1 PHYSICIAN NURSE NURSE ESTHETICIAN ASSISTANT PRACTITIONER ELECTROLOGIST Who can own a medical YES YES YES YES YES spa? Who can take commission Risky if Owner/Investor. on laser treatments or Not authorized to Not authorized to Can only perform laser Risky if Owner/Investor Risky if Owner/Investor injectables? administer service administer service hair removal, but with supervision Who can see a new Yes, with supervision Yes, with supervision NO NO NO patient? based on level required based on level required by licensure and type of by licensure and type of service service Fla.Admin.Code r.64B9- Fla.Admin.Code r.64B9- 4.010 4.010 Can physicians delegate NO NO Yes, with supervision Yes, with supervision NO medical tasks to non- based on level required based on level required physicians? by licensure and type of by licensure and type of service service Fla. Stat. Ch. 458.347 Fla. Stat. Ch. 458.347 Who can perform laser NO NO Yes, with training and Yes, with training and With documented treatments? working under a signed working under a signed training and physician protocol physician protocol certification Fla. Stat. Ch. 458.347 Fla. Stat. Ch. 458.348 (3) (Rule 64B8-52.004) and Fla. Stat. Ch. 458.348 (3) working under direct physician supervision Fla. Stat. Ch. 458.348 (3) Who can inject? NO NO Yes, with training and Yes, with training and NO Botox and other working under a signed working under a signed noninvasive fillers physician protocol physician protocol Board of Medicine Board of Medicine. NP can work under dentist as well per board of Nursing 2 Are there any regulations Yes, 64B8-56.002 Equipment and Devices; Protocols for Laser and Light-Based Devices rule from the Electrolysis Council or registrations for Laser Safety Registration Form 64E-4.001; Electrology Facility License: Florida Dept. Of Health Electrolysis Council lasers? How many physician A physician may not supervise more than four currently licensed physician assistants at any one time assistants can a physician Fla. Stat. Ch. 458.347 (3) supervise? Can supervise up to 4 Electrologists, 4 PA, 4 NP Supervision by Dentists Florida Board of Nursing allows for Nurse Practitioner only; Restricted to Dentist Scope of Practice Please note: This list is not comprehensive and is accurate as of July 2020. 3 WHO CAN DELIVER WHAT SERVICES No Supervision Required PHYSICIANS Can Administer: Botox, Fillers, PDO Threadlifts Can Fire Lasers, Intense Pulsed Light Devices, Radiofrequency Devices, Microneedling Devices (Cosmetic and Medical) DENTISTS No Supervision Required (LIMITED FROM THE Can Administer: Botox, Fillers, PDO Threadlifts NECK UP) Can Fire Lasers, Intense Pulsed Light Devices, Radiofrequency Devices, Microneedling Devices (Cosmetic and Medical) Requires Physician In-direct Supervision and jointly written protocols (NP can have Dentist supervise) NURSE PRACTITIONERS With Appropriate Physician Supervision They Can Administer: AND PHYSICIAN Botox, Fillers, PDO Threadlifts and Can Fire Lasers, Intense Pulsed Light Devices, Radiofrequency ASSISTANTS Devices, Microneedling Devices (Cosmetic and Medical) Must Have Physician Reviewing Charts and Requires Physician Approval For Ordering and Delivering Controlled Substances Registered Nurses Require On-Site and Direct Supervision to utilize Radiofrequency Devices, Microneedling Devices and less NURSES invasive aesthetic procedures Requires On-Site and Direct Physician Supervision to Fire Laser/Intense Pulsed Light Devices. ELECTROLOGISTS No Supervision required for Radiofrequency devices Cannot Administer Botox, fillers, threadlifts, micro needling Cannot Administer Botox, fillers, threadlifts, micro needling ESTHETICIANS Cannot Fire Lasers or Intense Pulsed Light No direct Supervision required for radio frequency devices Can administer chemical peels as approved by Medical Director Please note: This list is not comprehensive and is accurate as of July 2020..