Registered nurses (RNs)
Yes, under physician delegation and supervision
Nurse practitioners & physician assistants
Requires physician supervision; independent practice not permitted for injections
Supervision & the medical director
Recommended; not explicitly mandated by statute
The exam requirement
Required; in-person preferred, telehealth case-by-case
What to verify in Montana
Establish written delegation and supervision agreements with your medical director and verify compliance with Montana Board of Nursing and Medical Board interpretations.
Primary source: Montana Board of Nursing and Montana Medical Board
General business information for Montana medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Montana board (and your own counsel) before you act.