New Hampshire medical director requirements for med spas

Physician supervision & delegation in New Hampshire

New Hampshire makes the licensee answerable for who works in their office: employing or ALLOWING an unlicensed person to practice there is itself a disciplinary ground. It also treats regular or frequent consultation by an unlicensed person as the practice of medicine without a license, so a consultation exception cannot be used as a standing arrangement. The cosmetology chapter defines esthetics by an enumerated list of surface treatments — giving facials, applying makeup, giving therapeutic skin care treatments, removing superfluous hair, applying eyelashes, beautifying, massaging, cleansing or stimulating the face, neck, arms and shoulders with cosmetic preparations, devices or appliances, and providing pedicure and manicure services — a list on which no procedure that punctures the skin appears.

• The board may take disciplinary action against a licensee who has employed or allowed an unlicensed person to practice in the licensee’s office.

  N.H. Rev. Stat. §329:17, VI(e) · verified Sep 3, 2026

• Regular or frequent consultation by an unlicensed person, as determined by the licensing board, shall constitute the practice of medicine without a license.

  N.H. Rev. Stat. §329:21, II (consultation exception) · verified Sep 3, 2026

• The board may take disciplinary action against a licensee who has willfully or repeatedly violated any provision of this chapter or any substantive rule of the board.

  N.H. Rev. Stat. §329:17, VI(i) · verified Sep 3, 2026

• Medication nursing assistant means a licensed nursing assistant holding a currently valid certificate authorizing the delegation to the nursing assistant of tasks of medication administration.

  N.H. Rev. Stat. §326-B:2, VI · verified Sep 3, 2026

• Esthetics means giving facials, applying makeup, giving therapeutic skin care treatments, removing superfluous hair, or applying eyelashes to any person; beautifying the face, neck, arms, and shoulders, by use of cosmetic preparations, antiseptics, tonics, lotions, or creams; massaging, cleansing, or stimulating the face, neck, arms, and shoulders, by means of the hands, devices, apparatus, or appliances, with the use of cosmetic preparations, antiseptics, tonics, lotions, or creams; or providing pedicure and manicure services.

  N.H. Rev. Stat. §313-A:1, VIII (“Esthetics” defined) · verified Sep 3, 2026

• Any person is regarded as practicing medicine who diagnoses, treats, performs surgery, or prescribes any treatment of medicine for any disease or human ailment, and surgery means any procedure, including but not limited to laser, in which human tissue is cut, shaped, burned, vaporized, or otherwise structurally altered, except that the section does not apply to any person to whom authority is given by any other statute to perform acts which might otherwise be deemed the practice of medicine.

  N.H. Rev. Stat. §329:1 · verified Sep 8, 2026