Wellness MD — Doctor Led Infrastructure
Journal

Field Notes from the Practice.

Compliance, infrastructure, and operating wisdom for medical wellness businesses — from the physicians and operators who do this every day.

Compliance

Medical Director Requirements in Virginia: A Compliance Guide for Med Spas and Wellness Clinics

Virginia enforces Corporate Practice of Medicine with more flexibility than California or New York, but the core CPOM rules still apply. Here's how to structure a compliant med spa or wellness clinic in Virginia.

July 23, 2026 12 min read
Compliance

Compounded Tirzepatide in 2026: What's Actually Changed and What to Fix Now

The tirzepatide shortage is over and the compliance gray area went with it. Here's what changed, what's still allowed, and how to audit your program.

July 22, 2026 10 min read
Compliance

Medical Director Requirements in Texas: A Compliance Guide for Med Spas and Wellness Clinics

Texas is a strict Corporate Practice of Medicine state. Here's how to structure a physician-owned professional entity, MSO, and medical director relationship for a Texas med spa or wellness clinic.

July 22, 2026 12 min read
Compliance

Medical Director Requirements in California: A Compliance Guide for Med Spas and Wellness Clinics

California enforces the Corporate Practice of Medicine doctrine more strictly than almost any state. Here's what med spa and wellness clinic founders need to get right.

July 21, 2026 12 min read
Medical Director

How to Find a Medical Director for Your Med Spa or Wellness Clinic

A medical director isn't a signature on a form — in most states, they're the physician that makes your business model legal. Here's how to find the right one.

July 20, 2026 10 min read
Compliance

GLP-1 Weight Loss Programs: What Every Med Spa Needs to Know About Medical Director Compliance

Semaglutide and tirzepatide have reshaped med spa weight loss offerings, but they carry higher compliance stakes than most aesthetic services. Here's what medical director oversight actually needs to look like.

July 19, 2026 11 min read