Registered nurses (RNs)
Yes, under physician delegation; scope varies by board interpretation
Nurse practitioners & physician assistants
NP/PA may inject under collaborative agreement; independent practice not clearly permitted
Supervision & the medical director
Required for delegated injection procedures
The exam requirement
Required; in-person preferred, telehealth varies by interpretation
What to verify in Vermont
Contact the Vermont Medical Board directly to clarify telehealth good-faith exam policy and RN delegation scope before launch.
Primary source: Vermont Medical Board; Vermont Board of Nursing
General business information for Vermont medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Vermont board (and your own counsel) before you act.