Who needs a physician practice and delegation rules in Hawaii?
Issued by Hawaii Medical Board (DCCA Professional and Vocational Licensing), at step 4 of 6 in the opening sequence: get the permits for your kind of business.
Hawaii has no laser statute; the Medical Board treats laser, intense pulsed light and injectable treatments as the practice of medicine, so they are done by a physician or physician assistant, or by a nurse under a physician’s or nurse practitioner’s orders, and never by an esthetician or other unlicensed person even under delegation. Cosmetology licensees stay with non-medical skin care. The medical side of the business belongs to the licensed practitioners.
Checked Oct 21, 2026 against the agency’s page.
Step 4 of 6: Get the permits for your kind of business
1Set up the business
2Register for tax
3Approve the space
4Get the permits for your kind of business
5Alcohol permits
6Before the first hire
Issued by Hawaii Medical Board (DCCA Professional and Vocational Licensing).
Sources and dates
HRS chapter 453 (medicine) and chapter 457 (nursing); HAR chapter 16-85; Hawaii Medical Board position on lasers and intense pulsed light; Board of Barbering and Cosmetology scope guidance. Checked against the agency’s page on the date shown; cities add their own fees.
Questions about opening here.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
Yes. Hawaii has no laser statute; the Medical Board treats laser, intense pulsed light and injectable treatments as the practice of medicine, so they are done by a physician or physician assistant, or by a nurse under a physician’s or nurse practitioner’s orders, and never by an esthetician or other unlicensed person even under delegation.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
No. In Hawaii it is listed for med spas.
Hawaii Medical Board (DCCA Professional and Vocational Licensing).
Step 4 of 6, get the permits for your kind of business. The steps before it: set up the business, register for tax and approve the space.
Who needs a physician practice and delegation rules in Hawaii?
