Washington med spa questions, answered from statute
Every question below is answered from Washington law, with the statute or board rule linked and the date we verified it. 22 of the 27 questions we ask have a verified Washington answer today, most recently checked Sep 8, 2026. The rest are not listed, because we would be guessing.
Organized by The Practice Perimeter — the decisions every state makes about an aesthetic practice.
Ownership
Who is allowed to own this business, and in what corporate form?
Oversight
Which physician relationship does the state require, and what must that physician actually do?
- Does a med spa in Washington need a medical director?Wash. Admin. Code 246-919-605(1) and (2)
- What must the supervising physician actually do in Washington?Wash. Admin. Code 246-919-605(10)(d)
- Who may operate a cosmetic laser in Washington?Wash. Admin. Code 246-919-605(1) and (2)
- Can a medical assistant give injections in Washington?Wash. Admin. Code 246-919-606(11)
- May an esthetician or laser technician perform microneedling in Washington?Wash. Rev. Code § 18.16.020(30)
Intake
What has to happen before a patient can be treated, and can any of it be remote?
- Is an exam required before a patient can be treated in Washington?Wash. Admin. Code 246-919-606(5)
- Can the pre-treatment exam be done by telehealth in Washington?Wash. Rev. Code § 43.70.495(1)-(2) (Telemedicine training for health care professionals)
- Must someone be on site while a patient is treated in Washington?Wash. Admin. Code 246-919-606(12) and (13)
- Can a med spa in Washington offer compounded semaglutide or tirzepatide?Wash. Rev. Code § 18.64.270(2)
Who treats
Which license may perform which treatment, and under whose order?
Facility
Does the premises itself have to be registered or licensed?
Marketing
What may this practice claim about its services, its staff, and their credentials?
Enforcement
What happens when one of the six above is crossed?
What is not here, and why
We ask 27 questions of every state we cover. Washington answers 22 of them from primary sources we have verified. Where a question is missing it is because the Washington record we hold does not address it — not because the answer is no. We would rather publish a shorter list than a page that looks like an answer and is not. As the Washington record grows, questions appear here on their own.
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← Washington overview · Regulatory monitoring and reference, not legal, medical, or compliance advice. Legislative data via LegiScan (CC BY 4.0).