MDside is a physician-led professional corporation and management services organization. We supply the medical director, the licensed provider network, the good faith exams and the compliant structure behind med spas, gyms, IV clinics, weight-loss brands and pharmacies.

Everything Between Your Brand and a Lawful Prescription

Most operators do not have a marketing problem. They have a structure problem — who owns the entity, who is allowed to treat, who signs the order, and what happens when a board asks. MDside builds that layer, staffs it with licensed providers, and keeps it current as state rules change.

MDside

Medical Direction, Nationwide

An MD or DO named as your medical director, with the protocols, delegation and supervision your state actually requires.

A Physician Network

Licensed physicians in the states you operate in, issuing orders under their own clinical judgment.

PC-MSO Structure Per State

A professional corporation where the state requires one, and a management agreement written not to split clinical revenue.

Good Faith Exams In-House

Intake, clinical review and e-prescribing on a platform we built and run, so every approval is a documented decision.

Pharmacy, Lab and Tech Partners

503A and 503B pharmacy relationships, in-house and reference lab draws, and HIPAA-aligned infrastructure with BAAs in place.

Find Out What Your Model Requires

A med spa, a gym, an IV lounge, an online weight-loss brand and a pharmacy each answer to different rules. Start with the one that describes you.

What a Medical Director Is Actually Responsible For

Naming a physician is the easy part. The role carries protocol approval, delegation and supervision, chart review, adverse-event response, and personal license exposure when something goes wrong. MDside provides directors who do that work, backed by an organization that keeps the documentation current as the rules move.

Physician-Owned
Compliance-First Operations
The MDside platform dashboard showing opportunity status, revenue and conversion metrics
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Multi-State Compliance Through a PC-MSO Structure

A PC-MSO structure separates the clinical entity from the business that supports it. A professional corporation, owned by a licensed physician, employs the providers and owns the medical decisions. A management services organization handles everything that is not the practice of medicine — technology, marketing, staffing, billing operations. Done properly, it is how one brand operates lawfully in more than one state at a time.

The details are not portable. Florida does not broadly prohibit corporate practice, but it does license clinics through AHCA. Texas requires an MD or DO medical director and written delegation. California tightened the rules on management agreements effective January 2026. New York prohibits percentage-based management fees outright. We build to the state you are in, not to a template.

Start with the plain-English version: what a friendly PC-MSO structure actually is.

Why choose us?

Physician-Owned PC in Each State
Fixed, Fair-Market Fees
Directors Who Do the Work

Competitors

Ownership That Fails Review
Percentage Fees That Split Revenue
A Signature and Nothing Else

Our Services

MDside supplies the parts of a healthcare business that have to be run by clinicians: the medical director, the licensed provider network, the good faith exams, the PC-MSO structure and the technology underneath all of it. You keep the brand, the marketing and the customer relationship.

PC-MSO Legal Framework

State-specific professional corporations for clinical services, centralized administration through the management services organization, and a management agreement written to the state you are operating in rather than a national template.

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Virtual Care Implementation

Deliver real-time video consultations and asynchronous care with a 24/7/365 telehealth model designed for patient convenience and accessibility.

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Technology Infrastructure

A platform built for HIPAA-regulated workflows: encryption in transit and at rest, role-based access, audit logging, and Business Associate Agreements with our vendors. Intake, clinical review, e-prescribing and the record that proves a provider made the decision.

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Physical Location Support

Seamlessly integrate virtual and in-person care with support for onsite services, specialized equipment setup, and operational coordination.

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Revenue Generation Channels

Unlock new revenue streams with direct patient care billing, third-party marketing partnerships, and white-label platform licensing to maximize profitability.

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What's it Like Working With Us?

1. Setup & Customization

We start by customizing your white-label telemedicine platform, integrating your branding, and configuring the EMR, patient management, and telehealth systems to fit your needs.

2. Compliance & Operational Readiness

Our team establishes your PC-MSO legal framework, ensures state-by-state regulatory compliance, and sets up provider networks, pharmacy integrations, and billing systems.

3. Launch & Scale

With everything in place, your telehealth brand goes live. We provide ongoing support, allowing you to scale effortlessly with new features, expanded services, and multiple revenue streams.

Who We Work With

Med spas, IV lounges, gyms and recovery studios, online weight-loss and hormone brands, pharmacies, labs, and established practices adding new states or new services. What they have in common is a clinical layer that has to hold up under review.

MDside

Med Spas & Aesthetics

Med spas, aesthetic clinics and injectors who need a medical director, protocols and a lawful path to injectables.

Gyms, Fitness & Recovery

Gyms, studios and recovery brands adding weight management or hormone programs to a membership business.

Pharmacies, Labs & Retail

Pharmacies, compounders, labs and retail brands that need ordering providers, result review and a clinical entity.

Online & DTC Health Brands

Online and direct-to-consumer brands that need licensed providers, good faith exams and coverage in every state they sell into.

MDside

Start With the State You’re In

Book a time with our team. Tell us where you operate and what you want to offer, and we will walk you through the structure it requires, the provider coverage available, and what it takes to run.

