Doctor Supervision Log for Medspas

The evidence

Score: 34 out of 100

• No opening found
• 35 pay or would pay
• 539 people describe it
• 80% hit it at least weekly
• 11.3K upvotes on their posts

Spa owners buy software with sign-off bundled; off-site doctors may lack budget or authority for a $349 tool.

In their words

there is no discernible paper trail that supervision is even occurring for these visits due to no proper sign off

r/socialwork on Reddit

Their data collection systems are genuinely broken, and don't communicate with their scheduling reliably; no systems to track supervision %, compliance, even work.

r/bcba on Reddit

the charts are constantly missing consents and forms and the doctors are mad

r/nursing on Reddit

The tools that already cover it

• Moxie: Its director service lists chart review, standing orders, multi-location oversight and missing-document alerts, all inside its own platform. No Florida matching. Cross-software queue not shown.
• Aesthetic Record: Medical Director Oversight sits in the $15 plan, and Enterprise lists multi-location dashboards. Covers its own 9 000+ clinics only; spas on other software would have to migrate.
• GlossGenius Practice: Medical director sign-off and charting are in both medspa plans, but only for spas that run on GlossGenius.
• Boulevard: Forms and charts inside one business. Pricing page shows no co-sign queue or supervision report.
• Mangomint: Forms, charting and multi-location support inside one business. No supervisor view across spas shown.
• CollabDocs (Collaborating Docs): 3 500+ doctors and 7 500+ NPs and PAs matched, with compliance support for supervision duties and agreement renewals. Site shows no chart software, so it is a likely channel partner or a future rival.
• Qualiphy: Supplies the patient exam, not the supervisor's review record or standing orders. Referral partner, not a rival.

How it was challenged

• Buyer never speaks: zero supervising doctors among 64 authors, and a keyword sweep of the local Reddit data found no supervision complaints. Medspa posts look vendor-seeded.
• The spa owner picks and pays for software that already bundles sign-off (Aesthetic Record from $15 a user, GlossGenius from $148 a month); $349 is 2.4 times the latter.
• Charts live in closed systems. Without integrations, nurses double-enter every chart or doctors share logins, which the plain database app estimate ignores.
• The cited Texas rule (22 TAC 193.17) shows as repealed January 9, 2025, and HB 3749 says only adequate supervision, so the legal pull is weaker than claimed.
• $600k needs 143 doctors at $349; CollabDocs shows about 2.1 NPs and PAs per doctor (7 500 over 3 500), so 3+ site directors are a minority.

The pain point it solves: Disconnected Practice Software

Small healthcare and accounting practices struggle with disconnected, buggy tools that force manual data re-entry and billing workarounds.

Small practice owners and staff

Where they talk

• r/therapists
• r/Dentistry
• r/MedSpa
• r/VetTech
• r/CRMSoftware
• r/OccupationalTherapy
• r/veterinaryprofession
• r/ukaccounting

Tools they use today

• SimplePractice
• Healthie
• Dentrix
• Jane
• Open Dental
• Cornerstone
• Avimark
• Prompt

Why those fall short

• no systems in place; nothing tracks follow-ups or pending pre-auths
• software used only for billing; records stay on paper
• couldn't access the software
• Owner refuses any new login or paid integration; existing software unused
• no tool covers hiring, payroll, insurance and landlord admin