Nurse Practitioner or physicianas your medical director
A Nurse Practitioner can act as medical director for an Ontario nurse injector: an NP is an autonomous provider who can assess, diagnose, prescribe, issue direct orders and author directives. At Bradford Skin Clinic and Medical Spa in Bradford, Ontario, that role is held by Alex Dinovich, Nurse Practitioner and Medical Director, registered with the College of Nurses of Ontario.
Written and reviewed by Alex Dinovich, NP, Nurse Practitioner and Medical Director at Bradford Skin Clinic & Medical Spa.
College of Nurses of Ontario registration 13564840, verifiable on the
public Find a Nurse register.
Last reviewed .
At a glance
The short version.
InvestmentQuoted per arrangement once the scope of the directives is known
Who you would be working with
A person, not a signature.
Directorship is a professional relationship rather than a
location. You are choosing the person who authors your mechanism, reviews it as
your practice changes, and picks up when a client does not fit it.
Alex Dinovich is Nurse Practitioner and Medical Director here. She is registered with the College
of Nurses of Ontario as 13564840, verifiable on the
public register.
What a directive gives you
Authority to perform the controlled act it names.
A written mechanism you can show.
A named provider accountable for authoring it.
What it does not cover
Anything the directive does not say.
Competence, which comes from training and practice.
Your own accountability to the College for your own decisions.
A directive covers what it says it covers.
Accountability under an authorizing mechanism is specific and bounded.
You remain accountable to the College of Nurses of Ontario for your own practice.
Alex Dinovich, NP. The authorising provider, not a name on a certificate.
The short answer
A Nurse Practitioner can hold the medical director role for an Ontario nurse injector, because an NP can do every regulated thing the role requires.
An NP is an autonomous provider. She can assess a client, diagnose, prescribe, issue direct orders and author directives on her own authority. An authorizing mechanism for cosmetic injection requires exactly those capacities and nothing beyond them.
It is also worth saying plainly: medical director is not a protected title. Under the Nursing Act, 1991 the protected titles are nurse, Registered Nurse, Registered Practical Nurse, Nurse Practitioner and Registered Nurse (Extended Class). Medical director is a business description. So is injector, aesthetic nurse and certified injector. The title tells you what someone calls themselves; the registration tells you what they can actually authorize.
What the role actually requires
Strip the job title away and a medical director for a nurse injector has to be able to do four things.
Author directives. Write the instrument that authorizes you to perform the controlled acts for clients who meet defined conditions.
Issue direct orders. Authorize the intervention for a named client where a directive is not the right route.
Prescribe. Neuromodulators are prescription drugs in Canada, so somebody with prescribing authority has to prescribe them. Dermal fillers are not prescription drugs: Health Canada regulates them as Class III medical devices, Class IV if permanent. The authority requirement for filler flows from the controlled acts rather than from drug scheduling, which is why a directive rather than a prescription is the relevant instrument there.
Be available. Reachable when a client falls outside the mechanism, and engaged enough to revise the documents when the practice or the guidance changes.
A Nurse Practitioner can do all four. So can a physician. The profession is not the discriminating variable.
What genuinely differs
Two things differ, and neither is about capability.
The regulator. A physician’s obligations as an authorizing or delegating provider are set by the College of Physicians and Surgeons of Ontario. A Nurse Practitioner’s are set by the College of Nurses of Ontario. Requirements differ by regulator, and the specifics of what applies to any particular arrangement are confirmed in conversation rather than inferred from a page like this one. What we will not do is tell you that one regulator’s rules apply to a provider governed by the other. That is a mistake several competitor pages make in both directions.
The vocabulary and the reference points. CNO says directive; CPSO says medical directive. A Nurse Practitioner director is reading the same practice guidelines you read, writing in the language your own regulator uses, and answering to the same College. That is not a legal advantage. It is a practical one, and it shows up most in how the documents are worded.
The single classification, and why it matters here
The College of Nurses of Ontario moved to a single Nurse Practitioner classification on 1 July 2026. The former specialty certificates stopped being protected titles.
That change does not alter what an NP can authorize. It does alter how an NP should describe themselves, and it is a useful test to apply when you are assessing a prospective director. If somebody is selling you regulatory currency while advertising a designation their own College has retired, they are not tracking their own regulator closely. That is exactly the failure mode you are paying a director to avoid.
Alex Dinovich is styled Nurse Practitioner and Medical Director at Bradford Skin Clinic and Medical Spa. She holds College of Nurses of Ontario registration 13564840, which you can verify on the College’s public register.
How to judge either one
Profession is the first question and the least useful one. These are the questions that separate a real arrangement from a signature.
Registration. Name, profession, registration number. Verify it on the College’s public register yourself.
