Ohio · Moderate

Do You Need a Medical Director for a Med Spa in Ohio?

Whether Ohio requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Ohio picture.

By Evan at Inside MedSpa

Medical director requirement

Required for medical spa operations; physician must oversee delegated injectable services.

Corporate Practice of Medicine

Moderate; non-physician ownership permitted if physician supervision is documented. This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

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

How the exam ties in

Required; in-person exam expected before treatment.

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.

See the full Ohio regulation profile →

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