Question 1

Who can legally perform neurotoxin injections (botox / dysport) in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 2

Who can legally perform dermal filler injections in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 3

Who can legally perform weight-loss injections (semaglutide / tirzepatide) in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 4

Who can legally perform kybella (deoxycholic acid) injections in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 5

Who can legally perform prp / prf ("vampire facial") in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Not clearly established — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Unclear, assume no unless you can verify with state data. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 6

Who can legally perform laser hair removal in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Not permitted — Not permitted for this license type in this state. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 7

Who can legally perform laser skin resurfacing in Colorado?

Accepted Answer

Esthetician (LE): Not permitted — Not permitted for this license type in this state. Master Esthetician: Not permitted — Not permitted for this license type in this state. Medical Assistant (MA): Not permitted — Not permitted for this license type in this state. Registered Nurse (RN): Not permitted — Not permitted for this license type in this state. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 8

Who can legally perform ipl / photofacial in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Not permitted — Not permitted for this license type in this state. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 9

Who can legally perform rf microneedling (e.g. morpheus8) in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Not permitted — Not permitted for this license type in this state. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 10

Who can legally perform microneedling in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Not permitted — Not permitted for this license type in this state. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 11

Who can legally perform chemical peels in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 12

Who can legally perform dermaplaning in Colorado?

Accepted Answer

Esthetician (LE): Conditional — Permitted for this license type. Master Esthetician: Conditional — Permitted for this license type. Medical Assistant (MA): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Registered Nurse (RN): Conditional — Permitted when delegated by, and performed under the authority of, a licensed physician. Performed under a physician’s delegation/orders and authority. Nurse Practitioner (NP/APRN): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician Assistant (PA): Conditional — Permitted under a written protocol or collaborative agreement with a licensed physician. The physician does not need to be on-site. Requires a written protocol or collaborative agreement with a physician. Physician (MD/DO): Permitted — Permitted for this license type.

Question 13

Is a good-faith exam (by a physician, NP, or PA) required before treatment?

Accepted Answer

Conditional. A good-faith exam is required before treatment by a physician, NP, or PA.

Question 14

May a physician delegate cosmetic injections to qualified staff (e.g., RN) under supervision?

Accepted Answer

Conditional. A physician may delegate cosmetic injections to qualified staff under supervision.

Question 15

Does this state require a physician medical director for a med spa?

Accepted Answer

Permitted.

Question 16

Can a non-physician legally own a medical spa in this state? (corporate practice of medicine)

Accepted Answer

Not permitted.

Question 17

Do nurse practitioners have full (independent) practice authority in this state?

Accepted Answer

Permitted.

Who Can Legally Perform Aesthetic Treatments in Colorado?

Neurotoxin injections (Botox / Dysport) in Colorado

Dermal filler injections in Colorado

Weight-loss injections (semaglutide / tirzepatide) in Colorado

Kybella (deoxycholic acid) injections in Colorado

PRP / PRF ("vampire facial") in Colorado

Laser hair removal in Colorado

Laser skin resurfacing in Colorado

IPL / photofacial in Colorado

RF microneedling (e.g. Morpheus8) in Colorado

Microneedling in Colorado

Chemical peels in Colorado

Dermaplaning in Colorado

Med-Spa Rules in Colorado