What must the supervising physician actually do in Missouri?

The rest of what Missouri says on this

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

• "Class E - estheticians" includes the use of mechanical, electrical apparatuses or appliances, or by the use of cosmetic preparations, antiseptics, tonics, lotions or creams, not to exceed ten percent phenol, engages for compensation, either directly or indirectly, in any one, or any combination, of the following practices: massaging, cleansing, stimulating, manipulating, exercising, beautifying or similar work upon the scalp, face, neck, ears, arms, hands, bust, torso, legs or feet and removing superfluous hair by means other than electric needle or any other means of arching or tinting eyebrows or tinting eyelashes, of any person.

  Mo. Rev. Stat. §329.010(5)(d) · verified Sep 3, 2026

• The description shall include provisions that the advanced practice registered nurse shall submit a minimum of ten percent of the charts documenting the advanced practice registered nurse's delivery of health care services to the collaborating physician for review by the collaborating physician, or any other physician designated in the collaborative practice arrangement, every fourteen days.

  Mo. Rev. Stat. §334.104.3(9) · verified Sep 3, 2026

• The collaborating physician, or any other physician designated in the collaborative practice arrangement, shall review every fourteen days a minimum of twenty percent of the charts in which the advanced practice registered nurse prescribes controlled substances. The charts reviewed under this subdivision may be counted in the number of charts required to be reviewed under subdivision (9) of this subsection.

  Mo. Rev. Stat. §334.104.3(10) · verified Sep 3, 2026

• If a collaborative practice arrangement is used in clinical situations where a collaborating advanced practice registered nurse provides health care services that include the diagnosis and initiation of treatment for acutely or chronically ill or injured persons, then the collaborating physician or any other physician designated in the collaborative practice arrangement shall be present for sufficient periods of time, at least once every two weeks.

  Mo. Rev. Stat. §334.104.3(11) · verified Sep 3, 2026

• The collaborating physician and the advanced practice registered nurse shall maintain geographic proximity, except as specified in this paragraph.

  Mo. Rev. Stat. §334.104.3 · verified Sep 3, 2026

• Misconduct, fraud, misrepresentation, dishonesty, unethical conduct or unprofessional conduct in the performance of the functions or duties of any profession licensed or regulated by this chapter includes delegating professional responsibilities to a person who is not qualified by training, skill, competency, age, experience or licensure to perform such responsibilities.

  Mo. Rev. Stat. §334.100.2(4)(d) · verified Sep 3, 2026

• It is the responsibility of the collaborating physician to determine and document the completion of at least a one-month period during which the advanced practice registered nurse shall practice with the collaborating physician continuously present, before the nurse practices in a setting where the collaborating physician is not continuously present.

  Mo. Rev. Stat. §334.104.9 · verified Sep 8, 2026

How other states answer this

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Connecticut
• Delaware
• District of Columbia
• Florida
• Georgia
• Hawaii
• Illinois
• Iowa
• Kansas
• Maryland
• Massachusetts
• Michigan
• Mississippi
• Montana
• New Jersey
• New Mexico
• New York
• North Carolina
• Ohio
• Oklahoma
• Pennsylvania
• South Carolina
• Tennessee
• Texas
• Utah
• Washington
• Wisconsin

Related Missouri questions

• Does a med spa in Missouri need a medical director?
• May an esthetician or laser technician perform microneedling in Missouri?