Licensure: all providers licensed and active

• Application requirement
  • Provide License numbers, expiration dates and NPIs for each
  • To include all providers including MD/DO, NP, PA, RN, LPN/LVN, Aestheticians, etc

 

Medical Director: active MD or DO license, or NP/PA if legal in that state. Must be qualified and active. The medical director has the ultimate responsibility to ensure that the medical spa is operating in a safe and compliant manner. 

To be able to effectively and appropriately supervise a medical spa, the medical director must: 

• Possess the appropriate education, training, experience and competence to safely administer, delegate and supervise each aesthetic medical treatment at the medical spa; 
• Ensure appropriate supervision of each medical aesthetic treatment performed at the medical spa; 
• Accept ultimate responsibility for the safety of the patients treated at the medical spa; 
• Ensure that the medical spa’s providers are trained and qualified to provide the procedures they have been tasked to provide; 
• Ensure the medical spa is equipped with all necessary equipment, supplies and processes to address medical complications and emergencies; and 
• Develop and sign written protocols for aesthetic medical treatment to be performed at the medical spa. 

To be clear, it is against the prevailing standard of care for a physician—or nurse practitioners (NP)/physician assistants (PA), where applicable—to: i. ii. iii. Accept the responsibilities of a medical director without being trained and qualified in all medical procedures performed at the medical spa; Delegate treatments while not being trained and qualified in the procedures they are delegating; or  Fail to ensure proper supervision, training and qualification of providers at the medical spa. 

• Application requirement
  • Provide license number, NPI and set up interview
  • Medical Director must be on web site and signage in the spa
  • Medical Director participates in interview with the Medspa Board
  • Medical director must sign statement attesting to the above

 

Good Faith Exam: must be performed by MD/DO, PA or NP, all patients undergoing a medical service

• Application requirement
  • Provide: sign policy statement on the application

 

Delegation: All medical services provided by licensed practitioners permitted to provide that service. Once a proper initial examination and diagnosis are made and a treatment plan is developed, the treatment may be performed by, or delegated to, a qualified provider under the following minimum requirements:   

• The provider is trained and qualified to perform the specific treatment; 
• The provider is properly supervised; and 
• Proper protocols have been developed by the qualified supervising physician or medical director to address complications and adverse events.

 

• Application requirement
  • Medical Director must sign attestation in application

 

Product: all products are FDA-approved and legally purchased

• Application requirement
  • Provide sources the manufacturers of injectables
  • Sign statement attesting to legal product sourcing (included in application)

 

Owner: must comply with state laws.  

• Application requirement
  • Provide statement of ownership
  • Sign statement attesting to legal ownership (included in application)

 

Emergencies: must be prepared for emergencies including burns and occlusions

• Application Requirement
  • Hyaluronidase– minimum # of vials on hand (16)
  • VO procedure plan, reevaluate each year