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State Requirements

State Requirement Research Worksheet

A structured worksheet to help licensed medical providers research state requirements for aesthetic practice. This worksheet is educational — it does not submit data and is not a substitute for qualified legal counsel. Use it to organize your research before consulting an attorney.

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Last reviewed: 2026-08-04

State Information

  • State you are researching
  • Date of research
  • Primary regulatory body (medical board, nursing board, PA board, pharmacy board)

Medical Board

  • Medical board website URL
  • Whether medical director oversight is required
  • Medical director licensure requirements
  • Delegation rules for aesthetic treatments
  • Supervision level requirements

Nursing Board

  • Nursing board website URL
  • Scope of practice for RNs in aesthetics
  • Scope of practice for NPs in aesthetics
  • Delegation and supervision rules for nurses
  • Prescriptive authority rules

PA Board (if applicable)

  • PA board website URL
  • Scope of practice for PAs in aesthetics
  • Supervision or collaboration requirements
  • Prescriptive authority rules

Pharmacy Board (if applicable)

  • Pharmacy board website URL
  • Rules on purchasing and storing injectable products
  • Whether a prescription is required for specific products
  • Compounding rules if applicable

Ownership Rules

  • Whether corporate-practice-of-medicine restrictions apply
  • Whether non-physicians may own a medical practice
  • Whether an MSO structure is required
  • Entity formation requirements

Scope

  • Which aesthetic treatments are within your scope
  • Whether treatments require delegation
  • Whether treatments require supervision
  • Whether treatments require collaboration

Delegation

  • Whether delegation is permitted for your treatments
  • What written protocols are required
  • What supervision level is required
  • Who may delegate

Prescribing

  • Whether prescriptive authority is required for your treatments
  • Whether you have prescriptive authority
  • Whether a supervising physician must co-sign prescriptions

Medical Oversight

  • Whether a medical director is required
  • What the medical director's responsibilities are
  • How often chart review is required
  • Whether the medical director must be on-site

Good Faith Exams

  • Whether a Good Faith Exam is required before treatment
  • Who may perform the exam
  • How the exam must be documented
  • Whether telehealth exams are permitted

Telehealth

  • Whether telehealth is permitted for aesthetic consultations
  • Whether telehealth Good Faith Exams are permitted
  • What telehealth documentation is required

Records

  • Record retention requirements
  • What must be included in treatment notes
  • Whether before-and-after photos have specific requirements

Facility Rules

  • Facility licensing requirements
  • Zoning and permit requirements
  • Sanitation and infection control requirements
  • Accessibility requirements

Mobile Rules (if applicable)

  • Whether mobile aesthetic practice is permitted
  • Mobile facility requirements
  • Mobile medication transport and storage rules

Official Links

  • Medical board URL
  • Nursing board URL
  • PA board URL (if applicable)
  • Pharmacy board URL (if applicable)
  • State statutes URL
  • Administrative rules URL

Legal Questions Requiring Review

  • Ownership structure questions for an attorney
  • Delegation and supervision questions for an attorney
  • Medical director agreement questions for an attorney
  • Insurance coverage questions for a broker

Your Next Step

Ready to take the next step?

Use this checklist alongside the relevant NOVI support options. Requirements vary by state, license and practice structure — confirm specifics with qualified guidance.

NOVI resources are provided for general educational purposes and are not legal, medical, tax, financial, licensing, or regulatory advice. Requirements may vary by state, provider credentials, practice structure, and services offered. Current requirements should be confirmed with qualified professionals and official regulatory sources.