Paperwork Watch · 2026-W36
Med spa directors: seven states, six different job titles on the form
This week's spotlight lines up the aesthetic medical spa director requirement state by state, from Florida's Medical or Clinic Director to Texas's Delegating Physician. Two federal notices round out the docket.
Practice type spotlight: Aesthetic Medical Spa
Which states name a director for a med spa, and what the instrument is called there.
7 states require a medical director for an aesthetic medical spa; 4 researched states do not
Our practice-type map now separates the states that require a named director for an aesthetic medical spa from the researched states that do not. Grey states on the map are not yet researched.
Medical director requirements for Aesthetic Medical Spas by state
Florida names the role Medical or Clinic Director
Florida requires the role for an aesthetic medical spa, and the title to use on the paperwork is Medical or Clinic Director.
Massachusetts names the role Professional Services Director
Massachusetts requires the role, and the instrument names a Professional Services Director rather than a medical director.
Massachusetts: medical director for an aesthetic medical spa
Oklahoma names the role Supervising Physician / Medical Director
Oklahoma requires the role for an aesthetic medical spa, with the physician identified as Supervising Physician / Medical Director.
Oregon names the role Medical Director
Oregon requires the role for an aesthetic medical spa, titled Medical Director.
Tennessee names the role Medical Director (or Supervising Physician)
Tennessee requires the role, which appears as Medical Director or, alternatively, Supervising Physician.
Texas names the role Delegating Physician
Texas requires the role for an aesthetic medical spa, and the physician is named as the Delegating Physician.
On the docket
DEA issues a decision and order in the registration case of a nurse practitioner
The Drug Enforcement Administration published a Decision and Order in the matter of Catina Allen, N.P. Registration actions of this kind sit alongside, not inside, a state agreement file; the state instrument that authorizes prescribing is documented separately.
Source: Federal Register: Catina Allen, N.P.; Decision and Order
Social Security Administration issues SSR 26-2p on documenting disability in young adults
SSA gave notice of Social Security Ruling 26-2p, which consolidates its policies on documenting and evaluating disability in young adults and rescinds and replaces SSR 11-2p. It bears on the documentation practices reflect in disability records, not on the contents of a state practice agreement.
Every outside claim carries the source it was read from this week. Our own research dates are on each state page. Published 2026-09-05.