Virginia · Moderate

Do You Need a Medical Director for a Med Spa in Virginia?

Q: Does a medical spa in Virginia need a medical director?

Required for medical spa operations Lenient; MSO/management structures permitted 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.

Whether Virginia requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Virginia picture.

By Evan at Inside MedSpa

Medical director requirement

Required for medical spa operations

Corporate Practice of Medicine

Lenient; MSO/management structures permitted 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 may inject under physician collaboration; independent practice limited

How the exam ties in

Required; in-person or telehealth allowed under physician discretion

What to verify in Virginia

Ensure your medical director is licensed in Virginia and has clear written delegation protocols for all injectors.

Primary source: Virginia Medical Board; Virginia Board of Nursing

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

See the full Virginia regulation profile →

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