New Hampshire · Moderate

Can RNs and Nurse Practitioners Inject Botox in New Hampshire?

Q: Can registered nurses and nurse practitioners inject Botox and fillers in New Hampshire?

Yes, under physician delegation and standing orders NP/PA may inject under physician collaboration; independent practice not permitted for injectables

Nurses do most of the injecting in this industry — but New Hampshire draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation and standing orders

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice not permitted for injectables

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person exam mandatory

What to verify in New Hampshire

Secure a licensed physician as medical director and ensure all injectable protocols are documented in writing with standing orders.

Primary source: New Hampshire Board of Medicine; New Hampshire Board of Nursing

General business information for New Hampshire medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the New Hampshire board (and your own counsel) before you act.

See the full New Hampshire regulation profile →

Stay ahead of the rules that change your business.

Regulatory shifts, FDA recalls, and the moves that matter — twice a week — with Inside MedSpa Pro.

Go Pro · $20/mo

By the time it's news, it's too late.

The rebate cut, the scope-of-practice bill, the competitor opening down the street — it hits your business before the trade press ever covers it. Pro gets you there first: what happened, why it touches your margins, and exactly what to do — at 6 AM, in two minutes.

Go Pro · $20/mo

Never miss a recall or a rule change. Cancel anytime.