Who needs a physician supervision of cosmetic medical procedures in Virginia?
Issued by Virginia Board of Medicine (Department of Health Professions), at step 4 of 6 in the opening sequence: get the permits for your kind of business.
Laser hair removal is performed by a physician, physician assistant or nurse practitioner, or by a trained person under one of them with the documented training the rule requires; injectables and other energy-based treatments are the practice of medicine. Estheticians may not operate lasers. The medical side of the business belongs to a licensed practitioner.
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 Virginia Board of Medicine (Department of Health Professions).
Sources and dates
18VAC85-20-91 (laser hair removal training and delegation); Board for Barbers and Cosmetology scope rules; Code of Virginia 54.1-2900. Checked against the agency’s page on the date shown; cities add their own fees.
Questions about opening here.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
Yes. Laser hair removal is performed by a physician, physician assistant or nurse practitioner, or by a trained person under one of them with the documented training the rule requires; injectables and other energy-based treatments are the practice of medicine.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
No. In Virginia it is listed for med spas.
Virginia Board of Medicine (Department of Health Professions).
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 supervision of cosmetic medical in Virginia?
