Coverage
Where We Serve
Physician oversight for med spas and aesthetic practices across the United States. Active medical director services in key states, with scope of practice data covering all 50 states and DC.
Currently Serving
We provide active medical director services in the states below. Each engagement includes a named supervising physician, state-specific clinical protocols, and compliance infrastructure tailored to local regulations.
Don't See Your State?
Medical director requirements vary by state. We can often work with practices in states not yet listed by coordinating with local providers in our network. Our scope of practice database covers all 50 states, so we can advise on your state's requirements even before we offer active services there.
Contact Us About Your StateNationwide Scope Database
Even if we don't yet offer active medical director services in your state, our comprehensive scope of practice database gives you the regulatory clarity you need to plan, launch, or audit your practice.
Our database tracks scope of practice rules for services including neurotoxins, dermal fillers, chemical peels, microneedling, laser hair removal, IPL, IV hydration, PRP, PDO threads, sclerotherapy, body contouring, tattoo removal, plasma fibroblast, weight management medications, vitamin injections, and more.
Practitioner roles covered include physicians, nurse practitioners, physician assistants, registered nurses, licensed practical nurses, estheticians, medical assistants, laser technicians, naturopathic doctors, chiropractors, dentists, and pharmacists.
Expansion Roadmap
Our scope database covers all 50 states. Active medical director services are expanding based on demand. Here is where we are and where we are headed.
Nevada & Arizona — Active
Full medical director coverage available statewide. Immediate onboarding for solo practitioners and multi-location operators. Both states fully supported with clinical protocols, compliance checklists, and ongoing oversight.
Utah, Texas & Florida — In Progress
Physician licensure and operational setup underway. Contact us to express interest and be prioritized as soon as these states go live.
California, Colorado & New York — Planned
High-demand states on our near-term roadmap. Our scope database already covers the regulatory requirements for all three. Active services will be announced when physician partnerships are finalized.
All 50 States — Long-Term Vision
We are building a nationwide network of supervising physicians. If you are in a state we don't yet cover, reach out. Your inquiry helps us prioritize expansion, and our compliance tools are available to you today regardless of location.
State Regulatory Comparison
Regulations vary significantly from state to state. This table highlights key differences across popular states for med spa operators. For complete details on any state, use our Compliance Tool.
| State | NP Independence | Esthetician Scope | Medical Director Required | CPOM State |
|---|---|---|---|---|
| Arizona | FPA | Lasers with training | Yes | No |
| Nevada | FPA | Lasers under delegation | Yes | No |
| California | Restricted | Limited to basic | Yes | Yes |
| Texas | Restricted | Lasers with supervision | Yes | Yes |
| Florida | Restricted | Limited to basic | Yes | Yes |
| Colorado | FPA | Lasers with certification | Varies | No |
| New York | Restricted | Limited to basic | Yes | Yes |
| Utah | Restricted | Lasers under delegation | Yes | No |
| Georgia | Restricted | Limited to basic | Yes | Yes |
| Illinois | FPA | Lasers with training | Varies | Yes |
| Washington | FPA | Lasers with certification | Varies | No |
| Ohio | Restricted | Limited to basic | Yes | Yes |
| North Carolina | Restricted | Limited to basic | Yes | Yes |
| Tennessee | Restricted | Lasers with supervision | Yes | Yes |
| Michigan | Restricted | Lasers with supervision | Yes | No |
FPA = Full Practice Authority. Restricted = Requires collaborative or supervisory agreement. CPOM = Corporate Practice of Medicine doctrine applies. This table is for general reference only. Regulations change frequently. Full details, including service-level breakdowns for all 50 states, are available in our Compliance Tool.
Full Details in Compliance ToolHow We Support Your State
Regardless of which state you operate in, Remote Medical Director provides a consistent framework of physician oversight and compliance infrastructure designed specifically for aesthetic practices.
Physician Oversight & Supervision Agreements
A named, licensed physician serves as your medical director with a formal supervisory agreement that meets your state's specific requirements. No generic templates.
State-Specific Clinical Protocols
Treatment protocols are customized to align with your state's scope of practice laws, delegation rules, and supervision standards. Updated as regulations change.
Compliance Monitoring & Checklists
Track your compliance status with interactive checklists covering licensure, insurance, staff documentation, protocol assignments, and facility requirements specific to your state.
Scope of Practice Guidance
Know exactly which services each practitioner type can perform in your state. Our database covers 16 services across 12 practitioner roles for every state and DC.
Planning to open a new aesthetic practice? Our Startup Guide walks you through every step, from business formation to opening day, customized for your state.
Explore the Startup GuideCoverage Questions
Do you provide medical director services in my state?
We currently provide active medical director services in Nevada and Arizona, with expansion into additional states in progress. If your state isn't listed, contact us. We may be able to accommodate your location through our provider network, or we can prioritize your state in our expansion plan.
What if my state isn't listed yet?
Reach out to us directly. In many cases, we can coordinate with physicians in our network to provide coverage in unlisted states. Your inquiry also helps us prioritize where to expand next. In the meantime, our compliance tools and scope database are available to you regardless of your location.
Can I use your compliance tools even if I'm not a client?
Yes. Our Compliance Tool and scope of practice database are freely available online. You can look up your state's regulations, check which services your staff can perform, and run through a compliance self-assessment at no cost. These tools cover all 50 states and DC.
How do supervision requirements differ by state?
Supervision requirements vary widely. Some states allow nurse practitioners to practice independently (Full Practice Authority), while others require a collaborative agreement with a physician. Similarly, esthetician scope ranges from basic skin care only to laser treatments under delegation. Our Compliance Tool breaks down these differences by state, service, and practitioner type.
Do I need a local medical director or can it be remote?
This depends on your state's regulations. Many states allow remote physician oversight with periodic in-person site visits, while others require the medical director to be more directly available. During your consultation, we'll confirm what your state requires and structure the oversight accordingly.
What states require a medical director for med spas?
The majority of states require some form of physician oversight for med spas offering medical procedures such as injectables, laser treatments, or IV therapy. The specifics vary: some states require a named medical director, others require a supervising physician, and some have CPOM (Corporate Practice of Medicine) laws that further restrict ownership and operational structures. Check our comparison table above or use the Compliance Tool for your state's details.
Can you help with multi-state operations?
Yes. If you operate practices in more than one state, we can provide oversight across multiple jurisdictions under coordinated agreements. Each state's specific regulatory requirements are addressed individually, while your overall compliance is managed centrally through our platform.
How quickly can you onboard in a new state?
For states where we already have active services (Nevada and Arizona), onboarding typically takes days once documentation is submitted. For new states, timeline depends on physician licensure and regulatory setup. Contact us early so we can begin the process while you prepare your practice.
Are you a provider licensed in a state we don't yet cover?
We're building a nationwide network. Your license could help us expand into your state and serve more aesthetic practices.
Join Our Provider NetworkReady to Launch in Your State?
Schedule a free consultation and we'll review your state's requirements, confirm coverage availability, and outline exactly what you need to operate compliantly.