Medical Director in Gahanna, OH & Collaborating Physician Placement

ORC 4723.431 requires every certified nurse practitioner, certified nurse-midwife, and clinical nurse specialist to practice under a written SCA with each collaborating physician. The Ohio Board of Nursing doesn’t pre-approve the SCA, but it can review it for compliance. You must report each collaborator’s name and business address to the Board within 30 days of starting practice, and report later changes within the same window.

Ohio APRNs prescribe within the terms of their SCA, and their authority can’t exceed the collaborating physician’s. Schedule III through V drugs are generally allowed, while ORC 4723.481 limits Schedule II prescribing to narrow situations and bars it from convenience care clinics. Your SCA should also cover how you check OARRS, the Ohio Automated Rx Reporting System.

PAs practice under a supervision agreement with each supervising physician, who accepts legal responsibility for the PA’s services. The State Medical Board of Ohio stopped filing these agreements in 2018, so yours stays in your records for inspection. One physician can supervise up to five PAs at a time under ORC 4730.21, and a PA’s first 500 hours of prescribing require on-site supervision under OAC 4730-2-04.

Ohio RNs can administer Botox, fillers, and IV therapy with a valid order from an authorized provider, but they can’t select the drug or the dose. The Ohio Board of Nursing expects documented education and competency for each procedure. Delegation of medical tasks to unlicensed staff falls under OAC Chapter 4731-23, and estheticians can’t inject neurotoxins or fillers in Ohio.

House Bill 377, effective August 25, 2026, updated Ohio’s laser hair removal law, ORC 4731.33. Physicians can now supervise up to five delegates at once, up from two, and can supervise nurses off-site after the nurse completes a 40-hour physician-approved course. APRNs can delegate and supervise laser hair removal if their SCA doesn’t prohibit it, and PAs can with an active supervision agreement. Other light-based procedures still follow OAC Chapter 4731-18.

Ohio’s telehealth statute, ORC 4743.09, requires each licensing board to let its professionals provide services through telehealth, and it leaves NP and PA collaboration and supervision rules unchanged. The State Medical Board’s rule, OAC 4731-37-01, covers care for patients located in Ohio, and controlled substance prescribing through telehealth must fit a federal exception.

The State Medical Board of Ohio’s position statement on the corporate practice of medicine says the doctrine no longer exists in Ohio, so an NP, RN, or business owner can own a Gahanna medspa as long as a physician directs the medical care. The two exceptions are professional associations, which only licensed professionals can own, and pain management clinics, which only physicians can own and operate.