Is a good-faith exam required
Required; in-person exam expected before treatment.
Can the exam be done by telehealth
Conditional. Telehealth may be used for consultation, but initial exam typically requires in-person visit—verify with State Medical Board.
Who can perform the exam vs. the injection
MD/DO, NP/PA under physician supervision, RN under physician delegation.
What to verify in Ohio
Establish a written supervision agreement with a licensed Ohio physician and document all delegation protocols for RN/NP/PA injectors.
Primary source: Ohio State Medical Board / Ohio Board of Nursing
General business information for Ohio medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Ohio board (and your own counsel) before you act.