Product Authorization
Which products, which areas, which providers — set out per treatment rather than in general terms.
Injectables & Neurotoxins
Find a Medical Director for Injectables and Neurotoxins
Toxins, fillers and biostimulators are the core of most aesthetic practices — and the category boards look at first. Direction, delegation and competency records are the whole game.
Medical Director Oversight
What a Director Actually Signs Off for Injectables & Neurotoxins
Each of these is a decision your director owns, in writing, before it happens in your clinic.
Competency Records
Training sign-off per injector, refreshed as your team changes.
Complication Plan
Vascular occlusion and adverse-event protocols with reversal agents on hand.
Consultation Policy
Who assesses the patient before treatment, and how that is documented.
What We Set Up
Everything Behind a Compliant Injectables Program
Injectable programs need product-level authorization, injector competency on file, and complication protocols that are actually rehearsed.
Standing orders by product and treatment area
Injector competency sign-off per provider and device
Complication protocols, including hyaluronidase access
Clearance screening and consultation policy
Consent, photography and documentation standards
Adverse-event reporting and escalation route
Supply
Where the Product Comes From
FAQ
Questions About Injectables & Neurotoxins
Still not sure? Twenty minutes on the phone answers what a page can't.
Can an Aesthetician Inject?
Almost never. Scope is set by state license and delegation rules — your standing orders will say exactly who may inject what.
Does the Director Have to Be on Site?
Presence and availability requirements vary by state and service. We confirm yours and write it into the agreement.
What If There Is a Complication?
Your protocol names the steps, the reversal agents to keep stocked and who to call — before it happens, not after.
Do We Need Product-Specific Authorization, or Does One Approval Cover the Whole Menu?
Product-specific. A general "injectables" authorization does not tell a board which provider is cleared for which product in which area — standing orders spell that out by name.
How Is Competency Actually Tracked as Staff Changes?
Per provider and per device, refreshed when someone joins or a new product is added — not a single sign-off from onboarding that never gets revisited.
Who Is Allowed to Own a Injectables Business?
Can a non-physician own a med spa that injects? The business, yes. The clinical entity, in most states no. Toxins and fillers are prescription medical treatment, and this is the category boards examine first.
That is what the corporate practice of medicine doctrine decides — and it is the single rule that shapes how your business is built. Most states hold that medical judgment belongs to licensed clinicians, so a non-physician or a general corporation may not own or control an entity that practices medicine. The MSO model is the answer the industry settled on.
The Rule
CPOM — Corporate Practice of Medicine
A doctrine in state law, not a company or a service. The professional entity — the PC — must be owned by a licensed physician, and control counts as much as ownership: who hires the clinicians, who sets the fees, who decides what gets treated.
Only a licensed physician may own the professional entity in most states
Control counts too — hiring clinicians, setting fees, directing treatment
Fee-splitting rules limit how the MSO can be paid
Enforcement is by medical boards, attorneys general, insurers and acquirers
The Structure
MSO — Management Services Organization
The company that provides everything a Injectables clinic needs that is not the practice of medicine, under a written management services agreement with the PC. You can own the MSO outright, whatever your license.
Owned by you, whatever your license — no physician equity required
Holds the brand, lease, staff, systems, supply and marketing
Paid a fair-market management fee, never a cut of clinical revenue
Takes no part in diagnosis, treatment or any clinical decision
How the two meet: a physician-owned PC employs the clinical team and holds the medical decisions; your MSO holds the brand, the lease, the staff, the systems and the supply; a fair-market management fee moves between them; and the line is drawn in writing where your state says it must be. Delegation and competency records matter as much as the ownership diagram here.
Watch
Where the Money Actually Goes
What This Covers
How money actually moves through a PC/MSO structure — patient revenue landing in the PC, the fixed management transfer to the MSO, MedGrid's retainer, and physician compensation — the same CPOM flow of funds covered on this page, walked through step by step.
This isn't just how we recommend running the accounts. In a state that enforces corporate practice of medicine, this exact flow is required to keep a PC structure compliant: revenue lands in the PC first, the MSO is paid a fixed, fair-market amount rather than a share of medical revenue, MedGrid is paid a fixed retainer by the MSO, and the accounts stay separate.
It's also why MedGrid only builds on a PC — never a PLLC — in every state we work in. A PLLC lets revenue flow straight into a member's account with no equivalent separation, which is exactly the structure this flow of funds is built to avoid. Why that distinction matters.
Getting It WrongMistake 01 Mistake 02 Mistake 03 Mistake 04
Four Ways Injectables Clinics Get Structured Badly
These are the arrangements we most often find in place when a clinic comes to us, usually built in good faith, on advice from someone who had not read the state's rules.
An LLC That Should Be a PC
The clinical entity was formed as a plain LLC owned by a non-physician. In a strict state that is the whole problem, and it usually surfaces at diligence or renewal.
A Director on a Handshake
A physician agreed to "be the medical director" with no management agreement, no delegation document and no standing orders. There is nothing to show a board.
A Fee That Looks Like a Split
The MSO takes a percentage of clinical revenue. Many states read that as fee-splitting regardless of what the contract calls it.
Protocols From a Course
Treatment protocols copied from a training weekend, never adapted to this state or signed by the director who is supposed to own them.
General information about how these structures work, not legal advice for your clinic. Your director and your counsel confirm the specifics before you treat.
Other Modalities We Cover
GLP-1 Weight LossPeptide TherapyHRT / TRTIV Drips & HydrationTelehealth PrescribingSkin & ResurfacingHair RestorationOzone TherapyLongevity DiagnosticsLasers & Energy DevicesExosomes & RegenerativeVitamin InjectionsSexual Wellness
Adding Injectables to Your Menu?
Twenty minutes tells you what direction costs in your state, what has to be on file before the first patient, and how fast you can start.