Must someone be on site while a patient is treated in North Carolina?
Intake · part of The Practice Perimeter
An RN does not require the on-site presence of a physician, nurse practitioner or physician assistant to perform a prescribed cosmetic procedure. An LPN does: an LPN must have the on-site presence and supervision of an RN, physician, nurse practitioner, physician assistant or other licensed practitioner acting within their scope.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026 · regulatory monitoring, not legal advice
The rest of what North Carolina says on this
Every other rule we have verified under good-faith examination, each linked to its primary source.
A licensed physician, nurse practitioner, physician assistant or other practitioner with prescriptive authority must complete the client evaluation and assessment for the appropriateness of the procedure and issue the prescription or order before a licensed nurse carries it out. That evaluation may not be delegated to the nurse who will perform the treatment.
NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026
The Medical Board’s position is that each patient be examined by a physician, physician assistant, or nurse practitioner licensed or approved by the Board prior to receiving the first laser hair or tattoo removal treatment, and at other times as medically indicated.
NCMB Position Statement 5.1.2 · verified Aug 17, 2026
It is the Board's position that a licensee-patient relationship may be established via either synchronous or asynchronous telemedicine technologies without any requirement of a prior in-person meeting, so long as the standard of care is met; licensees are encouraged to provide, or rely upon, an appropriate evaluation prior to diagnosing or treating the patient, and that evaluation need not be in-person if the licensee employs technology sufficient to accurately diagnose and treat the patient in conformity with the applicable standard of care.
NCMB Position Statement 5.1.4 (Telemedicine — licensee-patient relationship; evaluations and examinations) · verified Sep 8, 2026
How other states answer this
- Alabama
- Alaska
- Arkansas
- California
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Illinois
- Indiana
- Iowa
- Maryland
- Michigan
- Mississippi
- Missouri
- Montana
- Nevada
- New Jersey
- New Mexico
- New York
- Ohio
- Oklahoma
- South Carolina
- Tennessee
- Texas
- Virginia
- Washington
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← All North Carolina rules and changes · MedSpaRadar 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).