Medical Spa Laws in Virginia
Virginia permits non-physician ownership of medical spas provided a licensed physician medical director oversees all injectable services. The state is moderately permissive on corporate structure but requires in-person exams and clear physician supervision. Owners should document all protocols and maintain active medical director engagement.
- Who can inject
- MD/DO, NP, PA, RN under physician supervision; RN scope limited to certain injectables under protocol.
- Medical director requirement
- Required; physician must oversee all aesthetic injection services.
- Good-faith exam
- Required; in-person exam before treatment; telehealth not permitted for initial consultation.
- Corporate Practice of Medicine
- Lenient; non-physician ownership permitted if physician medical director is in place.
- Recent regulatory activity
- No major recent change tracked.
Do this in Virginia
Establish a written protocol with your medical director defining RN/NP/PA injection scope and ensure compliance with Virginia Board of Medicine and Board of Nursing standards.
Virginia medical spa FAQs
Can a non-physician own a medical spa in Virginia?
Yes, non-physicians may own a medical spa if a licensed Virginia physician serves as medical director with active oversight of all injectable treatments.
Can an RN perform Botox and filler injections in Virginia?
RNs may inject under physician supervision and protocol, though scope varies. Confirm your specific injectable scope with the Virginia Board of Nursing and your medical director.
Is a telehealth exam acceptable before treatment in Virginia?
No; Virginia requires an in-person good-faith exam by the medical director or qualified provider before any injectable treatment begins.
Go deeper
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