# MedSpa Standards > MedSpa Standards provides inspection-ready standard operating procedures (SOPs) and > compliance protocols for U.S. medical spas. Products are downloadable PDF protocol kits > written for licensed med spa operators, medical directors, and healthcare compliance > professionals. All protocols reference U.S. federal and state regulatory requirements. > > Protocols are written by healthcare compliance professionals and reviewed against > state medical board requirements. Content is operational guidance for licensed > practitioners — not legal advice. Operators should confirm specific requirements > with their state medical board, department of health, or licensed attorney. MedSpa Standards sells 62 professionally written med spa SOPs organized into 7 specialty kits. Protocols cover GLP-1/weight loss, injectables, skin & laser, body & wellness, hormone therapy, emergency protocols, and operations & compliance. Kits include 12 months of free regulatory updates and a 30-day money-back guarantee. Products are instant digital downloads (PDF format). ## Protocol Kits - [Weight Loss / GLP-1 Kit](https://medspastandards.com/weight-loss-protocols): 10 SOPs covering semaglutide, tirzepatide, GLP-1 injection protocols — $297 - [Injectables Kit](https://medspastandards.com/injectables-protocols): 10 SOPs for Botox, dermal filler, Sculptra, and neuromodulators — $297 - [Skin & Laser Kit](https://medspastandards.com/skin-laser-protocols): 9 SOPs for microneedling, RF, chemical peels, and laser treatments — $297 - [Body & Wellness Kit](https://medspastandards.com/body-wellness-protocols): 10 SOPs for CoolSculpting, Emsculpt, IV therapy, and body contouring — $297 - [Hormone Therapy Kit](https://medspastandards.com/hormone-therapy-protocols): 10 SOPs for TRT, BHRT, and pellet therapy — $397 - [Operations & Compliance Kit](https://medspastandards.com/operations-compliance): 5 SOPs for intake, staffing, and medical director oversight — $197 - [Emergency Protocols Kit](https://medspastandards.com/emergency-protocols): 8 SOPs for vascular occlusion, anaphylaxis, and emergency response — $297 - [Complete Practice Suite](https://medspastandards.com/complete-suite): All 62 SOPs across every service line — $997 ## Free Compliance Resources - [Blog — all compliance guides](https://medspastandards.com/blog): 160+ articles on med spa compliance, regulatory requirements, and clinical protocols — 76 national guides plus 87 state-specific posts across thirteen state hubs - [GLP-1 compliance guide](https://medspastandards.com/blog/glp1-med-spa-compliance-2026-complete-guide): National pillar for GLP-1 programs in med spas — refreshed June 2026 with FDA shortage delisting, compounding restrictions, oral Wegovy approval, and the latest outcome data - [Injectables safety & compliance guide](https://medspastandards.com/blog/injectables-safety-compliance-med-spa-2026-complete-guide): National pillar for injectables programs — neurotoxins (the six FDA-approved products and why units are not interchangeable, reconstitution, storage, dosing documentation), dermal fillers and the hyaluronidase reversibility advantage, biostimulators (Sculptra/Radiesse) and irreversibility, lip filler and Kybella, the complication spectrum, vascular-occlusion and hyaluronidase emergency readiness, consent and photo documentation, scope of practice and supervision, and authorized-distributor sourcing. Hub for the 2026 injectables cluster (neurotoxin dosing, Botox complications, dermal filler complications, hyaluronidase, biostimulators, lip filler, Kybella, plus the vascular occlusion, Botox consent, and who-can-inject guides). Drives the Injectables Kit ($297) - [Skin & laser compliance guide](https://medspastandards.com/blog/skin-laser-compliance-med-spa-2026-complete-guide): National pillar for skin & laser programs — who can operate lasers, device classification and the LSO requirement (ANSI Z136.3), chemical peel scope by depth, microneedling/RF/dermaplaning, complications, the good-faith exam, scope by role, and state-by-state patterns. Hub for the 2026 cluster (who can operate a laser, chemical peel scope, laser/peel complications, plus CA/TX/AZ esthetician-scope and CA/TX/AZ/NY/GA/FL laser-safety deep dives) - [Microneedling laws by state](https://medspastandards.com/blog/microneedling-laws-by-state-med-spa-2026): National pillar on