Can a non-physician own a medical spa in Washington?

Yes, non-physicians may own a medical spa through an MSO or management company with a supervising physician. The physician must oversee all medical services and maintain proper delegation.

Can an RN inject Botox or fillers in Washington?

Yes, an RN may inject under physician delegation and supervision. The supervising physician must maintain oversight and be available for consultation.

Is a telehealth good-faith exam allowed in Washington?

Yes, a telehealth GFE is permitted if the physician-patient relationship is established and the physician can adequately assess the patient via telehealth.

State Regulation TrackerModerate

Medical Spa Laws in Washington

Washington takes a moderate, permissive approach to medical spa regulation, allowing non-physician ownership through management structures with physician oversight. RNs, PAs, and NPs may inject under proper delegation and supervision. The state does not enforce strict Corporate Practice of Medicine restrictions. Telehealth GFE is permitted, making Washington accessible for medspa entrepreneurs.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Washington's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Washington boards or healthcare counsel before you act.

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