May an esthetician or laser technician perform microneedling in Alabama?
Who treats · part of The Practice Perimeter
Short answer
Only as a physician's Level 2 Delegate — estheticians, cosmetologists and laser technicians may perform non-ablative procedures below the stratum corneum only under a physician's written protocol and supervision; microneedling itself isn't named in the rules.
(6) Level 2 Delegate - A Level 2 Delegate is a licensed practicing nurse (LPN) or medical assistant to include Medical Examiners Chapter 540-X-11 Revised 3/16/26 11-3 aestheticians, cosmetologists, and laser technicians authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 2 Delegate as stated in these rules.
Ala. Admin. Code r. 540-X-11-.02(6) (definition of “Level 2 Delegate”) · verified Sep 4, 2026 · regulatory monitoring, not legal advice
Related Alabama rules
(5) Level 1 Delegate - A Level 1 Delegate is an assistant to physicians (PA) as defined in Ala. Code § 34-24-290, a certified registered nurse practitioner, or registered nurse (RN) authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 1 Delegate stated in these rules.
Ala. Admin. Code r. 540-X-11-.02(5) (definition of “Level 1 Delegate”) · verified Sep 4, 2026
(a) Evaluate current health status and risk factors of individuals based on comprehensive health history and comprehensive physical examinations and assessments. (b) Formulate a working diagnosis, develop and implement a treatment plan, and evaluate/modify therapeutic regimens to promote positive patient outcomes.
Ala. Admin. Code r. 540-X-8 (Certified registered nurse practitioner — services) · verified Sep 4, 2026
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