Guide to Starting a Med Spa in 2025

Licensing & Permits Checklist Each state has different requirements for operating a med spa. Below is a general checklist of key licenses and permits you may need: Business License – Required in most states to legally operate any business. Employer Identification Number (EIN) – Needed for tax purposes if hiring employees. Sales Tax Permit – Required if selling retail products (e.g., skincare lines). Medical Facility License – May be required depending on state laws and medical oversight structure. Zoning & Building Permits – Ensure your location is approved for medical and aesthetic services. Health Department Permit – Some states require compliance with health and sanitation regulations. Medical Director Agreement – If required, a formal contract between the med spa and a supervising physician. Licensing and Compliance Med spas operate at the intersection of healthcare and aesthetics, making compliance with state and federal regulations essential. Proper licensing ensures that your business meets legal requirements, protects clients, and maintains credibility in the industry. Finding State-Specific Requirements Licensing laws vary by state, and some states have strict corporate practice of medicine (CPOM) laws. To ensure compliance: Check with your state’s medical board – Each state’s board outlines who can own and operate a med spa. Consult a healthcare attorney – Especially in states with strict ownership laws. Use government resources – Websites like NCSL.org and AMA-assn.org provide healthcare- related legislative updates.

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For informational purposes only. Not legal, tax, or financial advice.

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