Training & certification expected

No state-mandated injector training beyond licensure.

The license that lets you inject

MD, DO, NP, PA, RN under physician supervision/delegation

If you’re an RN

Yes, under physician delegation and supervision

Why the order still matters

Required; in-person preferred, telehealth conditional Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

What to verify in District of Columbia

Verify medical director credentials and ensure physician supervision protocols are documented.

Primary source: D.C. Board of Medicine

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

See the full District of Columbia regulation profile →