Registered nurses (RNs)
Yes, under physician delegation and supervision
Nurse practitioners & physician assistants
NP/PA may inject under physician supervision; independent practice not permitted
Supervision & the medical director
Required for medical spa operations
The exam requirement
Required; in-person or telehealth permitted with physician approval
What to verify in Indiana
Document all telehealth good-faith exams with physician notes and patient consent; maintain clear delegation agreements with your medical director.
Primary source: Indiana Medical Licensing Board / Indiana State Board of Nursing
General business information for Indiana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Indiana board (and your own counsel) before you act.