Licensing planning guide

New Hampshire med spa
licensing guide.

Establish the patient relationship before physician-directed care.

Prepared by Prospyr · Sources checked September 15, 2026

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What to know in New Hampshire

Start with these state-specific findings, then use the checklist below to review the rest of your practice. The linked authorities explain the conditions and exceptions behind each point.

01

The physician-patient relationship has defined elements

RSA 329:1-c recognizes an in-person examination or a qualifying telemedicine examination. For telemedicine it specifies identity verification, disclosure of the clinician’s identity and license, consent and the standard of care.

Source: New Hampshire RSA 329:1-c: Physician-patient relationship
02

A remote director arrangement is not the same as an examination

The statute provides a framework for the physician’s relationship with the patient. A contract with a remote medical director does not by itself show that the required patient-specific relationship and evaluation exist.

Source: New Hampshire RSA 329:1-c: Physician-patient relationship

Your next steps

  1. Build a documented initial assessment workflow before physician-directed treatments.
  2. Review the actual procedure’s nursing, medical or esthetics scope with OPLC rather than relying on a general business license.

Questions to resolve before opening

  • Who establishes the patient relationship and documents the examination before the prescribed treatment?
  • If telemedicine is used, how are identity, consent, clinician disclosures and the standard of care satisfied?

Bring your actual ownership chart, service menu, devices and staff credentials to the relevant board or healthcare counsel. The same answer may not apply to a different procedure or business model.

A practical licensing checklist

These planning steps complement the New Hampshire highlights. They are a workflow for investigation, not a claim that every listed permit applies to every practice.

01

Ownership & clinical control

Identify the owners of the clinical entity, who employs clinicians, who controls medical decisions and how management fees are paid. Ask healthcare counsel to confirm the entity and any professional-ownership or fee-splitting limits before signing agreements.

02

People & procedures

List the person who evaluates, prescribes, performs and supervises each treatment. Verify the actual professional license, restrictions, procedure training and required agreements. A course certificate alone does not establish a legal scope of practice.

03

Premises, devices & products

Check clinic or establishment licensing, local zoning and occupancy, device registration, drug purchasing and storage, and any laboratory or body-art services. Adding a procedure or location can change the applicable requirements.

04

Patient care & opening file

Document consent, assessment, treatment orders, emergency escalation, infection prevention and record access. Assign an owner to every unresolved question and keep the authority supporting the final decision.

Official sources & scope

A source-based planning guide for practice owners, not legal advice or a license approval. The state highlights cover the issues identified below; the workbook helps you resolve additional ownership, scope and facility questions with the relevant boards and qualified counsel. Requirements depend on your services, staff and business structure.

No attorney review is claimed. Report an update.