Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation
Registered nurses (RNs)
Yes, under physician delegation and direct supervision
Nurse practitioners & physician assistants
May inject under physician supervision; independent practice not permitted for injections
The exam that makes it legal
Required; in-person exam generally required, telehealth varies by board interpretation A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; facility-specific training and competency assessment recommended
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.