New Hampshire is the most permissive ownership regime in our coverage and one of the most restrictive on a single procedure category. Both facts matter, and they point in opposite directions.
RSA ch. 329 contains no prohibition on the corporate employment of physicians, and the former fee-splitting prohibition at RSA 329:23 was repealed in 1996. Non-physicians may own all or part of a medical spa and employ licensed practitioners to perform the medical procedures. A med spa itself does not require a facility licence to operate.
What New Hampshire actually requires
- A designated medical director — a licensed physician, or a nurse practitioner with full practice authority — responsible for all medical services and supervision.
- Appropriate licensure for every person performing a procedure that requires it. The spa needs no licence; the people do.
- ⚠️ Laser use limited to physicians and physician assistants. That is narrower than most states in our coverage — it does not include registered nurses, and it is the single biggest constraint on a New Hampshire staffing model.
- Injectables performed only by licensed professionals: physicians, PAs, NPs and RNs.
- Protocols and documented delegation, because with no ownership constraint and no facility licence they are the only structural controls in the state.
Who may do what in New Hampshire
| Licence | What they may do |
|---|---|
| MD or DO | Independent; may perform laser; may be medical director |
| Physician assistant | May perform laser; within scope otherwise |
| Nurse practitioner (FPA) | May be medical director; not on the laser list |
| Registered nurse | May perform injectables; not laser |
| Non-physician owner | May own all or part of the med spa and employ practitioners |
Read the laser line twice, because it inverts the usual assumption. In most states an RN with training is the standard laser operator. In New Hampshire that role belongs to physicians and PAs, which changes who you hire and what your device purchase is actually worth.
What MDside provides in New Hampshire
- A New Hampshire-licensed MD or DO as medical director, doing the work rather than lending a name.
- A staffing map that reflects the laser restriction, so device revenue is not modelled against staff who may not operate them.
- The professional entity and management agreement built to New Hampshire rather than to a national template.
- Licensed physicians for the good faith exams behind prescriptions and injectables.
- 503A and 503B pharmacy relationships and lab draws.
See what is included, or book a call and tell us which states you operate in.
Read the detail on New Hampshire
Frequently asked questions
Can a non-physician own a med spa in New Hampshire?
Yes. RSA ch. 329 contains no prohibition on corporate employment of physicians, and the fee-splitting prohibition at RSA 329:23 was repealed in 1996.
Does a New Hampshire med spa need a licence?
The spa itself does not require a licence to operate, but every employee performing a procedure requiring licensure must be appropriately licensed.
Who may operate a laser in New Hampshire?
Laser use is limited to physicians and physician assistants.
Who may be medical director?
A licensed physician or a nurse practitioner with full practice authority.
General information about New Hampshire practice structure and med spa regulation, not legal advice. Statutes, board rules and scope-of-practice requirements change. Confirm your obligations with healthcare counsel licensed in New Hampshire.