Pre-Opening Med Spa Checklist: Requirements & Leads

New med spa owner reviewing pre-opening checklist for medical spa requirements and lead generation setup
By AP Marketing February 2026

Pre-Opening Checklist: Medical Spa Requirements & Lead Generation Setup

Opening a medical spa is exciting–but between navigating medical spa requirements, setting up compliant operations, and preparing to increase med spa leads from day one, there's a lot to coordinate before welcoming your first client.

The practices that launch successfully aren't just checking compliance boxes. They're strategically setting up systems that ensure both legal operations and profitable growth from the start. This essential checklist covers everything you need in place before opening your doors.

Phase 1: Legal & Compliance Foundation

Getting medical spa requirements right from the beginning protects your business, your license, and your clients.

Entity & Licensing:
  • Form your business entity (LLC or corporation) compliant with your state's medical spa ownership laws
  • Obtain Federal EIN, state business license, and medical spa-specific permits
  • Secure DEA registration if handling controlled substances
  • Arrange medical waste disposal contracts before generating any waste
Medical Director & Oversight:
  • Execute physician medical director agreement defining responsibilities and compensation
  • Create standing orders and treatment protocols signed by your medical director
  • Develop written emergency response procedures for adverse reactions
  • Verify all treatments fall within legal scope of practice for your state
Provider Credentials:
  • Confirm all providers hold active, unrestricted state licenses
  • Secure malpractice insurance for medical director, providers, and business entity
  • Complete OSHA compliance training and bloodborne pathogen protocols
  • Ensure provider certification on all devices (lasers, RF equipment, etc.) before client use

Phase 2: Systems & Software Setup

The systems you implement before opening determine how to increase revenue in a med spa efficiently.

Medical Spa Software Selection:

Choose medical spa management software that handles HIPAA-compliant EMR documentation from day one, online booking so clients can schedule before you open, automated intake forms clients complete before arrival, integrated payment processing and inventory tracking, and marketing automation to nurture pre-launch leads.

Starting with comprehensive software like AestheticsPro prevents expensive platform migrations six months after opening.

HIPAA Compliance:
  • Obtain signed Business Associate Agreements (BAAs) from all vendors accessing client data
  • Create HIPAA-compliant privacy policies and patient rights notices
  • Implement password policies, access controls, and data encryption protocols
  • Set up digital consent forms, intake forms, and photo releases
Financial Infrastructure:
  • Open dedicated business banking accounts (never mix personal and business finances)
  • Set up accounting software integration with your practice management system
  • Establish merchant accounts–verify your processor allows aesthetic service transactions
  • Develop pricing for services, packages, and memberships that create recurring revenue from day one

Phase 3: Lead Generation Before Opening

You need to increase med spa leads before opening day, not scramble to fill your schedule after launch.

Digital Presence:
  • Launch mobile-optimized website with service descriptions, provider bios, and online booking
  • Claim and optimize Google Business Profile with photos, hours, and services
  • Set up Instagram, Facebook, TikTok–start posting 4-6 weeks before opening
  • Enable online booking immediately to collect pre-opening appointments
Pre-Launch Marketing:
  • Build "VIP list" email subscribers with exclusive pre-opening rates
  • Plan 4-6 weeks of social content building anticipation and introducing your team
  • Develop grand opening promotions and refer-a-friend incentives
  • Connect with local gyms, salons, boutiques for cross-promotion opportunities
Lead Nurturing Automation:

Set up automated email sequences through your medical spa management software: welcome series explaining your services, educational content about treatments, countdown to opening with booking incentives, and post-opening follow-up converting leads to appointments.

Having this automation ready ensures no lead falls through the cracks during chaotic opening weeks.

Phase 4: Client Experience Planning

How to increase revenue in a med spa starts with creating experiences so exceptional that clients immediately rebook and refer friends.

Consultation & Conversion:
  • Develop structured consultation process identifying client goals and recommending treatments
  • Create visual treatment plans showing services, timing, and investment
  • Train team on converting consultations through education, not pressure (target 60-80% conversion)
Atmosphere & Amenities:
  • Set up comfortable treatment rooms equipped for each service type
  • Consider music, temperature, refreshments–thoughtful touches elevating experience
  • Create appealing retail display (retail adds 15-25% to revenue)
  • Establish well-lit spaces for consistent before-and-after photos
Staff Training:
  • Ensure everyone is comfortable with your software before day one
  • Train providers on standardized protocols, documentation, and emergency procedures
  • Define customer service standards for phones, greetings, and concern handling
  • Train front desk on rebooking clients before they leave (doubles retention rates)

Phase 5: Inventory & Equipment Readiness

Product & Supply Setup:
  • Order injectables, skincare, and supplies 4-6 weeks before opening (some have long lead times)
  • Input all products into your medical spa software with SKUs, lot numbers, expiration dates
  • Establish vendor accounts with pharmaceutical reps and medical suppliers
  • Set up proper refrigerated storage for injectables and locked cabinets for controlled substances
Device Installation:
  • Schedule manufacturer installation and training for all equipment
  • Arrange service and maintenance agreements before you need them
  • Post laser safety signage and provide protective eyewear
  • Verify all devices are calibrated and tested before first client use
Insurance & Risk:
  • Secure general liability, professional liability, property, and workers compensation insurance
  • Have attorney review treatment consents, financial agreements, and cancellation policies
  • Confirm coverage includes all treatments and devices you'll offer

Phase 6: Soft Launch Testing

Before grand opening, test your systems with friends, family, or select clients.

What to Test:
  • Run complete client experiences from online booking through checkout
  • Verify treatment timing is realistic–not rushed or running behind
  • Let team practice in low-pressure scenarios building confidence
  • Collect honest feedback about experience, comfort, and communication
  • Adjust workflows, scripts, or procedures that felt clunky

Your Timeline to Opening

6-12 months before: Research medical spa requirements, secure medical director, form business entity, begin location search

4-6 months before: Finalize lease, obtain licenses, implement medical spa software, order equipment, hire key staff

2-3 months before: Complete buildout, install equipment, launch website/booking, begin social media and marketing

4-6 weeks before: Conduct staff training, setup inventory, run soft launch, collect pre-opening appointments

1-2 weeks before: Final inspections, verify all systems, test end-to-end, finalize grand opening plans

Common Mistakes to Avoid

Skipping soft launch - Testing prevents day-one chaos and frustrated clients

Choosing inadequate software - "Saving money" on cheap systems costs far more when migrating platforms six months later

Starting marketing too late - Effective lead generation takes 4-6 weeks to build opening schedule

Underestimating cash reserves - Most practices need 6-12 months operating expenses in reserve

DIY compliance documents - Generic templates create liability exposure; invest in legal review

Setting Yourself Up for Success

Opening a medical spa requires significant investment in planning and strategic thinking. The practices that succeed long-term invested in proper foundation: complete compliance with medical spa requirements, systems designed to increase med spa leads systematically, and clear strategies for how to increase revenue in a med spa from day one.

When you've prepared properly, opening day isn't stressful–it's exciting. You're confident in compliance, systems work smoothly, your team knows what to do, and you have clients booked because marketing started weeks ago.

AestheticsPro helps medical spas launch successfully with comprehensive software handling HIPAA-compliant EMR, automated lead nurturing, online booking, inventory management, and membership billing. Our platform is designed specifically for medical aesthetics–giving you compliance, clinical, and business tools in one system. Opening a med spa? Request a demo to see how AestheticsPro simplifies your pre-opening setup.

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