New Hampshire · Moderate

Can RNs and Nurse Practitioners Inject Botox in New Hampshire?

Nurses do most of the injecting in this industry — but New Hampshire draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under physician delegation; scope defined by Board of Nursing

Nurse practitioners & physician assistants

NP/PA may inject under collaborative agreement with physician; independent practice not permitted for injectables

Supervision & the medical director

Required for medical spa operations

The exam requirement

Required; in-person examination mandatory before treatment

What to verify in New Hampshire

Establish a written collaborative agreement with your medical director and document all delegation protocols before opening.

Primary source: New Hampshire Board of Medicine and Board of Nursing

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

See the full New Hampshire regulation profile →

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