What license and training do you need to inject Botox and fillers in South Dakota?

No state-mandated injector training beyond licensure. MD, DO, NP, PA, RN under physician delegation

South Dakota · Lenient

What Training Do You Need to Inject Botox in South Dakota?

South Dakota doesn't hand the syringe to just anyone. Here's the license, the training, and the supervision that South Dakota expects before you can inject.

By Evan at Inside MedSpa

Training & certification expected

No state-mandated injector training beyond licensure.

The license that lets you inject

MD, DO, NP, PA, RN under physician delegation

If you’re an RN

Yes, under physician delegation; no specific supervision requirement mandated

Why the order still matters

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

What to verify in South Dakota

Establish a clear written agreement with a supervising physician and document all delegation and injection protocols to ensure compliance.

Primary source: South Dakota Medical Board; Board of Nursing

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

See the full South Dakota regulation profile →

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