Services
Medical direction and the compliance infrastructure that makes it real — protocols, delegation, exams, chart review, training and structure.
Medical Direction
A licensed physician of record, in your state
Good Faith Exams
Patient evaluation before treatment
Protocols & Standing Orders
Written, signed, service-specific
Delegation & Scope Review
Who is legally allowed to do what
Chart Review & Quality Assurance
Documented oversight, not assumed oversight
Training & Credentialing
Verified licenses, documented competency
Ownership & Structure Review
Corporate practice of medicine
Adverse Event Support
A physician on the phone when it matters
A licensed physician of record, in your state
Medical Direction
Most states treat the aesthetic procedures a med spa sells — neuromodulator and filler injection, laser and energy-based treatment, intravenous infusion, prescription weight management — as the practice of medicine. That means the treatment has to be ordered, delegated and supervised by a licensed practitioner, and the practitioner has to be genuinely engaged rather than nominally attached.
We place a physician who holds an active, unrestricted license in your state and who understands aesthetic medicine specifically. That physician owns the clinical protocols, approves the service menu, sets delegation boundaries for each member of your staff, and holds the authority to pause a treatment, a device or a provider on patient-safety grounds.
What this includes
- Physician licensed and in good standing in your state
- Written scope of authority and defined response times
- Named covering physician for planned absences
- Quarterly quality assurance with recorded minutes
- Documented adverse event escalation path
Patient evaluation before treatment
Good Faith Exams
A good faith examination is the step that turns a retail transaction into a clinical one: a qualified practitioner reviews the patient's history, examines the area to be treated, confirms the patient is an appropriate candidate, and authorizes a specific treatment plan. Skipping it is one of the most common findings in med spa enforcement, and it is also the fact pattern that does the most damage when something goes wrong.
We build the exam into your booking flow rather than bolting it on. Depending on your state and the treatment, the exam is performed in person or by secure telehealth, by the physician or by a qualified practitioner operating under written protocols. The result is a signed record in the chart before the needle is uncapped.
What this includes
- Coverage on weekdays and weekends
- In person or by secure, HIPAA-compliant telehealth where permitted
- Defined turnaround so bookings are not held up
- Signed documentation returned to the patient record
- Re-examination triggers for new treatments and lapsed patients
Written, signed, service-specific
Protocols & Standing Orders
Generic protocols downloaded from a supplier are worse than none at all: they describe treatments you do not offer, devices you do not own and staffing you do not have, and an investigator will notice within a minute. A protocol has to match the room it hangs in.
We write the manual against your menu: indications and contraindications, patient selection, pre- and post-care, product handling and storage, injection technique parameters, device settings and endpoints, complication management including hypersensitivity and vascular occlusion, and the emergency response your staff will actually follow.
What this includes
- Standing orders signed and dated by the medical director
- One protocol per service and per device on your menu
- Complication and emergency response procedures
- Product handling, storage and reconstitution standards
- Version control, with review dates on every document
Who is legally allowed to do what
Delegation & Scope Review
Scope of practice is where med spas most often get into trouble without meaning to. The rules differ sharply by state and by license: a task an RN may perform in one state is restricted to an NP, PA or physician in the next, and estheticians and medical assistants face hard limits almost everywhere. Owners rarely learn this until an inspection or a claim.
We map every treatment on your menu against every license on your payroll and produce a written delegation matrix — who may perform each service, under what level of supervision, with what training on file. Where the answer is no, we say so plainly and identify the staffing or licensure change that would make it yes.
What this includes
- Treatment-by-treatment, person-by-person delegation matrix
- Supervision level required for each service in your state
- Training and competency evidence tied to each delegation
- Review of medical assistant and esthetician boundaries
- Re-issued whenever your menu or your staffing changes
Documented oversight, not assumed oversight
Chart Review & Quality Assurance
Oversight that leaves no trace is indistinguishable, after the fact, from oversight that never happened. Chart review is the evidence: it demonstrates the physician was engaged, it catches documentation gaps while they are still fixable, and it is the first thing requested when a board or a carrier starts asking questions.
Our physicians review records on a defined schedule, with complete review of any chart involving an adverse event, a new provider's early cases, or a treatment that departed from protocol. Findings go into a review log, corrective actions get owners and due dates, and quality assurance meetings produce minutes you can hand to an inspector.
What this includes
- Defined review percentage, agreed in writing
- Complete review of adverse events and protocol departures
- New-provider review during the first ninety days
- Quality assurance meetings with retained minutes
- Corrective actions tracked to documented closure
Verified licenses, documented competency
Training & Credentialing
A delegation is only as good as the evidence behind it. If your physician authorized an RN to inject, there needs to be a file showing that RN's license was verified, that they were trained on your protocols, and that their competency was assessed by someone qualified to assess it.
We verify licenses at primary source, maintain a credentialing file for each clinical team member, and deliver initial and annual competency training on your protocols, patient selection, infection control and emergency response — including anaphylaxis and, for injectors, vascular occlusion recognition and response.
What this includes
- Primary-source license and certification verification
- Credentialing file per clinical team member
- Annual competency training and assessment
- Emergency response drills, including anaphylaxis
- Expiration tracking with advance renewal reminders
Corporate practice of medicine
Ownership & Structure Review
Many states prohibit a non-physician from owning the entity that practices medicine. Med spas in those states typically operate through a professional entity owned by a licensed physician, paired with a management services organization that handles everything non-clinical. Done properly this is well-established. Done carelessly it is a fee-splitting and unlicensed-practice problem wearing a suit.
We review how your entity, your management agreement and your day-to-day practice actually line up, flag the arrangements that tend to draw scrutiny — clinical decisions controlled by the management side, fees tied to clinical revenue, patient records owned by the wrong party — and work alongside your healthcare attorney, who remains the one giving legal advice.
What this includes
- Review of entity structure against your state's approach
- Management agreement red flags identified in writing
- Clinical control and records ownership reviewed
- Coordination with your healthcare counsel
- Guidance when you expand into a new state
A physician on the phone when it matters
Adverse Event Support
Vascular occlusion, hypersensitivity reactions, burns, infections and unexpected outcomes happen in careful practices. What separates a manageable event from a catastrophic one is how fast a qualified clinician is reached and how well the response is documented.
Your medical director is reachable for urgent clinical consultation during treatment hours, with a named covering physician for planned absences. After the event, we run a structured review, record the findings, update the protocol if the protocol contributed, and help you meet any reporting obligation that applies.
What this includes
- Urgent clinical consultation during treatment hours
- Named covering physician for planned absences
- Structured post-event review with written findings
- Protocol updates where the protocol contributed
- Support with reporting obligations and carrier notice
Find out where your practice actually stands.
A short, no-obligation review of your service menu, your staffing and your state's rules — and a clear written list of what is compliant, what is not, and what to fix first.