---
title: "What You Need To Offer PRP Injections | RMA"
description: "A plain checklist for licensed providers: license and scope, training, a cleared system, consent, staff, coverage and marketing before your first PRP patient."
url: "https://regenmedacademy.com/what-you-need-to-offer-prp-injections/"
---

# What do I need to offer PRP injections in my practice?

- [Oscar Tellez](https://regenmedacademy.com/oscar-tellez/)
- October 20, 2026

![What a practice needs for prp: tubes, a tourniquet band, gauze, a glove and a tube holder on a steel tray](https://regenmedacademy.com/wp-content/uploads/2026/10/what-you-need-to-offer-prp-injections.webp)What do i need to offer prp injections in my practice? 2

*Written by [Oscar Tellez](https://regenmedacademy.com/oscar-tellez/), founder of Regen Med Academy. Oscar is not a clinician. This post is education for licensed providers and is not medical advice. Last updated October 20, 2026.*

To offer PRP injections in your practice, you need ten things in place before the first patient. You need a license and scope that allow it, hands-on training, an FDA-cleared system with its supplies, a room and a workflow, and consent forms and records. You also need clear staff roles, a written answer from your malpractice carrier, marketing that makes no claims, a pricing decision, and a plan for your first patients.

## What are the PRP requirements, in one list?

There is no single PRP permit to apply for, and no one office signs off on all of it. What you have is a set of separate PRP requirements, and each one has its own owner. Some belong to your state board, some come from federal rules, and some belong to your carrier and your attorney.

Here is the whole list in the order this post covers it.

1. A license and a scope of practice that cover the procedure in your state.
1. Hands-on training for every person who will take part.
1. An FDA-cleared PRP system and the supplies that go with it.
1. A room and a written workflow for handling blood.
1. A consent form and a record for every visit.
1. Staff roles that are written down.
1. An answer from your malpractice carrier, in writing.
1. Marketing that follows the federal rules.
1. A pricing decision you can explain.
1. A plan for your first patients.

The work you do before the first patient is work you will not be doing in front of one.

We also have a post on [how to add PRP therapy to your medical practice](https://regenmedacademy.com/how-to-add-prp-therapy-to-your-medical-practice/), and one that explains [what PRP therapy is in plain terms](https://regenmedacademy.com/what-is-prp-therapy/).

## Does my license cover PRP injections?

Start with this one, because nothing else on the list matters if the answer is no.

Your state license and your board decide whether you may draw blood, prepare PRP and inject it. A course cannot hand you that right, and a vendor cannot hand it to you either. What you may perform is set by your own state license and board. A Certificate of Completion does not extend it.

The same check applies to every person who will touch the procedure. If you are a nurse practitioner, look at how your state handles NP practice, and the AANP’s page on [full, reduced and restricted practice](https://www.aanp.org/advocacy/state/state-practice-environment) is a quick first look. A PA, a nurse and a medical assistant each have rules of their own.

It is your responsibility to confirm the modality is legal in your state for your license. Do that before you book training, and well before you buy a system. Our reading of each state is on the [rules by state page](https://regenmedacademy.com/regenerative-medicine-laws-by-state/), with its sources and the date we checked. It is a starting point, not legal advice, and the authority on your own scope is your licensing board, not us.

Free mini course

The FDA rules behind this field, in a short, self-paced course. It costs nothing.

[Get the free FDA course](https://regenmedacademy.com/fda-legal-foundations-of-regenerative-medicine/#free-course)

## What training do I need before the first patient?

You need enough supervised, hands-on work to begin, and you need a clinician you can call afterward.

Nobody issues a government PRP certification, so there is no official test to pass. That leaves the standard to you, your board and your carrier, and it should be higher than a video and a slide deck.

Providers ask us a blunt question before they book: “Can I really learn this in a day or a weekend?” No, and we say so. A day or a weekend does not make a specialist. What a course gives you is enough supervised contact to begin, and people to call afterward.

So what should you look for in a course? Look for hands-on work with a consenting patient, under supervision, taught by a clinician who does this in a real practice. Our post on [which PRP training program is right for your practice](https://regenmedacademy.com/which-prp-training-program-is-right-for-my-practice/) lists the questions to ask, and another one compares [private and group clinical training](https://regenmedacademy.com/private-vs-group-clinical-training/).

