Competency on File, per Provider
Sign-off by person and by device, refreshed as the team changes rather than at induction only.
Multi-Provider Practices
Medical Director Services for Multi-Provider Clinics
The moment a second provider starts treating, the question changes from "is this compliant" to "is this compliant every time, by everyone". Membership makes the standard explicit, records who is signed off for what, and keeps purchasing under one roof.
Where This Usually Starts
What We See in Multi-Provider Practices
Multi-provider clinics rarely fail on the protocol itself — they fail on drift. One injector was trained on the old dilution, a new hire never got competency sign-off, a locum works from a document that was revised two versions ago. None of it is visible until something goes wrong.
What We Do FirstStep 01 Step 02 Step 03 Step 04 Step 05
The Order That Saves Rework
One Version in Force
Versioned protocols, so you can show which document applied on the day a treatment happened.
Purchasing With Permissions
Staff sub-accounts under one parent account — shared catalog, controlled buying, one bill.
Onboarding That Doesn't Wait on You
New-hire competency sign-off and delegation paperwork built into a repeatable process, so growing the team doesn't mean rebuilding documentation from scratch each time.
Insurance That Reflects the Whole Team
Malpractice and liability coverage confirmed against your actual provider roster, not a headcount estimate from when the policy was first written.
Onboarding & Operations
Built for a Multi-Provider Practice
Scope varies with your state and what already exists. We tell you on the first call which of these you can skip.
Delegation and supervision terms per provider type
Competency sign-off per provider and per device
Versioned protocol packs with change notifications
Staff sub-accounts with purchasing permissions
A repeatable onboarding process for new hires
Insurance coverage confirmed against your current provider roster
Chart-review cadence across the whole team
Consolidated ordering and one reconciliation
The MedGrid Standard
The Four R's of Medical Direction
How to find a medical director who actually holds up — for a med spa, a wellness clinic, or any practice in between — comes down to the same four checks every time.
Rights — An ownership structure that actually matches your state's CPOM posture.
Requirements — A director licensed in your state, with protocols written for your actual menu.
Review — A real, scheduled chart-review cadence — not a signature applied in arrears.
Reachability — Actually reachable when a treatment goes sideways, with an escalation route staff knows.
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.
Where It Goes Wrong
Four Things Worth Checking Today
Supervision Ratios
Several states cap how many providers one physician may supervise, and some require physical presence for particular services. The cap is per state, not per clinic.
Locums and Part-Timers
Temporary staff need the same delegation and sign-off as permanent ones. This is the most common gap we find in otherwise well-run clinics.
Insurance That Hasn't Caught Up With Headcount
A policy written for three providers doesn't automatically extend to the fifth hire. Confirming coverage against your actual current roster is worth checking on a real cadence, not assumed.
A Director Stretched Past What They Can Actually Review
Adding providers without checking whether one medical director can still genuinely review every chart is how oversight quietly becomes a formality instead of a real practice.
General information about how these arrangements are structured, not legal advice. Your medical director and your counsel confirm what applies to your clinic.
FAQ
Questions From Multi-Provider Practices
Still not sure? Twenty minutes on the phone answers what a page can't.
How Many Providers Can One Director Supervise?
It varies by state and by service, and some states set no number but require availability or presence. We confirm your limits before you staff up.
Can Staff Order Without Me Approving Each Purchase?
Yes. Sub-accounts carry purchasing permissions you set, so coordinators can build orders while approval stays where you want it.
What Happens When We Add a Service Line?
A new protocol pack, director sign-off, competency training for whoever will deliver it, and the order list attached. We run that as a unit rather than piecemeal.
Does Adding a Provider Automatically Update Our Insurance?
No — coverage needs to be actively confirmed against your current roster, not assumed to scale on its own as you hire.
How Do You Handle Onboarding a New Hire Quickly?
Competency sign-off and delegation paperwork follow a repeatable process, so a new hire isn't waiting weeks on documentation that should take days.
Build It Around What You Treat
Practice type sets the structure; modality sets the protocols. Most clinics need both.
GLP-1 Weight LossPeptide TherapyHRT / TRTIV Drips & HydrationInjectables & NeurotoxinsTelehealth PrescribingSkin & ResurfacingHair RestorationOzone TherapyLongevity Diagnostics
Other Practice Types