Oklahoma: who may do what, and how to check a license

Oklahoma Board of Nursing guidelines say RNs and LPNs may perform cosmetic/aesthetic dermatological procedures, which they list as including neuromodulator and dermal filler injections and laser treatments. The procedure must be ordered by a physician, APRN, PA or other prescriber, with a valid individualized order and a completed history and physical by that practitioner. An RN does not need the prescriber on-site, but an LPN must be supervised by an RN, physician or dentist. Standing orders are not an appropriate substitute.

Source: Cosmetic/Aesthetic Dermatological Procedures Guidelines (OBN Policy/Guideline #P-25)

Board guidance — may not be bindingPublished or effective May 19, 2026Checked Sep 14, 2026

The Oklahoma State Board of Osteopathic Examiners' medical spa policy says DOs must actively supervise their med spa. Each patient needs an initial evaluation before treatment, in person or by telemedicine, by the physician or a supervised PA or APRN with prescriptive authority. Treatment may be delegated to a licensed RN under general supervision, which does not require the physician in the office. If treatment is delegated to LPNs, licensed estheticians, medical assistants or unlicensed assistants, the physician must provide direct supervision and be physically available. The policy applies to osteopathic physicians.

Source: Policy for Osteopathic Medical Spas (OSBOE-P004)

Board guidance — may not be bindingPublished or effective Sep 18, 2025Checked Sep 14, 2026

Oklahoma's Laser Hair Removal Act says a person may not perform laser hair removal unless they hold an appropriate health professional license or certificate, or act as a laser practitioner under the supervision of a physician, certified PA or certified APRN. Non-physician laser practitioners need 40 hours of training. A laser hair removal facility must be overseen by a physician, PA or APRN. The physician need not be physically present but must be available for communication during the procedure.

Source: 59 O.S. § 538.3, Laser Hair Removal Act

Law or regulationPublished or effective May 16, 2025Checked Sep 14, 2026

Oklahoma Board of Nursing IV hydration guidelines say RNs and LPNs may give IV fluids, nutrient therapies and medications only with a valid individualized order from a physician, APRN, PA or other prescriber, and a completed history and physical by that practitioner. An RN does not need the prescriber on-site, while an LPN requires supervision by an RN, physician or dentist. Standing orders are not an appropriate substitute. The guidelines note physicians must establish a physician-patient relationship with an initial evaluation, in person or by telemedicine.

Source: IV Hydration Guidelines (OBN Policy/Guideline #P-24)

Board guidance — may not be bindingPublished or effective May 19, 2026Checked Sep 14, 2026