Vermont medical director requirements for med spas

Physician supervision & delegation in Vermont

Vermont names the delegation failure directly: handing health care services to someone the licensee knows, or has reason to know, is not qualified by training, experience, education or licensing credentials is unprofessional conduct. Practicing medicine with a physician who is not legally practicing in the State, or aiding such a physician, is a separate ground. The cosmetology chapter draws the esthetics line from both directions: esthetics MEANS skin-care services to enhance or improve the appearance of the skin — cleansing, toning, stimulating, manipulating, beautifying, exfoliating or similar procedures using only cosmetic preparations, hands, mechanical or electrical apparatus, tonics, lotions, creams or makeup, plus lash and brow work and manual or mechanical hair removal — and esthetics DOES NOT INCLUDE any practice that constitutes the practice of medicine, including injections of any substance and the use of lasers.

• The Board shall find that the following constitutes unprofessional conduct: delegation of professional responsibilities, including delivery of any health care services, to a person whom the licensed professional knows, or has reason to know, is not qualified by training, experience, education, or licensing credentials to perform them.

  Vt. Stat. tit. 26, §1354(a)(29) · verified Sep 3, 2026

• The Board shall find that the following constitutes unprofessional conduct: practicing medicine with a physician who is not legally practicing within the State, or aiding or abetting such physician in the practice of medicine.

  Vt. Stat. tit. 26, §1354(a)(15) · verified Sep 3, 2026

• Esthetics means services related to skin-care treatments to enhance or improve the appearance of the skin, including cleansing, toning, stimulating, manipulating, beautifying, exfoliating, or performing any similar procedure on the human body using only cosmetic preparations, hands, mechanical or electrical apparatus or appliances, tonics, lotions, creams, or makeup; beautifying lashes and brows; and removing unwanted hair using manual and mechanical means.

  Vt. Stat. tit. 26, §1(4)(A) (“Esthetics” defined) · verified Sep 3, 2026

• Esthetics does not include any practice, activity, or treatment that constitutes the practice of medicine, as defined in section 1311 of this title, including injections of any substance and the use of lasers.

  Vt. Stat. tit. 26, §1(4)(B)(ii) (Barbers and Cosmetologists — definitions) · verified Sep 3, 2026

• The Board shall find that the following constitutes unprofessional conduct: failure to comply with provisions of federal statutes or regulations, or the statutes or rules of this or any other state, governing the practice of medicine or surgery.

  Vt. Stat. tit. 26, §1354(a)(27) · verified Sep 3, 2026

• It is a violation of the chapter for any person to employ unlicensed persons to practice registered nursing, practical nursing, or as a nursing assistant.

  26 V.S.A. §1584(a)(7) · verified Sep 8, 2026