Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation.
Registered nurses (RNs)
Yes, under physician delegation; RNs may inject with proper supervision and documentation.
Nurse practitioners & physician assistants
NP/PA may inject under physician supervision; collaborative agreement required.
The exam that makes it legal
Required; in-person exam generally required, telehealth varies by board interpretation. A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
What to verify in Ohio
Establish a formal medical director agreement and verify good-faith exam protocols with the Ohio Medical Board before launching telehealth options.
Primary source: Ohio Medical Board; 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.