Georgia med spa inspection checklist (2026).
Since August 2026 the Board has been inspecting Georgia med spas and IV clinics without notice. Preparation that depends on advance warning is no longer preparation.
The short answer
The Board said in May 2026 that it evaluates supervision arrangements on substance rather than form. On inspection, that is decided by what exists in the file that day — not by what the agreement says.
Walk through the items below. Any “no” is a finding waiting to be written.
Delegation paperwork
- Nurse protocol agreement or PA job description filed and accepted — proof of Board acceptance on file, not just proof of mailing, within 30 days of execution. Rule 360-32-.03
- Protocol contents complete — licenses, locations, authorized drugs/devices/treatments, immediate-consultation provision, standard of care, conditions requiring physician evaluation, documentation, prescription forms, record-review schedule. Rule 360-32-.02
- Amendments filed within 30 days whenever a new service, device, or location was added. Rule 360-32-.03
- APRN procedure log filed for each procedure not mastered in the APRN's own training — 10 supervised, 10 independent, one form per procedure. GCMB Procedure Log
The physician
- Specialty comparable to the procedures delegated. Rule 360-32-.04(3)
- Training certificates on hand for each modality overseen, including lasers. Rule 360-35-.06(c)
- Principal place of practice in Georgia or within 50 miles of the clinic — not a virtual address or flex space. GCMB protocol registration
- Not employed by the APRN or PA they supervise. O.C.G.A. § 43-34-25(n)
- Name and contact information posted publicly, in the clinic and where the public has unrestricted access. May 7, 2026 position statement
Oversight records
- Dated record of annual on-site observation of each APRN. Rule 360-32-.05
- Quarterly chart reviews, with findings. Rule 360-32-.05
- Variance or adverse-event entries with a documented resolution when something went wrong.
Patient-level documentation
- Exam by a physician, NP, or PA before treatment — never the RN alone. May 7, 2026 position statement
- Individualized order in the chart for every IV patient; no standing-order-only drips. May 7, 2026 position statement
- Pre-treatment exam documented for each laser or energy service other than hair removal and IPL — tied to the service, not just intake. Rule 360-35-.05
- Each treatment performed by a license that can perform it — e.g. RF microneedling, ablative resurfacing, PRP microneedling and medium-depth peels by an APP, not an esthetician. O.C.G.A. § 43-34-23
Laser facilities
- Consulting physician agreement in place and the physician's credentials filed — even for hair-removal-only facilities and those with a senior laser practitioner. Rule 360-35-.07
- Supervisor present or immediately reachable, in person or by telecommunications, during every laser and energy treatment. Rule 360-35-.07(1)(d)
- Current supervisor details posted where the public can see them. Rule 360-35-.07
How Local Medical Directors helps
Our compliance audit walks your practice through every item on this list against your actual file and gives you a clear view of where you stand before an inspector does.
Is the Georgia Composite Medical Board inspecting med spas?
Yes. In August 2026 it was reported that the Board's executive director confirmed inspectors had already begun unannounced visits to Georgia med spas and IV clinics. Reported findings included a lack of physician oversight and medical exams being skipped before treatment.
What is the first thing to fix before a Georgia med spa inspection?
Post the supervising physician's name and contact information where the public has unrestricted access, as the Board's May 7, 2026 position statement directs. It is the requirement most often unmet, the cheapest to fix, and the only one an inspector can check from your website before visiting.