Texas aesthetic practice depends on physician delegation and written delegation orders. Separate rules apply to laser hair removal facilities, and a 2025 statute covers elective IV therapy. Your Texas manual brings these rules together in one place.
Who Regulates Aesthetic Practice in Texas
- Texas Board of Nursing
- Texas Medical Board
- Texas Department of Licensing and Regulation (Laser Hair Removal)
- Texas Commission on Environmental Quality (Medical Waste)
Key Texas Rules Your Manual Addresses
Physician Delegation for Cosmetic Injectables
The Texas Board of Nursing states that cosmetic medications such as Botox and Restylane require physician delegation, and that RNs practice under their own licenses and may not diagnose or prescribe (Texas Board of Nursing, April 2019 Bulletin).
Elective IV Therapy
Under Texas Occupations Code Chapter 172, effective September 1, 2025, a physician may delegate ordering of elective IV therapy to a PA or APRN, and administration to a PA, APRN or RN, each acting under adequate physician supervision (Texas Occupations Code Chapter 172; Texas Medical Board, Who Can Do IV Hydration?).
Lasers and Laser Hair Removal
Texas Board of Nursing Position Statement 15.9 states that delivering laser energy is not within nursing scope as an independent nursing function (Texas Board of Nursing Position Statements). Laser hair removal facilities must also be registered with TDLR and have a consulting physician contract (TDLR Laser Hair Removal FAQ).
Procedures the Official Sources Don't Address Directly
Kybella, PRP, sclerotherapy and PDO threads are not specifically addressed in the Board of Nursing materials reviewed for this page. Your manual flags them for procedure-specific confirmation before you offer them.
What Your Texas Edition Includes
- A Texas State-Specific Regulatory Section, with the sources reviewed and a dated regulatory summary
- Texas rules for lasers, light and energy-based devices, plus IV hydration and wellness therapies
- A list of conflicting guidance, gaps and items to verify with your Board and medical director
- Policies matched to the treatments you offer, built from your practice details
- Medical director approval and annual review signature lines
Get Your Texas Manual
The Manual Builder opens soon, and the waitlist is open now. To map the policies your Texas treatment menu needs, start with the free Binder Blueprint. If you'd like a custom manual or a compliance review instead, book a free consult.
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.
