Best Standing Orders and Protocol Services for Med Spas (2026): 8 Compared

For med spa owners, nurse practitioners and medical directors. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not standing orders, protocols or legal documents, and none of the companies below is a Prospyr product. Each summary reflects what the company publishes on its own website, checked October 2026. Prices, scope and state coverage change, so confirm everything in writing before you buy or sign.

What does a standing orders and protocol service do?

A standing orders and protocol service gives your med spa the written clinical paperwork that lets nurses and other licensed staff perform delegated treatments under a physician's or supervising provider's authority. That usually means a standing order and a step-by-step protocol for each treatment you offer (neurotoxin, filler, lasers, peels, IV, weight-loss injections), plus emergency protocols and, for nurse practitioners and PAs, a collaborative or supervision agreement. Services come in three forms: template packages you edit yourself, law firms that draft documents for your state, and medical director companies whose physician writes and signs them.

The 8 standing orders and protocol services at a glance

How we chose this list

We searched for companies that sell or draft standing orders, treatment protocols or collaborative practice agreements and that name med spas or aesthetic practices as a market on their own website. Then we checked four things a practice manager can confirm before a call:

1. Who writes it. A named physician, nurse practitioner or law firm is easier to hold accountable than an anonymous author.
2. Whether it fits your state. Delegation rules differ by state, so we noted state focus and whether the company says it tailors documents.
3. What it costs. We noted published prices and contract terms, and said so when none are published.
4. What you can edit. Word files and drafted documents can be fitted to your treatment menu; locked PDFs are harder to adapt.

Companies that mainly match you with a collaborating physician are covered in our list of medical director services for med spas. The order is our editorial view, not a measure of results.

1. American Med Spa Association (AmSpa)

The American Med Spa Association sells template packages through its Forms and Downloads store. Disclosure: Prospyr is an AmSpa Platinum partner.

What stands out:

• Attorney review. AmSpa states the templates were created in partnership with the law firm ByrdAdatto and are ByrdAdatto reviewed.
• Published prices by tier. The Standard Operating Procedures package covers 24 of the most popular aesthetic treatments and lists at $2,995 for non-members, $2,395 for Basic members and $1,495 for Plus members, as of October 2026.
• A full binder option. The Complete Package bundles 84 templates (24 SOPs, 19 informed consents, 16 policies, 11 intake forms, 11 OSHA forms and 3 safety plans) at $4,995, $3,999 or $2,495 depending on membership.
• Instant download that can be downloaded again from your AmSpa profile.

Right for: a new or growing med spa that wants a reviewed starting set and has a medical director ready to adapt it. AmSpa's own disclaimer says the forms must be aligned with federal and state rules and are not legal advice.

Ask: which of your treatments the 24 SOPs cover, whether the templates include standing orders or only protocols, and how often they are updated.

2. InjectAbility Institute

InjectAbility Institute, based in Torrance, California, sells a Medical Spa Standard Operating Procedures, Protocols and Consents Package for non-surgical aesthetic practices.

What stands out:

• Named author. The package was developed by Leslie Fletcher, a board-certified nurse practitioner, who the site describes as one of seven complication consultants contracted with Allergan's medical science liaisons.
• Size. About 100 customizable documents, including 37 treatment protocols and 43 consent forms.
• Editable Word files that the company describes as ready once you add your logo and address.
• Sample standing orders listed for hyaluronic acid fillers, botulinum toxin, chemical peels, laser safety, PRP/PRF, Kybella, GLP-1 medications, IV vitamin infusions and microneedling.
• Price: $3,999.99 as of October 2026, with Spanish consent translations for another $500.

Right for: practices with a broad treatment menu that want one set of documents written by an injector. Ask: when each protocol was last revised, and whether the GLP-1 and IV documents reflect your state's nursing board guidance.

3. Concierge Healthcare Attorneys

Concierge Healthcare Attorneys is a law firm in Evanston, Illinois, led by founding attorney Barney Cohen, that states it works with medical spas nationwide. Its med spa page lists standing orders and delegation protocols, collaboration agreements for medical directors, management services agreements, informed consent templates, HIPAA documents, telehealth consents, scope-of-practice guidance and staff training on legal compliance.

The firm advertises flat-fee packages for start-ups and ongoing counsel for growing practices, but does not publish amounts. It offers a free consultation.

Right for: owners who want an attorney to draft standing orders and the collaboration agreement together, matched to their state. Ask: which states its attorneys are licensed in or work with local counsel in, what the flat fee includes, and how many revisions are covered when you add a treatment.

4. Medical Director Co.

Medical Director Co. places medical directors and collaborating physicians with med spas, IV hydration centers, weight-loss clinics and other practices across all 50 states. It describes itself as nurse-owned and reports serving 500+ practices. On its med spa page it states the medical director develops and approves protocols for injectables, microneedling, chemical peels and laser services, and that collaborative practice agreements and supervisory agreements are part of onboarding.

It publishes pricing: from $799 a month as of October 2026, which it says includes collaborative practice agreements, malpractice coverage and ongoing support, month to month with no setup or termination fees. It lists chart review monthly or quarterly depending on services and state.

Right for: practices that need the physician and the paperwork at the same time. Ask: who owns the protocols if you change medical directors, and whether IV and weight-loss protocols cost extra.