Private training is our only format, and our [Introduction to PRP for Musculoskeletal Injuries](https://regenmedacademy.com/introduction-to-platelet-rich-plasma-prp-therapy-for-musculoskeletal-injuries/) course is the place to start if PRP is new to you. Training at an instructor’s location starts at $5,000, and training inside your own practice starts at $10,000 with travel and lodging inside the quote. Every engagement is quoted, and we do not offer CME or credit hours.

## Which PRP system and supplies do I need?

You need one FDA-cleared PRP system, the single-use kits made for that system, and the usual supplies for a blood draw and an injection.

Cleared is the word to look for. FDA lists these systems as a “[platelet and plasma separator for bone graft handling](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPCD/classification.cfm?ID=ORG).” The devices that prepare PRP are FDA cleared for use with bone graft material. Injecting PRP into joints, tendons, ligaments, skin or scalp is an off-label use.

Cleared also does not mean approved, and we explain the difference in our post on [whether PRP is FDA approved](https://regenmedacademy.com/is-prp-fda-approved/). For this checklist, four questions will do.

- Ask the vendor for the 510(k) number of the exact system, and read that clearance yourself.
- Ask what comes inside each kit and what you have to buy on your own.
- Ask for the instructions for use, and read what they say about the draw and the spin.
- Ask who trains your staff on the system, and whether that person is a clinician or a sales rep.

You do not have to own a system before you train. We are not tied to any vendor. Bring the system you already own. We work with several suppliers, and we take no commission.

## What space and workflow does PRP take?

PRP is prepared and given in the same visit, so one room has to work for a blood draw, a spin and an injection.

Walk the path once with your staff before any patient does. Decide where the patient sits for the draw and where the centrifuge sits. Decide where the kit gets opened, where the sharps go, and who cleans the room when the visit is over.

Then put the workflow on paper. A written workflow is how a new staff member learns the steps, and it is how you find the step that nobody owns.

Blood also brings a federal workplace rule with it. OSHA’s bloodborne pathogens standard applies to “[all occupational exposure to blood or other potentially infectious materials](https://www.law.cornell.edu/cfr/text/29/1910.1030).” An employer whose staff has that exposure has to keep “a written Exposure Control Plan designed to eliminate or minimize employee exposure,” and the plan has to be “reviewed and updated at least annually.”

The same rule tells the employer to train each employee who has that exposure and to make the hepatitis B vaccine available to them. If your practice already draws blood, you should already have this plan, and the job is to add the PRP steps to it. If your practice does not draw blood today, write the plan before the first draw.

Then ask the company that picks up your sharps and medical waste what a PRP service adds to your pickup.

## What consent and records should be ready?

You need a consent form that was written for PRP, and you need to decide what goes in the chart at every visit.

A consent form borrowed from another procedure will not do the job. Three topics to raise with your attorney are a plain description of the procedure, the fact that injecting PRP is an off-label use, and the full cost to the patient. Your attorney decides the rest, because consent rules differ from state to state.

We give our trainees sample consent forms. They are teaching templates, and your own attorney must review any form before you use it with a patient.

What about the chart? Settle the list before the first visit, and take a draft to your instructor and your attorney. A draft might name the system and the kit, the kit’s lot number, how much blood was drawn, what was injected and where, and who did each step.

Why write down the lot number? A kit is a medical device with a lot number on the box. If a maker ever recalls a lot, you will want to know which of your patients it reached.

## Who on my staff does what?

Write down who does each step, by name, before the first patient is on the schedule.

A PRP visit has more jobs in it than the injection. Somebody takes the call, somebody goes over the consent, and somebody does the draw and runs the spin. Somebody injects, somebody cleans the room, and somebody calls the patient afterward.

Put two questions to each of those jobs. Is this person allowed to do it in this state, under their own license or role? Has this person been trained to do it on the system you own? Your board answers the first question, and your training answers the second.

Who injects is a question for your board, and a course never answers it. Staff who do not inject can still run the parts around the procedure, such as the schedule, the room setup and the follow-up calls, and those parts need training too.

