Who can inject
MD, DO, NP, PA, RN under physician supervision/delegation
Registered nurses (RNs)
Yes, under physician delegation and supervision; must follow delegation protocol
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice not permitted for injections
The exam that makes it legal
Required; in-person or telehealth permitted with physician oversight A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; facility protocols recommended.
What to verify in Michigan
Document physician delegation agreements for all RN/NP/PA injectors and maintain clear medical director oversight.
Primary source: Michigan Medical Board; Michigan Board of Nursing
General business information for Michigan medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Michigan board (and your own counsel) before you act.