Training & certification expected

No state-mandated injector training beyond licensure; facility-specific training and competency assessment recommended

The license that lets you inject

MD/DO, NP/PA under physician supervision, RN under physician delegation

If you’re an RN

Yes, under physician delegation and direct supervision

Why the order still matters

Required; in-person exam generally required, telehealth varies by board interpretation Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

What to verify in Michigan

Establish a clear written delegation and supervision agreement with your medical director and verify compliance with Michigan LARA's current guidance on RN and NP/PA scope.

Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA) / Michigan Medical Board

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

See the full Michigan regulation profile →