Registered nurses (RNs)
Yes, under physician delegation and supervision
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice varies by setting
Supervision & the medical director
Required for medical spa operations
The exam requirement
Required; in-person preferred, telehealth varies by board interpretation
What to verify in Vermont
Confirm with the Vermont Medical Board whether telehealth GFE is acceptable for your specific treatment modality 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.