Hawaii · Moderate

Do You Need a Medical Director for a Med Spa in Hawaii?

Whether Hawaii requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Hawaii picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician must supervise delegated injectable services

Corporate Practice of Medicine

Lenient; non-physician ownership permitted via MSO/management structure 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 may inject under physician collaboration; independent practice scope limited

How the exam ties in

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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