You may request a copy of your chart at any time. We use Jane, a HIPAA-aware platform, and exports are typically processed within five business days.
- You may request the name and credentials of the prescribing clinician at any visit.
- You may decline treatment after the exam if the conversation changes your mind. The visit fee may still apply per our cancellation policy if the exam has been performed.
Questions
Email clinical@lovemeiv.com or call the practice. The good faith exam is a regulatory requirement and a clinical standard — we hold it to both.