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State-Specific Med Spa Policy and Procedure Manuals

Every state regulates aesthetic nursing differently. States differ on who may perform the initial examination, how delegation and supervision must be documented, and who may operate lasers or give IV hydration. Each edition of our manual includes a state-specific regulatory section built from that state's Board and statutory sources.

Choose Your State

  • California — California aesthetic practices run on standardized procedures, physician supervision and a clear line between the physician's examination and what can be delegated to a registered nurse.
  • Texas — Texas aesthetic practice depends on physician delegation and written delegation orders.
  • Florida — Florida's rules for aesthetic nursing are spread across the Nurse Practice Act, physician office-supervision statutes and recent laws on laser hair removal and IV vitamin therapy.
  • Arizona — The Arizona State Board of Nursing has published detailed advisory opinions on medical aesthetic procedures and IV hydration.
  • New York — In New York, RNs carry out patient-specific medical regimens ordered by authorized practitioners, and the State Board for Medicine has published guidance on energy devices and lasers.

Practicing in another state? The Binder Blueprint covers every state, and you can book a free consult to discuss a custom manual.

State summary prepared from the official sources linked on this page, current as of September 2026. Laws, rules and Board positions change; verify current requirements with your state boards and medical director before relying on them. Educational information only, not legal or clinical advice. Our manuals are practice resources for review and approval by your medical director; they are not reviewed or approved by any State Board and do not guarantee compliance or any licensing outcome.

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