In a private session you can train alone or bring your team. Every licensed person in the room performs, within their own scope, and the rest of your staff can learn the workflow around them.

## What do I ask my malpractice carrier?

Call your carrier before you train, and call again before you see a patient. Providers bring us this exact question: “What insurance do I need, and am I covered while working on a patient?”

Here is our answer, word for word. You are responsible for your own coverage. Talk to us and we will help you work out what to ask your carrier.

We will not tell you that you are covered, because we have not read your policy and your carrier has. So put the questions to the carrier, and ask for the answers in writing.

- Ask whether the policy covers PRP injections, given that injecting PRP is an off-label use of a cleared device.
- Ask whether it covers each area of the body you plan to inject.
- Ask whether it covers each staff member who will draw, spin or inject.
- Ask whether it covers you while you train hands-on with a patient at another practice.
- Ask whether the carrier needs proof of your training, and what kind of proof.

An answer over the phone is not enough. Ask for an email or a letter, and keep it with your policy.

## What can I say about PRP in my marketing?

You can describe what PRP is, and you cannot promise what it will do. That is the short version, and two sets of federal rules sit behind it.

The first set comes from the FTC. Its health guidance says, “[Advertising must be truthful and not misleading](https://www.ftc.gov/business-guidance/resources/health-products-compliance-guidance),” and it says advertisers need “adequate substantiation for all objective product claims” before an ad runs. In plain words, you need the proof in hand before you make the claim.

Patient quotes count as claims as well. The same guidance says that “attempts to disclaim dramatic results with statements like ‘Results not typical’ don’t cure the deception.” A line of small print does not fix an ad.

The second set is about FDA status. Federal law lets a provider use a legally marketed device off-label with a patient. The same section says it “[shall not change any existing prohibition on the promotion of unapproved uses of legally marketed devices](https://www.law.cornell.edu/uscode/text/21/396).” So never call PRP or your kit “FDA approved,” and say plainly that injecting PRP is an off-label use.

Read your website, your brochures and your social posts with both sets of rules in hand, before somebody else does.

## How do I decide what to charge?

You need a price before the first call comes in, and your front desk needs to say it the same way every time.

Providers ask us whether their market can afford a cash-pay service. Nobody can answer that for your town with a promise, and we will not try. What you can control is the consultation.

A good consultation covers what PRP is, that injecting it is an off-label use, what the research says and where it stops, the full cost, and the other options the patient has. After that, the patient decides.

The research part has to be honest. For a knee or a hip, it includes the American College of Rheumatology’s 2026 update, which says, “[In people with knee and hip OA, we strongly recommend against PRP treatment](https://assets.contentstack.io/v3/assets/bltee37abb6b278ab2c/bltb3d12c34020da842/oa-guideline-summary-2026.pdf).” OA is short for osteoarthritis.

Build the price from your own numbers and not from the clinic down the street. Add up what one kit costs you, the staff time, the room time, your own time, and any follow-up visits you include. Then decide whether you charge by the visit or by the plan, and put your refund and cancellation rules in writing.

Coverage and billing are separate questions. Whether any payer covers a given use, and how a cash service sits beside your insurance contracts, are questions for your biller and your attorney. Our post on [how to add cash-pay procedures to a medical practice](https://regenmedacademy.com/how-to-add-cash-pay-procedures-to-a-medical-practice/) walks through that roadmap.

## How should I plan my first PRP patients?

Start small, and start with people you know. Here is what I tell providers: “When you leave out of here, you are going to be confident enough to where you can essentially start practicing on your family and friends and staff to start off.” Ask your board whether it has its own rules about family members and employees as patients.

That is the plan we mean, and it is slow on purpose. Pick first cases that look like the ones you practiced in training. Book them on days when you are not rushed, and leave extra time for the draw and the spin, because a new team is slow.

Keep your instructor’s number where you can find it. Our trainees keep ongoing access to our clinicians, and this is how I put it: “Your journey is only getting started. We have the support where you can call us.”

After each of the first few visits, sit down with your team for ten minutes. Ask what ran slow, what was missing from the room, and what the patient asked that nobody could answer. Then fix the checklist while it is fresh.

