Can registered nurses and nurse practitioners inject Botox and fillers in Hawaii?

Yes, under physician delegation; scope includes neurotoxins and fillers with documented supervision NP/PA may inject under physician collaboration; independent practice scope limited

Hawaii · Moderate

Can RNs and Nurse Practitioners Inject Botox in Hawaii?

Nurses do most of the injecting in this industry — but Hawaii draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation; scope includes neurotoxins and fillers with documented supervision

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice scope limited

Supervision & the medical director

Required; physician must supervise delegated injectable services

The exam requirement

Required; in-person or telehealth permitted

What to verify in Hawaii

Verify current RN delegation scope with Hawaii Medical Board and ensure physician supervision agreements are in writing.

Primary source: Hawaii Medical Board

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

See the full Hawaii regulation profile →

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