Is a good-faith exam required

Required; in-person exam mandatory before injectable treatment.

Can the exam be done by telehealth

Not allowed; in-person exam required for initial visit.

Who can perform the exam vs. the injection

MD/DO, NP/PA under physician supervision, RN under physician delegation.

What to verify in Ohio

Establish a formal physician medical director agreement and ensure all injectable protocols are documented and approved by the medical director before operations begin.

Primary source: State Medical Board of Ohio; Ohio Board of Nursing.

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

See the full Ohio regulation profile →