Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation
Registered nurses (RNs)
Yes, under physician delegation and supervision
Nurse practitioners & physician assistants
NP/PA require physician supervision; independent practice not permitted
The exam that makes it legal
Required; in-person preferred, telehealth varies by board interpretation 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.
What to verify in Arkansas
Establish a clear physician supervision agreement and verify with the Arkansas Medical Board and Board of Nursing that your delegation protocols comply with current rules.
Primary source: Arkansas Medical Board; Arkansas Board of Nursing
General business information for Arkansas medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Arkansas board (and your own counsel) before you act.