Authorship. Will the directives be written to your practice, or will you be handed a template with your name added?
Scope fit. Do the documents cover the interventions you actually perform, on the clients you actually see, at the site you actually work from?
Reachability. What is the real route to consult when a client falls outside the mechanism? Not the promised one, the real one.
Maintenance. Who rereads your documents when the guidance moves, and how fast? The Aesthetic Services practice guideline dated 3 July 2026 is recent, and CNO has said it continues to review how authorizing mechanisms, including directives and delegation, are used in aesthetic practice.
Complications. What do you manage, what do you escalate, and how do you reach them urgently?
Exit. What notice applies if they withdraw, and what happens to clients already booked?
Exclusions. What is explicitly not covered?
Any director worth having will answer all eight in one conversation and will not be offended that you asked.
What no director can offer you
None of this transfers your professional accountability. You remain accountable to the College of Nurses of Ontario for your competence, your judgement that a client meets the conditions of a directive, and how you perform the intervention.
Accountability under an authorizing mechanism is specific and bounded on both sides. If a prospective director offers to supervise your practice in blanket terms or to take responsibility for whatever happens, that is not a stronger offer. It is a description of something that does not exist, and it should make you more cautious rather than less.
If we are not the right fit
If you want a name on a form so that somebody stops asking questions, this is not that service, and we would rather say so now.
If you want directives written properly, kept current, and backed by someone who will pick up the phone when a client does not fit them, that is the conversation to have.
Call 647-333-6805. Bradford Skin Clinic and Medical Spa, 444 Holland Street West, Unit 2, Bradford, Ontario. Arrangements are available to nurses across the province.
Asked by nurses
Asked and answered.
Can a Nurse Practitioner be a medical director in Ontario?
Yes. A Nurse Practitioner is an autonomous provider who can assess, diagnose, prescribe, issue direct orders and author directives, which covers everything an authorizing mechanism for cosmetic injection requires. Medical director is not a protected title and is not restricted to physicians. The aesthetics industry's habit of assuming otherwise is convention rather than law.
Is a physician medical director better than a Nurse Practitioner one?
Neither is inherently better, and the useful question is not the profession but the specifics of the arrangement. What matters is whether the person is registered and in good standing, whether they will author documents specific to your practice, whether they are genuinely reachable, whether they will maintain the documents, and whether they understand aesthetic injecting. A registration alone answers none of that.
Do the requirements differ depending on which regulator my director falls under?
Yes, requirements differ by regulator, and the specifics are confirmed in conversation rather than assumed from a web page. Physicians are regulated by the College of Physicians and Surgeons of Ontario; Nurse Practitioners are regulated by the College of Nurses of Ontario. Any arrangement should make explicit what is required of the authorizing provider and what is required of you.
Can a Nurse Practitioner prescribe the neuromodulator I inject?
Yes. Nurse Practitioners have prescribing authority, so an NP medical director can both prescribe the prescription drug and author the directive that authorizes you to inject it. That keeps the prescribing and the authorizing mechanism with one person rather than split across two arrangements.
Does the July 2026 single classification change who can be my director?
No. The College of Nurses of Ontario moved to a single Nurse Practitioner classification on 1 July 2026 and the former specialty certificates stopped being protected titles. That changes how Nurse Practitioners are titled, not what they can authorize. Anyone still advertising a retired specialty designation is presenting outdated credentials on a service whose whole value is being current.
How do I check that a prospective medical director is actually registered?
Ask for the name, the profession and the registration number, then verify it directly with the relevant College's public register. For a Nurse Practitioner or a nurse, that is the College of Nurses of Ontario; for a physician, the College of Physicians and Surgeons of Ontario. Anyone unwilling to give you a registration number has told you something useful.
What should I ask before agreeing to any directorship arrangement?
Ask who authors the directives and whether they are specific to your practice, who revises them and how quickly when the guideline changes, what the realistic route is to reach them when a client falls outside the mechanism, what the complication arrangement is, what notice applies if they withdraw, and what is excluded. The answers to those questions tell you more than the letters after the name.
Sources
Where this comes from.
Everything on this page is drawn from the regulator, not from a
competitor's marketing. Read the originals rather than taking our word for any of it.
General information about Ontario regulatory requirements. Not
legal or regulatory advice. Nurses remain accountable to the College of Nurses of Ontario
for their own practice decisions.
Talk to us
Ask before you commit to anything.
Leave four details and Alex will come back to you directly. If what
you need is not something we do, we will say so and point you at whoever does.
Written and reviewed by Alex Dinovich, NP, Nurse Practitioner and Medical Director at Bradford Skin Clinic & Medical Spa.
College of Nurses of Ontario registration 13564840, verifiable on the
public Find a Nurse register.
Last reviewed . 
