Medical director agreement
A current, signed agreement defining supervision activities, delegation scope, and oversight frequency — present and specific, or the packet does not release.
The most rigorous oversight-evidence packet a med spa can produce.
OversightFile assembles a continuously maintained, inspection-ready oversight record — medical director agreement, standing orders, chart-review cadence, license and malpractice currency — checked against state-specific delegation and scope-of-practice rules before a licensed compliance reviewer releases it.
Every state's delegation and scope rulesFive oversight elements, gate-checkedLicense · malpractice · protocol · chart review · corrective actionLicensed compliance reviewer sign-off5-business-day SLA
Why packets fail
A single missing element can trigger a citation, a license revocation, or a malpractice denial.
A med spa's physician-oversight compliance is only as strong as the evidence behind it. Miss a current medical director agreement, lack specific standing orders, skip chart reviews, let a license or malpractice policy lapse, or fail to document corrective action — and a state medical board inspection or malpractice-carrier audit can result in fines, closure, or a rescinded claim.
Most med spas run this by hand, from memory, or with a nominal medical director who signs without engagement. The state's delegation rules have not been read since the last inspection. That is exactly where compliance gaps hide.
OversightFile exists to close that gap with a single, exhaustive standard applied identically to every location.
1 of 5
missing oversight elements is enough to jeopardize a practice
The benchmark
Measured against the letter of state delegation law — rule by rule.
We do not summarize the law and hope. Every packet is scored against a versioned rule pack tied to the exact text of each state's medical-practice-act delegation provisions and nursing/PA scope-of-practice regulations. These are the elements each packet is held to.
Standing orders & protocols
Procedure-specific standing orders and protocols that demonstrate meaningful oversight rather than blanket permission, reviewed for currency.
Chart-review cadence
Evidence of actual chart review at the required frequency (e.g., monthly, quarterly) with dated logs, not just a signature on a template.
License & malpractice currency
Current NP/PA licenses and malpractice coverage for all delegating providers, verified against state registries and carrier databases.
Corrective-action & adverse-event record
A documented log of any corrective actions or adverse events, with dates and resolution, demonstrating active oversight.
Additional state-specific requirements
For the 12 states with med-spa-specific statutes, any additional patient-protection provisions (e.g., written disclosures, cooling-off periods) are incorporated into the packet.
How a packet is built
Intake to reviewer release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A licensed compliance reviewer signs every release. That order is never reversed.
01
Compliance Gap Scan
Upload the medical director agreement, standing orders, chart-review logs, and license/insurance registry. We return a free completeness read: which oversight elements and state-specific rules you already have, and which are missing.
02
Evidence & registry verification
As your authorized clerical agent, we verify NP/PA licenses against state boards and malpractice coverage against carrier databases, and build the oversight-evidence matrix.
03
Grounded drafting
The five oversight elements are drafted from your validated data and the state rule pack into field-locked templates — no legal opinions, no invented facts.
04
Deterministic completeness gates
Agreement dates reconcile to the current period; chart-review frequency is verified; license and malpractice expiration dates are checked; any failure blocks release.
05
Licensed compliance reviewer release
A healthcare attorney or nurse compliance officer reviews the exception queue and signs the release. High-risk or multi-state locations route to attorney review first.
06
Delivery
You receive the packet: oversight-evidence file, verification log, gap report, and a 30-day calendar of upcoming expirations and required reviews — ready for the med spa to present to an inspector or auditor.
The bar we hold
Rigor you can measure.
100%
Licensed-compliance-reviewer released
No packet ships without a human signature.
5 days
Standard SLA
From complete intake to released packet.
<1%
Critical-defect target
Tracked against a gold-standard packet library.
50+
State rule packs maintained
Every state's delegation and scope rules, updated quarterly.
Why OversightFile
Built to be the most thorough option a med spa has.
Documentation-complete, by design
The deliverable is completeness itself — every oversight element and state-specific rule accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a state requirement.
In its lane, on purpose
We prepare documentation and run verifications as your clerical agent. We never supply or replace the medical director, give legal advice, or conduct the inspection.
Engagement
Flat fee, per location per month. No hourly billing, ever.
Simple, predictable, and aligned with a compliance standard — not a percentage of any revenue.
- A free Compliance Gap Scan before you commit — see exactly what is missing.
- One flat fee per location per month for the continuously maintained packet; disclosed pass-through verification fees.
- Optional fixed-fee attorney review for high-risk or multi-state locations.
- Optional Rapid-Response Engagement for a one-time packet build or inspection prep.
FAQ
Questions, answered precisely.
Is OversightFile a law firm?
No. OversightFile, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Licensed compliance reviewer review is available and recommended for high-risk or multi-state locations.
Do you supply or replace the medical director?
Never. OversightFile does not supply or replace the medical director. The med spa remains responsible for its medical director relationship and all clinical oversight. We document the evidence of that oversight.
What makes a packet 'complete'?
Completeness is defined by the state's delegation and scope rules: the five oversight elements present (agreement, standing orders, chart-review cadence, license/malpractice currency, corrective-action record), state-specific requirements resolved or exception-coded, and all verifications current. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a reviewer-released packet. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per location per month, plus disclosed pass-through verification costs. No hourly billing and no percentage of any revenue or recovery.
See what's missing before an inspector does.
Start with a free Compliance Gap Scan. Send your medical director agreement, standing orders, chart-review logs, and license/insurance registry and we'll return a completeness read against every applicable state rule.
Documentation-completeness service · not legal advice · the med spa maintains its own medical director relationship.