Registered nurses (RNs)
Yes, under physician delegation and direct supervision
Nurse practitioners & physician assistants
NP/PA may inject under physician supervision and collaboration
Supervision & the medical director
Medical director/supervising physician required for medical spa operations
The exam requirement
Good-faith exam required; in-person or telehealth allowed under physician discretion
What to verify in Indiana
Establish a written physician supervision agreement and ensure all RN/NP/PA injectors are properly delegated and documented with the supervising physician.
Primary source: Indiana Medical Licensing Board, Indiana State Board of Nursing
General business information for Indiana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Indiana board (and your own counsel) before you act.