Guide to Starting a Med Spa in 2025

Medical Oversight & Staffing Compliance Since med spas provide medical treatments, your business must follow state regulations regarding medical supervision and licensed providers. Medical Director Requirements by State Physician Ownership Required: In states like California, New York, and Texas, only a licensed physician can own a med spa. Non-physicians must partner with a medical doctor. Supervision Required but Ownership Flexible: In states like Florida and Georgia, non-physicians may own a med spa but must have a medical director overseeing treatments. Minimal or No Physician Oversight Required: Some states, like Nevada and Arizona, have looser regulations where certain aesthetic treatments can be performed without direct physician involvement. Treatment Restrictions & Provider Roles Only licensed medical professionals (RNs, PAs, or NPs) can administer injectables like Botox and dermal fillers. Medical records & informed consent forms must be maintained for all procedures to meet legal and insurance requirements. Training & certifications must be up to date for all employees administering medical treatments.

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

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