Medical Director & Collaborating Physician Services in St. Louis, Missouri
Your Partner in Clinic Growth & Compliance.
Helping Clinics Expand, Stay Compliant & Serve More Patients
For many St. Louis clinics, the challenge isn’t finding patients — it’s expanding services while staying compliant. Maybe your MedSpa in Clayton is ready to add injectables. Perhaps your Chesterfield primary care clinic wants to launch a weight loss program. Or your wellness practice in St. Charles is adding IV therapy and hormone optimization.
The treatments are in demand. Your marketing is ready. Your staff is trained. But in Missouri, certain services — from Botox to Semaglutide injections — require physician oversight. Without a licensed Medical Director or Collaborating Physician, you can’t legally perform those treatments or prescribe the necessary medications.
That’s where Medical Director Co. comes in. We connect clinics across the St. Louis metro with experienced, Missouri‑licensed physicians — often in 48 hours or less — so you can expand services, stay compliant, and keep patients happy.
Why St. Louis Is a Fast‑Growing Aesthetic & Wellness Market
The St. Louis area has become one of the Midwest’s busiest healthcare and aesthetics hubs. Over the past five years, we’ve seen:
MedSpa growth in Clayton, Kirkwood, and St. Charles.
Hormone therapy expansion in Chesterfield and Creve Coeur.
Anti‑aging clinics opening in Ladue and Town and Country.
Medical tourism from Illinois, Arkansas, and Kansas.
This growth means more opportunity — but also more competition. Clinics with visible, credible physician oversight not only meet Missouri legal requirements but also stand out as trustworthy, high‑quality providers.
Who We Partner With in the St. Louis Region
We work with a wide range of healthcare professionals and clinic owners:
Nurse Practitioners (NPs)
Setting up collaborative practice agreements and prescriptive authority for aesthetic and wellness services.
Registered Nurses (RNs)
Opening MedSpas, IV hydration lounges, or concierge wellness clinics.
Physician Assistants (PAs)
Adding new treatments under physician supervision.
Licensed Aestheticians
Expanding into medical‑grade procedures with oversight.
Physicians
Seeking flexible, well‑compensated oversight opportunities.
No Matching Fees & Complimentary Legal Agreements
Some companies charge thousands of dollars just to connect you with a physician — and then leave you on your own for compliance paperwork.
We do things differently.
No Matching Fees
We never charge for introductions. You only pay the monthly oversight rate.
Complimentary Legal Agreements
Our in‑house legal team drafts your collaborative practice agreement, prescriptive authority documentation, and treatment protocols at no additional cost.
Custom Compliance
Every document is tailored to your exact services — whether that’s injectables, advanced skin procedures, hormone therapy, weight loss, or telehealth.
Regulator‑Ready
All agreements are prepared to pass Missouri Board of Registration for the Healing Arts inspections without edits.
The result: you save both time and money while getting documentation that protects your license and your business.
Case Study
Chesterfield MedSpa Expansion
A MedSpa in Chesterfield wanted to add laser skin resurfacing and weight loss injections to its menu. Both required physician oversight under Missouri law.
We matched them with a board‑certified dermatologist who had experience supervising both aesthetic procedures and medical weight loss programs. Within 48 hours, our legal team had customized their agreements and treatment protocols.
Because they had no matching fee and complimentary legal prep, they launched new services on schedule — saving several thousand dollars in legal costs and avoiding any downtime. Three months later, they reported a 22% increase in monthly revenue and a full calendar of repeat aesthetic patients.
Specialized Oversight – Plastic Surgeons & Dermatologists
Our Missouri network includes board‑certified plastic surgeons and dermatologists who:
Approve and review protocols for injectables, PRP, microneedling, chemical peels, and laser treatments.
Supervise RF microneedling, IPL, and other device‑based services.
Ensure OSHA‑compliant safety standards and HIPAA‑compliant patient data practices.
Add instant credibility in competitive St. Louis neighborhoods like Clayton and Ladue.
Popular Clinic Types We Support
We provide oversight for:

Medical Aesthetics Practices
Botox, dermal fillers, laser services, skin tightening.

Hormone Therapy Centers
Testosterone therapy, HGH, bioidentical hormone programs.

Weight Loss Clinics
Semaglutide, nutritional counseling, metabolism testing.

Primary Care Practices
Adding wellness or aesthetics.

Telehealth Providers
Serving Missouri patients remotely.

Anti‑Aging Clinics
V therapy, peptide therapy, regenerative medicine.
How Physician Oversight Works in Missouri
In Missouri, NPs and PAs must have a collaborative practice agreement or supervisory relationship with a licensed physician to perform delegated medical acts.
These agreements define:
Approved procedures.
Prescriptive authority limits for controlled and non‑controlled substances.
Supervision method and frequency.
Chart review and documentation standards.
Our agreements are tailored to your clinic, meet Missouri Board of Registration for the Healing Arts standards, and are prepared to pass inspection without edits.
For Licensed Aestheticians
In Missouri, certain treatments — including microneedling above cosmetic depth, medium‑depth chemical peels, and many laser services — require physician oversight. We help aestheticians:
Find a physician whose expertise matches their service menu.
Develop treatment protocols that comply with Missouri law.
Expand into high‑demand services competitors may not legally offer.
For Registered Nurses (RNs)
RNs launching MedSpas, IV bars, or hormone therapy clinics benefit from:
Properly structured collaborative agreements.
Protocols for injectables, IV therapy, and weight loss injections.
Ongoing compliance checks to protect their license.
Local Compliance Requirements
To operate legally in Missouri, most aesthetic and wellness clinics require:
Missouri‑licensed physician oversight.
Prescriptive authority agreements when medications are prescribed.
Written treatment protocols for all services.
HIPAA‑compliant medical record storage.
OSHA‑compliant infection control procedures.
Malpractice insurance for both clinic and physician.
Inspection Preparation & Risk Reduction
Regulatory agencies may review:

Collaborative agreements and prescriptive authority documents.

Patient consent forms and treatment records.

Medication storage and handling logs.

Infection control practices.
We provide mock inspections and compliance audits so you’re always inspection‑ready.
Local Market Coverage in St. Louis Metro
We serve clinics across the region, including:
Frequently Asked Questions
St. Louis Medical Director Services
How quickly can you place a Medical Director in St. Louis?
Most matches happen within 48 hours.
Are there matching fees?
No — we never charge matching fees.
Who prepares the compliance documents?
Our in‑house legal team prepares all agreements at no cost.
Can you help with telehealth oversight?
Yes — we work with telehealth providers statewide.
What types of clinics do you support?
MedSpas, wellness centers, hormone clinics, weight loss practices, telehealth, and more.

“We were opening a second location in Clayton and needed a Medical Director fast. Medical Director Co. found us a board‑certified dermatologist in two days, and our legal agreements were ready immediately — without paying any matching fees. Highly recommend.”
Owner, Clayton MedSpa
How to Get Started

Book a Consultation
Review your services and needs.

Get Your Proposal
Pricing and compliance plan.

Sign Agreements
We handle all the legal documentation.

Go Live
Start seeing patients within days.
Next available placement starts in 48 hours — call us today.