Delaware · Moderate

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

Q: Does a medical spa in Delaware need a medical director?

Required; physician must oversee injectable procedures Lenient; no strict CPOM enforcement; non-physicians may own with physician oversight 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-direct

Whether Delaware 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 Delaware picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician must oversee injectable procedures

Corporate Practice of Medicine

Lenient; no strict CPOM enforcement; non-physicians may own with physician oversight 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 collaboration; independent practice for injectables not clearly permitted

How the exam ties in

Required; in-person or telehealth allowed under board guidance

What to verify in Delaware

Establish written physician delegation agreement and confirm medical director availability; clarify telehealth GFE protocols with Delaware Board of Medical Licensure and Discipline.

Primary source: Delaware Board of Medical Licensure and Discipline; Delaware Board of Nursing

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

See the full Delaware regulation profile →

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