5. GuardianMD

GuardianMD, based in Troy, Michigan, provides collaborating and supervising physicians, medical director services, a physician-reviewed protocol library, chart review coverage, telemedicine good faith exams, and PC/PLLC formation support. It lists aesthetics and med spas, IV therapy, medical weight loss and GLP-1 clinics, and longevity practices among the markets it serves, through a physician network it says covers all 50 states. It also says it gives practices state-specific collaborative practice templates.

GuardianMD advertises no setup fee; monthly pricing is not published.

Right for: multi-service or multi-state practices that want protocols, chart review and good faith exams from one network. Ask: how many protocols are in the library, which treatments they cover, and how they are adapted to your state. If good faith exams are your main need, compare our list of good faith exam providers.

6. Hendershot Cowart

Hendershot Cowart P.C. is a Houston law firm in practice since 1987. Its med spa page lists entity formation (physician-owned entities and management services organizations), management services and operating agreements, medical director agreements, Texas Medical Board compliance, delegation protocols for mid-level providers and standing orders for medical procedures. It reports helping hundreds of Texas practices set up med spas.

It offers a flat-fee initial consultation and handles formation on a retainer; other fees are not published.

Right for: Texas med spas that want standing delegation orders written alongside the ownership structure. Ask: whether it drafts standing orders as a separate engagement for an existing practice, and how often it recommends review.

7. LDG, PLLC

LDG, PLLC is a law firm in Buda, Texas. Its med spa page lists med spa protocols, a practice handbook, consent forms, delegation restrictions, scope-of-practice consultation, medical director agreements, collaboration agreements, and MSO/MSA agreements. The firm offers Spanish-language service.

It states it uses flat fees for predictable matters such as contract drafting and compliance reviews, and hourly rates for complex matters. Amounts are not published.

Right for: Texas practices that want protocols, a handbook and provider contracts from one firm. Ask: who on the team handles med spa work, and which flat fees apply to protocols versus agreements.

8. MedSpa Standards

MedSpa Standards sells a library of 62 SOPs across seven kits: weight loss, injectables, skin and laser, body and wellness, hormone therapy, operations and compliance, and emergency protocols. Its Medical Director Supervision Protocol covers standing order requirements, including which procedure is authorized and who may perform it.

Published prices as of October 2026: $997 for all 62, most kits $297, the hormone therapy kit $397, and single SOPs $97. It includes 12 months of regulatory updates and a 30-day refund. Files are PDFs with bracketed fields for your medical director, practice name and review dates. The site does not name its authors or say whether a physician or attorney reviewed the documents.

Right for: practices on a tight budget that want a structured draft for their medical director to rewrite and sign. Ask: who wrote the protocols, and whether editable files are available.

Questions to ask any standing orders or protocol service

1. Who wrote this, and what is their license? Ask for the author's name and credentials, and whether a physician or attorney reviewed it.
2. Is it written for my state? Delegation, supervision ratios, and whether a prescriber must examine each patient differ by state and by treatment. The North Carolina Board of Nursing's IV hydration position statement, for example, says standing orders must be written, signed and dated by the provider and that diagnosing is outside RN and LPN scope.
3. Does it match my treatment menu? Every treatment, device and IV formula you offer should have its own order and protocol, including dosing ranges, contraindications and complication steps.
4. Who signs and who owns it? Your medical director or collaborating physician must review and sign. Ask whether you keep the documents if that relationship ends.
5. How are updates handled? Ask how often documents are revised, whether updates cost extra, and how new treatments are added.
6. What does it cost in total? Compare a one-time template price with drafting fees, revision fees and any monthly oversight fee.
7. Is a collaborative practice agreement included? If nurse practitioners or PAs work in your practice, check whether your state requires one and who drafts it.

Where Prospyr fits

Standing orders and protocols say what your team may do; your charts are where you prove they did it. Once your medical director signs a protocol, build its screening questions, consent and treatment details into your charting templates and digital intake forms so every visit records the same steps the protocol requires. To see how that works in Prospyr, book a practice demo.

Frequently asked questions

Can I just buy med spa standing order templates?

Yes, but a template is only a draft until your medical director or supervising physician adapts it to your state and treatments, then signs and dates it. Generic templates that don't match what your practice actually does are a common problem in board reviews. Treat a template as a starting point, not a finished document.

What is the difference between a standing order and a protocol?

A standing order is the physician's written authorization for qualified staff to perform a specific treatment on appropriately screened patients. A protocol is the step-by-step process for doing it: screening, consent, dosing or device settings, documentation and complication response. Most med spas need both for every delegated treatment.

How much do med spa protocols cost?

Published template prices we found range from $97 for a single SOP to $4,995 for a full attorney-reviewed binder, as of October 2026. Law firms that draft custom documents generally quote a flat fee after a consultation. Some medical director services include protocols in a monthly fee, starting at $799 a month at one company we reviewed.

Do nurse practitioners in a med spa need a collaborative practice agreement?

It depends on your state. Some states grant nurse practitioners full practice authority, and others require a written collaborative or supervisory agreement with a physician. Check your state's nursing and medical board rules, and see our med spa licensing guide or a healthcare attorney for your structure.

How often should standing orders be reviewed?

At least once a year, and whenever you add a treatment, device, product or provider. Some states set a review cycle in their rules, so ask your medical director or attorney what yours requires and keep signed, dated copies on site.

Want your company considered?

We review this list quarterly. Companies that write standing orders, protocols or collaborative agreements for med spas can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each company's public website, checked October 2, 2026 with AI-assisted research. Companies did not review this article before publication. It is not legal or medical advice, not a guarantee of results, and not a substitute for checking references, licensure and your state's rules. Read our methodology or report a correction.