## What does it look like to start offering PRP, step by step?

Let’s say you run a family practice with one physician, one nurse practitioner and one medical assistant, and nobody in the building does PRP today. Here is an order that makes sense for a practice like that.

1. The physician and the nurse practitioner each confirm their scope with their own board.
1. The practice calls its carrier with the five questions and waits for the written answer.
1. The providers book hands-on training and bring the medical assistant to learn the workflow.
1. The practice picks a system after the providers have handled one, and reads its clearance.
1. The team writes the workflow, updates the exposure control plan and sends the consent draft to the attorney.
1. The owner sets the price and reads every page of the website for claims.
1. The first few patients go on the schedule, and they are people the practice knows.

Look at the order. The steps that cost a phone call come first, and the steps that cost real money come after them. If the board or the carrier comes back with a no, you have spent nothing on a system you cannot use.

## Frequently asked questions

### Do I need to buy a PRP system before I train?

No. If you already own a system, bring it, and learn on the tool you will use at home. If you do not own one, it makes sense to wait until you have handled a system in training and read its clearance. A system is easier to judge after you have run one with your own hands.

### What do I need to offer PRP injections as a provider who is not a physician?

You need the same ten things, plus two more answers from your board. Ask whether you need an order, a protocol or a supervising physician for this procedure in your state. Then ask who may do the draw and the spin. Nurse practitioners, PAs and naturopathic doctors get left out of many programs, and we do not leave them out.

### Can I bill insurance for PRP injections?

That question belongs to your biller and to each payer, and we do not answer it. Do not guess, and do not let your front desk guess on the phone. Ask the payer about the exact use, get the answer in writing, and have your attorney look at how a cash service fits with your contracts.

### How long does it take to get all ten things in place?

It depends on your practice, and we will not give you a number. The items that wait on other people are the ones you cannot rush, and those are your board, your carrier and your attorney. Start those three first. The system, the room and the price can move while you wait for the answers.

### Does Regen Med Academy help with the rest of the list?

We help with some of it. Training comes with course materials, sample consent forms and ongoing access to our clinicians. We also review your practice and give you a written practice roadmap, and you keep what we find whether you train with us or not. We do not give legal advice, and we cannot confirm your scope or your coverage.

## Key takeaways

- Ten things should be in place before your first PRP patient, and each one has its own owner.
- Your state license and board come first, because a course or a vendor cannot extend your scope.
- Use an FDA-cleared system, read its 510(k) clearance, and say plainly that injecting PRP is an off-label use.
- Blood brings OSHA’s bloodborne pathogens rule with it, including a written exposure control plan.
- Call your malpractice carrier before you train, and get every answer in writing.
- Describe PRP in your marketing and promise nothing, because the FTC asks for the proof before the claim.
- Start slowly with people you know, and keep a clinician you can call.

## RMA disclosure

Regenerative Medicine Academy (RMA) is an education company. We train licensed providers in some of the techniques this post covers. This post is education only. It is not medical, legal, business, tax or financial advice.

It is your responsibility to confirm the modality is legal in your state for your license. Do that before you book.

## Your next step

Print the ten-item list, write a name next to every line, and make the two calls that cost nothing first, which are your board and your carrier. When you are ready for the hands-on part, see how our [intro PRP course](https://regenmedacademy.com/introduction-to-platelet-rich-plasma-prp-therapy-for-musculoskeletal-injuries/) is set up. You can also [request a date now](https://regenmedacademy.com/contact/), and a person will read it and call you back within one business day. If you would like to start with the rules, [get the free FDA course](https://regenmedacademy.com/fda-legal-foundations-of-regenerative-medicine/).

The course that goes with this post

## PRP training

Every PRP course in one place, from the first draw to aesthetics and sexual health, private and hands on.

[See the course](https://regenmedacademy.com/prp-training/)

[Request a date now](https://regenmedacademy.com/contact/?course=prp)

[Or see all courses](https://regenmedacademy.com/our-courses/)

[PrevPreviousWhat is the difference between private and group clinical training?](https://regenmedacademy.com/private-vs-group-clinical-training/)

#### Table of Contents

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## More from the blog

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