Inhouse.ai logo
Why InhousePricingFAQPlaybooksLaw firmPrivacy
Book a Free Call
Inhouse.ai logo
Why InhousePricingFAQPlaybooksLaw firmPrivacy
Book a Free Call
Inhouse.ai logo

The first AI for real legal work.

Platform

  • Why Inhouse.ai
  • Pricing
  • Careers
  • FAQ
  • Playbooks
  • Law Firm
  • Book a Free Call

Legal

  • Terms of Service
  • Privacy Policy
  • Limited Scope of Engagement

© 2026 Inhouse.ai All rights reserved.

Made with love in Los Angeles 🌴

Our technology is provided by Inhouse AI, Inc. Legal services are provided by Inhouse Counsel PC and affiliated licensed attorneys. Conversations with our lawyers and the AI on the Inhouse Counsel Plan are privileged. Conversations with the AI on the AI-Associate Plan are Confidential, but not privileged.

  1. Home
  2. /
  3. Med Spa Compliance
  4. /
  5. Do I Need a Medical Director Agreement?

Do I Need a Medical Director Agreement?

Most med spas need a medical director agreement to operate legally. If you're a non-physician owner offering medical services like Botox, fillers, or laser treatments, you almost certainly need one.

When You Need a Medical Director Agreement

You need a medical director agreement if:

  • You're a non-physician owner offering medical aesthetic services
  • Your state requires physician oversight for cosmetic procedures
  • You employ nurses, physician assistants, or other providers performing medical treatments
  • You want to avoid corporate practice of medicine (CPOM) violations

What a Medical Director Agreement Must Include

Your medical director agreement must clearly establish:

  • Physician Control: The physician has complete authority over all medical decisions
  • Supervision Standards: How the physician will supervise treatments and staff
  • Protocols: Written procedures for all medical services
  • Emergency Procedures: Clear protocols for handling complications
  • Compensation: How the medical director will be paid

State-Specific Requirements

Requirements vary significantly by state:

  • Texas requires physicians to be readily available during procedures
  • California mandates specific independence standards for the physician
  • Florida defines "responsible supervision" with strict accessibility requirements

Common Mistakes to Avoid

Many med spa owners make these critical errors:

  • Using generic contract templates that don't meet state requirements
  • Failing to give the medical director actual control over medical decisions
  • Not documenting supervision adequately
  • Missing required training or protocol documentation

Medical boards actively look for these red flags during audits.

Learn more in our complete Med Spa Compliance Guide, including state-specific medical director requirements.

Generate your state-compliant Medical Director Agreement in 5 minutes - AI-drafted for $49, or get full attorney review starting at $149. Get Started →

Related Articles

How to Avoid CPOM Violations

Can a Non-Physician Own a Med Spa?

How to Set Up an MSO for Your Med Spa

Get expert legal help for your med spa

Get Started