Training & certification expected

No state-mandated injector training beyond licensure; however, physician-approved delegation and protocol documents are required.

The license that lets you inject

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

If you’re an RN

Yes, under physician delegation; RN must inject under standing orders or protocols from a supervising physician.

Why the order still matters

Required; in-person exam mandatory before injectable treatment. Training gets you the skill; a valid order or good-faith exam is what keeps the treatment lawful.

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 →