Who can inject
MD, DO, NP, PA, RN under physician supervision or delegation
Registered nurses (RNs)
Yes, under physician delegation; RN may inject with written standing orders from supervising physician
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice for injectables not clearly permitted
The exam that makes it legal
Required; in-person exam by physician or qualified provider before treatment 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 Delaware
Retain a Delaware-licensed physician as medical director with clear written delegation protocols, and confirm current telehealth GFE policy with the Delaware Medical Board.
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.