Readiness check
Is your medical director agreement signed and reviewed in the last 12 months?
The med spa compliance checklist behind this check
These are the ten things an inspector or board is most likely to ask for. Requirements vary by state; this is a starting point, not legal advice.
1. Supervision agreement
Is your medical director agreement signed and reviewed in the last 12 months?
Boards ask for the written medical director agreement first.
2. Standing orders
Do you have signed standing orders for every procedure and provider?
Required in writing in Texas (22 TAC 169.27); best practice everywhere.
3. Chart review sign-off
Has your medical director reviewed charts in the last 90 days, in writing?
Quarterly review is required for Texas laser hair removal and expected by most boards.
Free template: Chart Audit Form4. Good-faith exams
Is a good-faith exam documented before each new patient’s first treatment?
Required before treatment in Texas and California.
Free template: Good Faith Exam Form5. Licences and BLS
Are every staff licence and BLS card current, with copies on file?
Expired or missing credentials were among the most common findings in a New York City review of med spas.
Free template: Nurse and Injector Competency Checklist6. Fridge temperature log
Do you log your neurotoxin fridge min/max temperature every open day?
CDC recommends a reading at the start of each workday, kept for 3 years.
Free template: Medication Fridge Temperature Log7. Emergency kit
Was your emergency kit, including hyaluronidase, checked in the last 7 days?
Your complication response depends on it being there and in date.
Free template: Med Spa Emergency Kit Checklist8. Sterilizer spore tests
If you have an autoclave, is a weekly spore test logged?
CDC guidance calls for biological indicator testing at least weekly.
Free template: Autoclave Spore Test Log9. OSHA bloodborne pathogens
Are your OSHA bloodborne pathogens plan and yearly staff training on file?
A federal requirement for employers whose staff handle sharps (29 CFR 1910.1030).
Free template: Bloodborne Pathogens Exposure Control Plan10. Inspection-ready binder
Could you hand all of this to an inspector within one hour?
Records that exist but can’t be found count as missing.