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State Regulation TrackerModerate

Medical Spa Laws in New Hampshire

New Hampshire maintains a moderate regulatory posture that allows non-physician ownership of medical spas under physician medical director supervision. RNs may inject under delegation, though the exact scope can vary by board interpretation. The state does not impose strict Corporate Practice of Medicine restrictions, making it relatively accessible for entrepreneurs, but clear documentation of physician oversight is essential.

Orientation, not legal advice. New Hampshire's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the New Hampshire boards or healthcare counsel before you act.

Common questions about New Hampshire med-spa law

Free, in depth, one page each.

Who can inject
MD, DO, NP, PA, RN under physician supervision
Can RNs inject?
Yes, under physician delegation; scope varies by board interpretation
NP / PA authority
NP/PA may inject under physician collaboration; independent practice limited
Medical director
Required for medical spas; physician must oversee aesthetic procedures
Good-faith exam
Required; in-person exam generally required before treatment
Telehealth exam
Conditional; telehealth may be permitted for follow-up or consultation, but initial aesthetic exam should be in-person
Corporate Practice of Medicine
Lenient; MSO/non-physician ownership permitted with physician oversight
Who can own a medspa
Non-physicians may own via MSO structure with physician medical director
Injector training
No state-mandated injector training beyond licensure; facility protocols may require additional certification
Regulating board
New Hampshire Board of Medicine
Recent regulatory activity
New Hampshire Board of Medicine has issued guidance on RN scope in aesthetic settings; no major 2024-2026 bill tracked

Do this in New Hampshire

Verify with the New Hampshire Board of Medicine that your RN delegation and medical director arrangement complies with current board guidance.

New Hampshire medical spa FAQs

Can a non-physician own a medical spa in New Hampshire?

Yes, a non-physician may own a medical spa if a New Hampshire-licensed physician serves as the medical director and supervises all aesthetic procedures and injections.

Can an RN inject Botox and fillers in New Hampshire?

Yes, an RN may inject neurotoxins and fillers under physician delegation and supervision. The scope and specific protocols should be verified with the New Hampshire Board of Medicine.

What is required for a good-faith exam before aesthetic treatments in New Hampshire?

An in-person exam by the supervising physician is generally required before initiating aesthetic treatments. Telehealth may be acceptable for follow-up consultations but not for the initial aesthetic evaluation.

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