New Hampshire · Moderate

Do You Need a Medical Director for a Med Spa in New Hampshire?

Whether New Hampshire requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the New Hampshire picture.

By Evan at Inside MedSpa

Medical director requirement

Required for medical spa facilities; physician must oversee delegated procedures

Corporate Practice of Medicine

Lenient; MSO structures permitted with proper physician oversight This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may practice with physician collaboration; independent practice limited

How the exam ties in

Required; in-person exam expected before treatment

What to verify in New Hampshire

Establish a clear delegation agreement with a supervising physician and document all protocols before opening.

Primary source: New Hampshire Board of Medicine

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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