A naturopathic doctor is licensed as primary care with real prescriptive authority in some states, and unlicensed or tightly restricted in others. That range is wider than almost any other provider type on this site, which means the delegation and oversight picture for an ND-led practice is rarely the same document twice.
Most compliance templates are written with an MD or an NP at the top, and they do not map cleanly onto an ND-led clinic. Practices either assume their training covers what their license does not, or swing conservative and turn away services their state would actually allow. Neither is a plan — it is a guess sitting where a confirmed answer should be.
Before we draft anything, we establish exactly what your state licenses an ND to do: what may be prescribed, what may be performed independently, and where a collaborating or supervising physician is required. That answer is state-specific and we do not assume it.
Not a blanket relationship layered over the whole practice regardless of need, but direction sized to the services your state’s ND scope does not reach — so you delegate only what genuinely needs delegating.
Every service on your menu marked for how your state allows it to be delivered: by the ND alone, under a collaborative agreement, or only under physician direction — so scheduling never outruns what is actually permitted.
Not a generic supervising physician unfamiliar with naturopathic training — someone who understands what an ND's license already covers and directs only what it doesn't.
Records written so a board reviewer who has never evaluated an ND-led practice before can still see exactly who was authorized to do what.
Scope varies with your state and what already exists. We tell you on the first call which of these you can skip.
State-specific confirmation of ND licensure, prescriptive authority and independent scope
Medical director connection for services outside your state’s ND scope
Collaborative or supervisory agreements where your state requires one
Protocol packs split by permitted practitioner, service by service
Formulary and prescribing rules mapped to what your license and state allow
A collaborating physician matched to ND-specific practice, not a generic template
Documentation built to read clearly to a reviewer unfamiliar with naturopathic scope
Member pricing across your protocol menu, however delegation is structured
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.
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.
ND programs teach clinical content well beyond what many states license a naturopathic doctor to act on independently. What a program taught and what your license permits are different questions, and a board only asks the second one.
Most delegation documents are written for one of those two provider types, and neither maps onto an ND-led clinic cleanly. Some states license NDs with meaningful independent authority, others license them narrowly or not at all — a template built for either extreme misses the practices in between.
A physician unfamiliar with naturopathic licensure may either over-restrict what your license already permits or fail to catch what genuinely needs their sign-off — the wrong direction either way.
Naturopathic scope-of-practice rules are still evolving in a number of states — a structure confirmed correct two years ago is worth re-checking, not assumed to still be current.
General information about how these arrangements are structured, not legal advice. Your medical director and your counsel confirm what applies to your clinic.
Still not sure? Twenty minutes on the phone answers what a page can't.
It depends entirely on the state, and licensure status changes everything downstream — prescriptive authority, independent scope, whether a supervising physician is required at all. We confirm your state’s current rules before writing anything, rather than starting from a template built for a different one.
Often yes, but usually under a different structure than in a licensing state — typically a supervising physician holding clinical authority for regulated services, with the ND practicing inside whatever narrow scope that state allows unlicensed practitioners. We map that specifically rather than assume the licensed-state model transfers.
Sometimes that relationship already covers everything your state requires; sometimes it was signed before you added services it does not reach. We review what is in place and tell you if it holds up before proposing anything new.
That's exactly what we confirm before connecting you — a physician unfamiliar with ND licensure can misjudge what genuinely needs their oversight versus what your license already covers.
On a real cadence, not a one-time confirmation. Naturopathic scope-of-practice rules are still evolving in a number of states, and a structure that was correct two years ago is worth re-checking rather than assumed current.
Practice type sets the structure; modality sets the protocols. Most clinics need both.
