Medical director requirement
Required; must be a Hawaii-licensed physician
Corporate Practice of Medicine
Strict; physician-owned or MSO with strict physician control 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 cannot inject; physician collaboration required but does not permit independent or delegated injection
How the exam ties in
Required; in-person exam required before treatment
What to verify in Hawaii
Confirm that a Hawaii-licensed physician owns or has controlling interest in the medical spa; verify that only MDs/DOs perform injections.
Primary source: Hawaii Board of Medicine
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.