Oklahoma medical director requirements for med spas

Physician supervision & delegation in Oklahoma

Oklahoma writes the supervision duty as a list the SUPERVISING PHYSICIAN must satisfy, and it is unusually concrete about orders. In all patient care settings that physician must provide appropriate methods of supervising the physician assistant’s services, and § 519.6 names them: being responsible for the FORMULATION OR APPROVAL OF ALL ORDERS AND PROTOCOLS — standing, direct or otherwise — and periodically reviewing them; regularly reviewing the services provided and any problems or complications; being available physically or by telemedicine or direct telecommunication for consultation, emergencies or referral; and reviewing a sample of outpatient medical records. The Cosmetology and Barbering Board’s scope rule then draws the esthetician’s line by DEPTH: cosmetology expressly does not include services that puncture the skin or that fall within the healing arts, and “puncturing the skin” is defined to include microneedling — a multi-needled device creating microchannels at a depth greater than 0.25 mm — as well as laser, ultrasound and HIFU, plasma pen, injections including needle-free devices, FDA Class 3 devices and dermabrasion.

• In all patient care settings, the supervising physician shall provide appropriate methods of supervising the health care services provided by the physician assistant including:

  Okla. Stat. tit. 59, § 519.6 (Supervision in all patient care settings) · verified Sep 5, 2026

• being responsible for the formulation or approval of all orders and protocols, whether standing orders, direct orders or any other orders or protocols, which direct the delivery of health care services provided by a physician assistant, and periodically reviewing such orders and protocols

  Okla. Stat. tit. 59, § 519.6(a) (Responsibility for all orders and protocols) · verified Sep 5, 2026

• regularly reviewing the health care services provided by the physician assistant and any problems or complications encountered, c. being available physically or through telemedicine or direct telecommunications for consultation, assistance with medical emergencies or patient referral

  Okla. Stat. tit. 59, § 519.6(b)-(c) (Review, and availability for consultation) · verified Sep 5, 2026

• reviewing a sample of outpatient medical records.

  Okla. Stat. tit. 59, § 519.6(d) (Chart review) · verified Sep 5, 2026

• Scope of practice for Cosmetologists and Facialists/Estheticians: cosmetology expressly does not include services that puncture the skin or that are within the scope of practice of the healing arts pursuant to 59 O.S., § 199.1 and OAC 175:1 - 1 - 2. “puncturing the skin” is defined as perforating the skin by any means, including, but not limited to: (C) Microneedling or “collagen induction treatment or therapy,” which is a procedure that uses a multi - needled device to create microchannels in the skin at a depth greater than 0.25 mm to stimulate the body’s natural healing process while minimizing cellular damage;

  Okla. Admin. Code § 175:10-7-29(a), (a)(1)(C) (Scope of practice for Cosmetologists and Facialists/Estheticians — microneedling is puncturing the skin) · verified Sep 7, 2026

• Puncturing the skin, which cosmetology expressly does not include, also covers: (D) The use of laser treatments; ultrasound and high intensity focused ultrasound (“HIFU”) treatments; radiation; plasma pen; injections, including, but not limited to, injections performed by means of needle - free injection devices; and Food and Drug Administration (“FDA”) approved Class 3 medical devices; (F) Dermabrasion, which is a procedure that uses a specialized instrument to “sand” or scrape away the top layers of the skin;

  Okla. Admin. Code § 175:10-7-29(a)(1)(D), (F) (Scope of practice — lasers, injections, dermabrasion) · verified Sep 7, 2026

• The supervising physician need not be physically present nor be specifically consulted before each delegated patient care service is performed by a physician assistant, so long as the supervising physician and physician assistant are or can be easily in contact with one another by means of telecommunication; and in all patient care settings the supervising physician shall provide appropriate methods of supervising the health care services provided by the physician assistant.

  Okla. Stat. tit. 59, § 519.6(B) (Supervision — physical presence not required) · verified Sep 8, 2026

Recent Oklahoma changes

• OK SB809: Physician assistants; allowing certain physician assistants to practice without supervision; specifying prescriptive authority. Effective date.Feb 3, 2025