Washington
Medical oversight overview
In Washington, nonsurgical medical cosmetic procedures—such as cosmetic injections—are regulated as the practice of medicine under Washington Administrative Code (WAC) 246-919-606. Under these rules, a physician must perform an appropriate examination and establish a diagnosis before treatment, and may delegate procedures only to qualified personnel like physician assistants, registered nurses, or licensed practical nurses. The rules require comprehensive written office protocols, specific physician supervision or on-site presence depending on FDA approval, and robust facility quality assurance programs. Consumers should verify that practitioners operate under valid physician oversight and appropriate delegation protocols.
What the cited source supports
This Washington Administrative Code rule defines physician responsibilities, patient examination requirements, quality assurance standards, and delegation conditions for nonsurgical cosmetic procedures. It specifies when supervising physicians must be on-site versus accessible by phone, but does not explicitly mandate the title or role of a medical director.