What We Cover

One agreement covers the services on your menu. If it is on this list, it is included.

Aesthetics

  • Botox and other neurotoxins
  • Dermal fillers
  • Biostimulators
  • Chemical peels
  • Microneedling
  • PDO threads
  • Laser hair removal, IPL and other non-ablative lasers

IV and wellness

  • IV hydration and vitamin drips
  • Vitamin injections
  • NAD+
  • Mobile and event IV services

Weight management

  • GLP-1 programs
  • Patient-specific prescriptions shipped by a licensed pharmacy
  • Online storefront under your own brand

Hormones and peptides

  • Hormone therapy
  • Testosterone programs, where the state allows them
  • Peptide programs limited to what can lawfully be compounded

What we will not cover: retatrutide, and any procedure your license does not allow you to perform in your state. We tell you which those are before you sign, not after.

Tell Us About Your Practice

Not ready for a call? Send us your state and what you want to offer. A physician replies within one business day with what it takes and what it costs.

What do you want to offer?

For clinics and businesses only. If you are a patient, please do not send health information here.

Questions Clinic Owners Ask Us

Taken from real conversations with nurses, nurse practitioners and owners setting up a practice.

What does a medical director from MDside include?

A licensed physician in your state as your medical director, written protocols and standing orders for each service you offer, patient approvals, chart review, emergency and complication protocols, and supply accounts for the products you need. See what a medical director is responsible for.

How is the fee set?

One flat monthly fee per practice, not per provider and not a percentage of your revenue. It depends on your state and on the services you offer: a practice doing neurotoxins and IVs is priced differently from one doing fillers, lasers and threads. You get the exact number in writing after one short conversation.

Is there a startup fee?

No. Your first monthly payment covers setup.

Is the fee per provider or per location?

Per practice. Adding a nurse does not change it. A second location is a second site to cover, at a lower fee than the first because the agreement and protocols already exist.

Which services can you cover?

Neurotoxins, fillers, biostimulators, chemical peels, microneedling, threads, non-ablative lasers, IV therapy, vitamin injections, GLP-1 weight management, hormone therapy and peptide programs. The full list is under what we cover.

How fast can we be set up?

Usually within days of receiving your documents. Lasers, threads and other device-based services add a short step: we record the exact device and your training on it before your first treatment.

What do you need from me to start?

Your license number and NPI, your business name and address, your service menu, the names and licenses of anyone who treats patients, your current protocols if you have them, and your liability policy.

How do good faith exams work?

Your patient completes a secure online intake. A physician or other licensed provider reviews it and approves the treatment plan. Where a state or a higher-risk service requires a live exam, it is done by video. More on good faith exams.

I am a nurse practitioner. Do I still need a physician?

It depends on your state and on what you offer. Several states that grant NPs independent practice still require a physician relationship for aesthetic services. Start with nurse practitioner versus physician.

I am a registered nurse. Can I open a med spa or an IV business?

In many states, yes, with a medical director and written delegation in place. Who may own the business and who may own the medical practice are two different questions, and the answer changes by state. See how we work with med spas.

I am not a clinician. Can I own the business?

You can own the business side in every state. In states that restrict who may own a medical practice, the clinical side sits in a physician-owned professional entity and your company manages it. That is the PC-MSO structure.

Do you work in my state?

We cover most states. A few require the physician to practice at a physical location in the state or to be on site, and where we cannot meet that we say so on the first call. Check your state page.

Who carries malpractice coverage?

The agreement states it in plain terms for your structure. The physician and the professional practice carry coverage for medical direction. You keep professional and general liability coverage for the treatments you and your staff perform, and we can refer brokers who write these policies.

Can I leave? What are the termination terms?

Yes. Our standard agreement runs one year and renews. Either side can end it without cause on 60 days' written notice. There is no early termination fee, no noncompete and no nonsolicitation clause.

Who owns the patients and the records if we part ways?

Nobody owns a patient. Patients choose their provider and nothing in our agreements restricts that. The medical practice keeps the records for the period the law requires, you keep reasonable access for follow-up care, and we cooperate on patient notification.

Who controls the money?

Where your state lets you own the clinic outright, you keep your own bank account and card processor and pay us the flat fee. In a PC-MSO state, patient payments go to the practice account, you see it in real time, and the balance is transferred to your company on a fixed weekly schedule with a statement.

Do I need LegitScript certification?

Not always on day one. It becomes necessary when you sell prescription products online or advertise them on Google or Meta. In-clinic card payments generally do not require it. See LegitScript certification.

How do GLP-1 prescriptions work? Do I hold inventory?

No inventory. A licensed provider approves each prescription for a specific patient, and a licensed pharmacy ships it to the patient or to your office. See weight management.

Do you set my prices or tell me how to run my business?

No. You set your prices, packages and promotions and you run operations, marketing and the front desk. We are responsible for the clinical side.

Who will I actually deal with?

One physician contact you can call or text, day or night. You are not routed through a ticket queue. Meet the physicians.

Start here: what operators ask us most