Free Med Spa Org Chart Template
A med spa is unique because it runs a clinical hierarchy and a service-business hierarchy simultaneously. The Medical Director owns the clinical side (injectors, RNs, NPs) under the medical license. The Practice Manager owns the operations side (estheticians, front desk, marketing). Both report to the owner.
Typical structure · 8 to 30 staff per location
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Roles in a typical med spa
Headcount ranges are typical for a single-location operator. Multi-location and franchise structures scale these up.
| Role | Reports to | Headcount |
|---|---|---|
| Owner | Med Spa | 1 |
| Medical DirectorMD or DO who holds the medical license | Owner | 1 |
| Practice Manager | Owner | 1 |
| Lead Injector / NP | Medical Director | 1 |
| Registered Nurses | Lead Injector / NP | 2-5 |
| Lead Esthetician | Practice Manager | 1 |
| Estheticians | Lead Esthetician | 2-5 |
| Front Desk / Patient Coordinator | Practice Manager | 2-3 |
| Marketing Coordinator | Practice Manager | 0-1 |
Where to add AI agents in a med spa
The seats most likely to lift output if an AI agent runs the work alongside the human.
Practice Manager
Lead-to-consult booker
Triages incoming Yelp / Instagram / website leads, books consults against open slots.
Front Desk
Recall + reactivation agent
Re-engages patients who haven't booked in 90 plus days.
Frequently asked questions
Why does a med spa need a medical director?
Most states require a licensed physician to oversee any medical procedure performed in a med spa, including injectables, lasers, and IV therapy. The Medical Director sits at the top of the clinical hierarchy even if they only physically attend a few hours per week.
How is a med spa org chart different from a regular spa?
A regular spa has one operations track. A med spa has two parallel tracks because the clinical side falls under the medical license and the service side does not. The Medical Director cannot supervise estheticians who only do non-medical facials, and the Practice Manager cannot supervise injections.
How many injectors does a typical med spa need?
A profitable med spa runs about one injector per 600 to 800 patient visits per month. Most single-location spas operate with 2 to 4 injectors plus a Lead Injector who also sees the most complex cases.
Related templates
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