Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation
Registered nurses (RNs)
Yes, under physician delegation and supervision; scope varies by board interpretation
Nurse practitioners & physician assistants
Require physician collaboration/supervision for injections
The exam that makes it legal
Required; in-person preferred, telehealth conditional 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.
What to verify in Michigan
Verify with the Michigan Department of Licensing and Regulatory Affairs (LARA) that your medical director's supervision protocols comply with current board guidance on RN/NP delegation.
Primary source: Michigan Department of Licensing and Regulatory Affairs (LARA); Board of Medicine; Board of Nursing
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.