Medical Director Attestation


I hereby certify that I have reviewed the MedSpa Board Certification Requirements and affirm the following statements are accurate and reflect my current role and responsibilities:

  1. I am the designated Medical Director of the applicant medical spa and accept full responsibility for ensuring that the facility operates in a clinically safe and legally compliant manner.
  2. I possess the requisite education, training, experience, and competence to personally perform, delegate, and supervise each medical aesthetic treatment offered at the facility.
  3. I ensure that all aesthetic medical services are performed under appropriate supervision by licensed, trained, and qualified personnel.
  4. I accept ultimate responsibility for the safety and well-being of all patients treated at the facility.
  5. I have verified that all providers performing delegated procedures are appropriately licensed, trained, and qualified for those services.
  6. I have developed, reviewed, and signed written clinical protocols for each aesthetic treatment performed at the facility.
  7. I have confirmed that the facility is equipped with the necessary supplies, medications, and processes to address complications and medical emergencies.
  8. I maintain active malpractice insurance that covers my supervision and oversight at this facility.
  9. I agree to notify the MedSpa Board immediately if I cease to serve as Medical Director for the facility.

By signing below, I affirm that all information provided in this attestation is true, complete, and accurate, and that I will continue to fulfill my duties in accordance with the MedSpa Board Certification Requirements.

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Signature Certificate
Document name: Medical Director Attestation
lock iconUnique Document ID: a571c3e6d05931fef58036c60bb8b0fc45319b67
Timestamp Audit
September 4, 2025 2:35 pm PSTMedical Director Attestation Uploaded by Margaret Sherman - margaret@medspaboard.com IP 2600:1702:3650:13b0:45bf:c6ce:a40b:b737
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