Medical director requirement
Required; physician must be present or immediately available for all injectable procedures
Corporate Practice of Medicine
Strict; Corporate Practice of Medicine doctrine enforced; physician ownership or MSO with tight physician control required 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 cannot inject; physician collaboration required but does not permit independent injectable authority
How the exam ties in
Required; in-person exam mandatory before treatment
What to verify in Pennsylvania
Ensure a licensed MD or DO owns or controls the medical spa and is present for all injectable procedures; verify CPOM compliance with Pennsylvania Medical Board counsel.
Primary source: Pennsylvania Medical Board
General business information for Pennsylvania medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Pennsylvania board (and your own counsel) before you act.