who can legally perform microneedling — the FDA 0.3 mm needle-depth line between cosmetic and medical (Class II device under 21 CFR 878.4430), scope by role (esthetician vs RN vs NP/PA vs physician), why RF microneedling is always a delegated medical act (2025 FDA safety communication), delegation/standing orders/good-faith exam, PRP/PRF add-ons and the exosome warning, consent and complications, and a state-by-state section. Hub for the 2026 microneedling & regenerative scope cluster (microneedling scope of practice, PRP/PRF aesthetics compliance, FL/NY/GA microneedling-PRP scope, CA/TX/AZ esthetician skin scope, RF microneedling protocol). Drives the Skin & Laser Kit ($297) - [Oral GLP-1 at med spas](https://medspastandards.com/blog/oral-glp1-med-spa-2026): How the FDA-approved oral Wegovy pill and Rybelsus fit a med spa weight-management program - [GLP-1 muscle loss & body composition](https://medspastandards.com/blog/glp1-muscle-loss-body-composition-med-spa-2026): Lean-mass data from SURMOUNT/STEP and how to protect muscle on GLP-1 therapy - [GLP-1 maintenance & off-ramping](https://medspastandards.com/blog/glp1-maintenance-off-ramping-med-spa-2026): Dose tapering, weight-regain risk, and discontinuation documentation - [Compounded GLP-1: 503A vs 503B sourcing](https://medspastandards.com/blog/compounded-glp1-503a-503b-med-spa-2026): Side-by-side compounding pathways and how to vet a sourcing partner post-delisting - [California GLP-1 compliance](https://medspastandards.com/blog/california/california-glp1-weight-loss-compliance-2026): MBC stance, AB-890 NP transition, and Board of Pharmacy enforcement for GLP-1 programs - [Florida GLP-1 compliance](https://medspastandards.com/blog/florida/florida-glp1-weight-loss-compliance-2026): Florida DOH and Board of Pharmacy expectations and protocol-agreement requirements for GLP-1 programs - [Med spa regulations by state (narrative overview)](https://medspastandards.com/blog/med-spa-regulations-by-state): Blog explainer on state-level med spa regulation across the U.S. - [Med Spa Regulations by State — interactive reference tool](https://medspastandards.com/med-spa-regulations-by-state): THE canonical dataset. All 51 US jurisdictions (50 states + DC) across 10 compliance dimensions — who can inject, good-faith exam, medical director, ownership/CPOM, supervision, esthetician scope, lasers, IV therapy, registration, penalties — each value citing its own primary statute or board rule. Interactive map, comparison table, and a full CSV download at https://medspastandards.com/data/med-spa-regulations.csv - Per-state pages: https://medspastandards.com/med-spa-regulations-by-state/{state-slug} — one page per jurisdiction (e.g. /texas, /california, /district-of-columbia), each with the state's own wording and sources. - By-topic comparisons: [who can inject](https://medspastandards.com/med-spa-regulations-by-state/who-can-inject) · [good-faith exam](https://medspastandards.com/med-spa-regulations-by-state/good-faith-exam) · [medical director](https://medspastandards.com/med-spa-regulations-by-state/medical-director-requirements) · [who can own a med spa](https://medspastandards.com/med-spa-regulations-by-state/who-can-own-a-med-spa) · [who can operate lasers](https://medspastandards.com/med-spa-regulations-by-state/who-can-operate-lasers) - [State med spa regulatory changes 2026](https://medspastandards.com/blog/state-med-spa-regulatory-changes-2026): Year-in-review pillar covering 2026 regulatory developments across California, New York, Texas, Florida, Arizona, and Georgia - [NP-owned med spa playbook 2026](https://medspastandards.com/blog/nurse-practitioner-med-spa-ownership-2026): National pillar covering NP ownership of med spas across 27 states with three practice authority models, plus state-specific deep dives for CA, NY, TX, FL, AZ, GA - [Med spa medical director — complete 2026 guide](https://medspastandards.com/blog/med-spa-medical-director-complete-guide-2026): National pillar consolidating the entire medical director cluster — what a medical director is and does, who can serve, how to find and pay one (FMV, ~$1,500–$8,000+/mo, never % of revenue), remote/telehealth and fractional models, the three physician roles (director vs supervising vs collaborating), vicarious/direct liability, board-complaint risk, the agreement, and a state-by-state overview (CA/NY strict CPOM, TX/GA delegation, FL supervision, AZ full practice authority). Hub for the medical director library (how-to-find, remote/telehealth, duties, three-roles, fractional, board complaints, requirements, cost/agreement, liability, plus CA/NY/TX/FL/GA/AZ state guides). Drives the Operations & Compliance Kit ($197) - [Med spa medical director cost & agreement 2026](https://medspastandards.com/blog/med-spa-medical-director-cost-agreement-2026): National pillar on medical director compensation (FMV by state), agreement essentials, fee-splitting rules, and the 2026 rent-a-doc crackdown, with state deep dives for CA, NY, TX, FL, AZ, GA - [Who can inject Botox — U.S.](https://medspastandards.com/blog/who-can-inject-botox-united-states): Scope of practice guide for all 50 states - [Med spa inspection guide](https://medspastandards.com/blog/med-spa-inspection-guide): How to prepare for a state board inspection ## State-Specific Compliance Hubs - [Florida med spa compliance](https://medspastandards.com/blog/florida): AHCA/DOH inspection prep, delegation rules, and Florida-specific requirements - [California med spa compliance](https://medspastandards.com/blog/california): AB890, NP authority, advertising rules, and licensing requirements - [Texas med spa compliance](https://medspastandards.com/blog/texas): DSHS inspections, delegation authority, and scope of practice - [New York med spa compliance](https://medspastandards.com/blog/new-york): NP supervision hours, advertising rules, and ownership requirements - [Georgia med spa compliance](https://medspastandards.com/blog/georgia): Protocol agreements, laser safety, and medical director requirements - [Arizona med spa compliance](https://medspastandards.com/blog/arizona): Full practice authority rules, NP scope, and inspection prep - [Ohio med spa compliance](https://medspastandards.com/blog/ohio): Physician delegation, compounding-pharmacy sourcing, telehealth prescribing, and scope of practice by role - [Illinois med spa compliance](https://medspastandards.com/blog/illinois): Physician delegation and the good-faith exam, corporate-practice ownership limits, injector scope, laser supervision, APRN full practice authority, and Chicago licensing - [Tennessee med spa compliance](https://medspastandards.com/blog/tennessee): The state medical spa registration statute, medical director and supervising physician rules, physician delegation and the good-faith exam, injector scope, laser oversight, and ownership - [Virginia med spa compliance](https://medspastandards.com/blog/virginia): No med spa statute or facility license — physician oversight and delegation, the bona fide practitioner-patient relationship, injector scope by role, the laser hair removal statute, Schedule VI drug handling, and ownership limits - [Colorado med spa compliance](https://medspastandards.com/blog/colorado): Nurse practitioner full practice authority and the two-tier prescriptive authority track, Rule 1.17 delegation and supervision, the HB25-1024 unlicensed-staff disclosure law, injector scope, laser oversight, and corporate-practice ownership limits - [Washington med spa compliance](https://medspastandards.com/blog/washington): ARNP full practice authority and separate prescriptive authority, WAC 246-919-606 delegation to PAs, RNs, and LPNs with the thirty-minute response standard, the participating-physician condition for PAs, the master esthetician licence and why it never reaches an injection, the good-faith exam, and Washington enforcement - [Michigan med spa compliance](https://medspastandards.com/blog/michigan): No med spa statute, facility licence, or registration — authority runs through MCL 333.16215 delegation to licensed and unlicensed individuals, the three-part supervision definition at MCL 333.16109, APRN independent prescribing of nonscheduled drugs, PA practice agreements, esthetician limits after Public Act 160 of 2024, the good-faith exam, and negligent-delegation discipline ## Optional - [Individual SOP purchase](https://medspastandards.com/individual): Buy single SOPs at $97 each - [Contact](mailto:support@medspastandards.com): Customer support and inquiries — support@medspastandards.com - [Privacy policy](https://medspastandards.com/privacy) - [Terms of service](https://medspastandards.com/terms) - [Return policy](https://medspastandards.com/return-policy)