May an esthetician or laser technician perform microneedling in Delaware?

The rest of what Delaware says on this

Every other rule we have verified under physician supervision & delegation, each linked to its primary source.

• A collaborating physician may not be involved in patient care in name only and must be involved in active patient care on a regular basis.

  24 Del. C. §1771(d) · verified Sep 3, 2026

• It is the obligation of each team of physicians and physician associates to ensure that the physician associate’s scope of practice is identified, and is appropriate to the physician associate’s level of education, training, and experience, that the relationship of, and access to, the collaborating physician is defined, and that a process for evaluation of the physician associate’s performance is established.

  24 Del. C. §1771(a) · verified Sep 3, 2026

• Each physician-physician associate team, hospital, clinic, medical group, or other healthcare facility is responsible for creating a written collaborative agreement, which must be kept on file at the primary location where the physician associate provides care.

  24 Del. C. §1771(b) · verified Sep 3, 2026

• A collaborating physician may not assign medical acts to a physician associate that exceed the physician’s license.

  24 Del. C. §1771(e) · verified Sep 3, 2026

• A collaborating physician may not at any given time collaborate with more than 4 physician associates, unless a regulation of the Board increases or decreases the number. This limit does not apply to physicians and physician associates who practice in the same physical office or facility building, such as an emergency department so long as there is active, physician coverage.

  24 Del. C. §1771(f) · verified Sep 3, 2026

• Unprofessional conduct includes the failure to provide adequate supervision to an individual working under the supervision of a person who is certified and registered to practice medicine.

  24 Del. C. §1731(b)(10) · verified Sep 3, 2026

• Unprofessional conduct includes knowing or intentional performance of an act which, unless authorized by this chapter, assists an unauthorized person to practice medicine or other profession or occupation regulated under this chapter.

  24 Del. C. §1731(b)(9) · verified Sep 3, 2026

• If a physician practice has multiple offices, a physician member of that practice shall visit each office periodically, as frequently as needed but at least once per month, for purposes of ensuring that the office is managed properly and patient care is appropriate.

  24 Del. C. §1769C · verified Sep 3, 2026

• Provisions of this chapter pertaining to the practice of medicine do not apply to the business of barbering, cosmetology, and manicuring.

  24 Del. C. §1703(9) · verified Sep 3, 2026

• "Independent practice" means practice and prescribing by a licensed physician associate who is not subject to a collaborative agreement to the full extent of the physician associate’s education, training, and experience.

  24 Del. C. §1770A(4) · verified Sep 3, 2026

• Any Delaware-licensed physician associate with more than 6,000 postgraduate clinical practice hours who intends to practice without a collaborative agreement must apply to the Regulatory Council for Physician Associates for independent practice authority.

  24 Del. C. §1772(j) · verified Sep 3, 2026

• A Delaware licensed physician associate with more than 6,000 postgraduate clinical practice hours who has been granted independent practice authority is not subject to this section and must collaborate with, consult with, or refer to the appropriate member of the healthcare team as indicated by the patient’s condition, and the education, experience, and competency of the physician associate.

  24 Del. C. §1772(i) · verified Sep 3, 2026

• Collaboration is a process in which the physician who oversees patient services and the physician associate jointly contribute to the medical evaluation and treatment of patients, and the collaborating physician must be available for consultation during the patient encounter if needed. The constant physical presence of the collaborating physician is not required on-site in the practice setting, provided the collaborating physician is readily accessible by some form of electronic communication.

  24 Del. C. §1770A(2) (Physician associates — “Collaboration”) · verified Sep 8, 2026

• Any physician who delegates medical responsibility to a non-physician is responsible for that individual's medical activities and must provide adequate supervision; no function may be delegated to a non-physician who by statute or professional regulation is prohibited from performing it, and the delegating physician cannot be involved in patient care in name only. Direct supervision requires the delegating physician to be physically on the premises and to perform an evaluation or give a consultation, and is required if a medical diagnosis is rendered or a treatment plan involving prescription medications is to be instituted. Indirect supervision requires the physician to be either physically present on the premises or readily available by an electronic device, meaning able to become physically present within 30 minutes of notification if the situation warrants. A supervising physician who fails to adhere to these regulations is considered to be permitting the unauthorized practice of medicine and is subject to discipline.

  24 DAC 1700 §§11.1.1, 11.1.3, 11.1.4, 11.1.7 (Delegation of responsibilities to non-physicians) · verified Sep 8, 2026

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