StandingMD

For medical directors of med spas, IV lounges & aesthetic clinics

Prove your oversight
was real.

Your license backs every clinic you supervise. If a board asks, you have to prove the oversight happened.

Create your account

The demo opens a private workspace staged with a fractional director's 4-clinic book across Texas and Georgia. Chart references are record IDs only. No patient charts, no clinical detail.

The StandingMD dashboard showing a 4-clinic book: an overdue chart review at Lumen Aesthetics Bellaire, an unsigned protocol, a service missing from the malpractice schedule, and per-clinic cadence tiles.

The “ghost medical director” is 2026's big enforcement story.

223
med spas investigated in a single New York enforcement operation
$5k–$50k+
per ghost-director violation — plus suspension and practice-closure orders
10%
of delegate charts Texas now requires reviewed monthly, in writing (TMB 169.28)
Denied
malpractice claims where treatment ran without a signed protocol on file

Most board complaints are dismissed when the documentation supports the care, and a dismissal never reaches the national data bank.

4 kinds of proof. One ledger.

Chart-review attestations

Paste chart IDs from your EMR, record findings, e-sign. The entry binds the protocol versions in force and carries an immutable timestamp. A live calculator checks your sample against the state rule as you type.

Supervisory hour ledger

Direct and indirect time, per clinic, per category. When your fee is $4,000 a month, the ledger is what makes it defensible.

Protocols, versioned & signed

Every service on the menu maps to a protocol; every version carries a dated signature. Add a service without one and the gap is flagged before an inspector — or an insurer — finds it.

Coverage integrity & span of control

Services ↔ signed protocols ↔ malpractice schedule, reconciled continuously. It also checks state supervision caps, like Georgia's 8-APRN limit, across your whole book.

The deliverable

The document you hand over, generated on demand.

6 sections per clinic: oversight status against the state rule, every attestation with its chart sample and signature, protocol version history, the staff roster with credential expiries, coverage reconciliation, and the supervisory hour summary. Nothing to assemble the week a complaint arrives.

The inspection binder for Lumen Aesthetics Bellaire: oversight status showing the Texas monthly 10% cadence, two chart-review attestations listing their chart IDs and signature times, and protocol version history with dated signatures.

A log that could be backdated proves nothing.

Your spreadsheet can't prove when you wrote it — that's the entire allegation in a ghost-director case. StandingMD timestamps every entry at creation. Documentation recorded more than 48 hours after the fact is accepted, but visibly labeled a late entry, exactly like the medical-records convention.

  • Spreadsheet row, edited anytimeUnprovable
  • Binder page, written the night beforeIndefensible
  • StandingMD entry, timestamped at creationEvidence

Your span of control is capped by what you can document.

Boards don't publish a maximum number of clinics per director — they judge each site by documented oversight. Every clinic you add multiplies the paperwork, and the paperwork is the ceiling on your directorship income. When the evidence falls out of the work itself, you can carry more clinics and still defend each one.

  • One dashboard across every clinic and state you cover
  • Cadence clocks per state rule — TX monthly 10%, GA quarterly + annual onsite
  • One-click inspection binder per clinic, print-ready
  • The record survives director transitions
The supervisory hour ledger, showing direct and indirect time logged per clinic and category with running totals.

Try it right now

Walk a staged 4-clinic book with the gaps already in it.

See pricing

No signup. The demo is a private workspace, deleted after 7 days.