All information on this form is strictly confidential
Personal information for the license applicant
First Name
Last Name
I am the business owner
Applying for a Practitioner License with registered business
I am not the business owner
Applying under a registered business owned by someone else
Applying as a Service Provider (no business registration)
Occupational License only — No Facility License will be issued
Your licensing package will be mailed to this address.
Please make sure this information is correct before submitting. Once submitted, there will be a change fee to update your mailing address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Country
Upload your professional headshot for the occupational license
Occupational License Photo Guidelines
To take your occupational license photo, please use the provided link. Ensure your photo is a headshot only, sized 2x2 inches, with a white background. The app will automatically remove the background for you. Wearing a dark-colored top is recommended for better contrast. There is a $13.95 fee for the digital copy of the photo. After payment, download the copy to your device and upload it below.
Use PhotoAid to take or enhance your headshot.
Details about your business entity
No Claimed Business Names Found
You must claim a business name in the Business Formation step of your portal before applying for a license.
State
Your professional training and licensing level details
Upload all aesthetic training certificates (Body Sculpting, IPL, BOTOX, etc.) — you may select multiple files at once.
NMSA Protection Plan
Enter your NMSA member number
Upload Existing Policy
Upload your current insurance document
Please read and acknowledge the following
Our licensing process takes 5-10 business days. During the duration of our screening process, you will be provided a Worker's permit, which will allow you to work within your field of practice. Once the screening process is complete, we will mail out your Welcome Kit along with all documents and materials promised during presentation. You will be notified via our texting app when your kit will be shipped out. Shipping takes 3-7 business days after being notified by our representative.
We may use the information we collect through our products for a number of reasons, including to: Provide, improve, protect, and promote our products and services; set your account(s); send you records of your use of the service, including for purchases or other events; understand how you use our products and customize your experience; send you marketing communications (in accordance with your subscription preferences); record details about your electronic signature requests, workflows and other transactions; provide customer support; respond to your inquiries and requests; fix issues or problems with our products and services; prevent abuse of the products and services we offer; and carry out other lawful purposes about which we will notify our users and customers.
We do not sell your information. Vendors and other third-party service providers: We may share your information with third parties that we use for the business purposes of helping us to provide and support our Services, subject to legally binding agreements that protect your personal information.
All Sales are Final on Memberships, Licensing, Accreditations, or any other products or services obtained through the National Med Spa Association!
No Refunds will be distributed. You acknowledge and take full responsibility for the payment and no dispute will be made by bank or financial institution. All charges were made with your consent and you are the authorized user of the card charged.
IN NO EVENT WILL NMSA OR ITS AFFILIATES OR AGENTS BE LIABLE FOR ANY INDIRECT, CONSEQUENTIAL, SPECIAL, INCIDENTAL OR PUNITIVE DAMAGES ARISING OUT OF YOUR ACCESS TO, OR USE OF, THIS SITE OR THE CONTENT OR MATERIALS THEREIN, WHETHER IN A CONTRACT ACTION OR BASED ON NEGLIGENCE, OR OTHER TORT ACTION, OR ANY OTHER CLAIM WHATSOEVER, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
Answer honestly — responses are reviewed by the licensing board
By typing your name above, you are electronically signing this application and certifying that all information provided is true and accurate to the best of your knowledge.
