Field Notes from the Practice.
Compliance, infrastructure, and operating wisdom for medical wellness businesses — from the physicians and operators who do this every day.
How to Get LegitScript Certified: A Practical Guide for Med Spas and Wellness Clinics
What LegitScript is actually evaluating, what you need in place before you apply, and how to avoid the common mistakes that delay or sink certification.
I'm an Esthetician. Can I Open a Medical Spa? The Honest Answer Nobody Gives You
Most emotionally charged question in the industry. Estheticians who have built careers in aesthetics keep hitting a wall they don't fully understand. Here's the honest, empowering answer.
California Telehealth & Meaningful Encounters
California is tightening telehealth standards for med spas and aesthetic clinics. For GLP-1s, IV therapy, peptides, and injectables, 2026 enforcement expects meaningful clinical encounters — not thin, automated touchpoints.
Mandatory Signage: The Disclosure Checklist
Colorado HB 25-1024 is already in effect. Med spas using unlicensed staff for delegated services must comply with three mandatory disclosure methods: on-site signage, website/advertising disclosures, and informed consent.
Colorado's Ownership Revolution: PAs & NPs
Colorado HB 26-1249 could reshape med spa ownership — allowing PAs, APRNs, RNs, estheticians, and cosmetologists to hold majority interest in a medical-aesthetics professional corporation. Still pending as of March 2026.
The 5-Day Adverse Event Reporting Rule
Indiana SB 282 requires med spas to report serious adverse events to the Medical Licensing Board within five days. Part of a broader 2026 reform package on registration, responsible practitioners, and compounded drugs.