Who can inject
MD, DO, NP, PA, RN under physician supervision/delegation
Registered nurses (RNs)
Yes, under physician delegation and supervision
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice limited
The exam that makes it legal
Required; in-person preferred, telehealth conditional 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 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.