Remote Medical Director

Physician Oversight for Aesthetic Professionals
Staff & Practitioner Roster Worksheet
Instructions: Use this worksheet to document all practitioners and staff members at your practice. List each person's credentials, the services they perform, and their supervising provider. This information will be needed during onboarding to set up proper oversight and compliance records.
Staff & Practitioner Roster
Common roles: Medical Director, Nurse Practitioner, Registered Nurse, Licensed Esthetician, Laser Technician, Medical Assistant, Front Desk / Admin
# Name Role / Title License Type License # State Expiration Services Performed Supervising Provider
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Training Records
# Staff Member Name Training Topic Completion Date Certificate (Y/N)
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