Medical Spa Laws in Michigan
Michigan offers a more permissive regulatory environment than neighboring states, allowing non-physician ownership provided a licensed physician serves as medical director. RNs and LPNs may inject under standing orders and physician oversight. The state requires a good-faith in-person exam before treatment but does not mandate on-site physician presence if a clear delegation and standing-order protocol is in place. Owners have flexibility in ownership structure but must ensure robust physician oversight.
- Who can inject
- MD, DO, NP, PA, and RN under physician delegation; RN requires standing orders and physician oversight.
- Medical director requirement
- Required; physician must be available for consultation and oversight of all injectable procedures.
- Good-faith exam
- Required; in-person physician exam before treatment; telehealth not permitted for initial authorization.
- Corporate Practice of Medicine
- Lenient; non-physician ownership permitted if physician is medical director; MSO model allowed.
- Recent regulatory activity
- No major recent change tracked.
Do this in Michigan
Retain a Michigan-licensed physician as medical director and document standing orders for all RN/LPN injectors; verify medical director availability during operating hours.
Michigan medical spa FAQs
Can a non-physician own a medical spa in Michigan?
Yes; Michigan permits non-physician ownership if a licensed Michigan physician is designated as medical director and maintains oversight of all treatments. The medical director must be available for consultation and review.
Can an RN inject Botox in Michigan without a physician on-site?
Yes, if a physician has issued standing orders and the RN operates under those protocols with physician availability for consultation. The physician does not need to be physically present but must be accessible.
Do patients need an in-person exam before fillers in Michigan?
Yes; Michigan requires a good-faith in-person medical evaluation by a physician before any injectable treatment. Telehealth is not acceptable for the initial exam.
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