Who may perform the pre-treatment exam, state by state
The same question, answered for 2states from each state’s own law. States disagree on this, which is the point — an answer that is right in one is wrong next door. Every entry below is a statute or board rule we verified, most recently Jul 26, 2026.
Intake · part of The Practice Perimeter
California
Per the Medical Board, the required prior examination may NOT be delegated to a registered nurse — a physician (or an NP or PA under standardized procedures) must perform the good-faith exam and issue a patient-specific order before an RN performs the injection or laser treatment.
Medical Board of California — Medical Spas guidance · verified Jul 26, 2026
The full California answer, with the rest of the section →Texas
Before a delegated cosmetic act, a practitioner-patient relationship must be established by a physician, or by a PA or APRN acting under the physician’s delegation, and an adequate medical record must be maintained. The identity and title of the person who will perform the act must be disclosed to the patient.
22 TAC §169.26 · verified Jul 26, 2026
The full Texas answer, with the rest of the section →Which states this covers
2 of the 6 states for which we publish statute-cited rules. That is not every state, and nothing above should be read as describing one that is not listed — the answer genuinely differs, so a neighbouring state is not a guide. We monitor all 50 state legislatures plus the FDA and the Federal Register daily; the cited rule set is narrower than the monitoring and is growing on its own timetable.
What we track in every state →Get regulatory changes as they publish
We scan all 50 state legislatures daily, plus the FDA and the Federal Register. Free weekly Brief — what changed, in plain language, with the source.
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Med Spa Radar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).