Attorney-backed MSO preparation before you open — consultation first, documents second.
Book Consultation

Don’t Structure Your Clinic Wrong Before You Open

Your state has rules about who can own a clinic, control medical decisions, and manage the business side of a medical practice. Get attorney-backed MSO guidance before you sign anything.

If you form the wrong entity, sign the wrong agreement, or launch without understanding Corporate Practice of Medicine rules, you could create compliance exposure before your clinic ever opens.

MSO Agreement helps med spa founders, IV clinic owners, weight loss clinic operators, wellness businesses, and healthcare entrepreneurs get attorney-backed MSO guidance before they move forward.

Book a 30-minute consultation to review your state, ownership plan, clinic type, and MSO structure before you sign anything.

Book Consultation
Check My State Requirements

The MSO Decision You Cannot Afford to Get Wrong

Opening a med spa or healthcare clinic is not the same as starting a regular business.

In many states, healthcare ownership rules limit who can own the clinical entity, employ providers, or control medical decisions. These rules are often called Corporate Practice of Medicine rules, or CPOM rules.

That means a nurse, NP, entrepreneur, investor, or non-physician founder may not be able to simply form an LLC and operate the medical side directly.

The wrong structure can create problems with ownership, provider control, management fees, medical director relationships, and clinical decision-making.

MSO Agreement helps you address the structure question before it becomes an expensive problem.

Book a 30-Minute MSO Consultation

Consultation Fee:

$150 to $200

Start with a focused consultation before forming entities, buying documents, signing a lease, or opening your clinic.
The consultation is designed to help you understand the MSO structure that may apply to your state, ownership plan, and clinic type.

What the Consultation Can Cover

Your consultation may cover your state’s CPOM concerns, who can own the clinical entity, whether an MSO structure may be appropriate, what documents may be needed, how the MSO and clinical entity work together, and whether a full attorney-prepared MSO package may be the right next step.

Who Should Book

This is a strong first step if you are opening a med spa, IV hydration clinic, GLP-1 weight loss clinic, hormone therapy clinic, mobile injector business, telehealth practice, or wellness clinic involving licensed providers or medical services.

When to Book

Book before you form the wrong entity, sign contracts, lease space, hire providers, finalize a medical director relationship, or purchase documents that may not match your structure.

The Attorney-Prepared MSO Package

For founders who need more than a consultation, MSO Agreement can help route you toward a full attorney-prepared MSO package through independent partner counsel.

The package is designed for founders who want the structure and documents handled correctly from the beginning.

Estimated Package Range:

$2,500 to $5,000

What the Package May Include

The full MSO package may include state-specific structure review, MSO and clinical entity planning, management services agreement preparation, medical director agreement support, supporting healthcare documents, and guidance on the relationship between the business side and clinical side of the clinic.

The exact scope, pricing, and deliverables are confirmed through the attorney or partner counsel handling the legal work.

Best For

This option is best for founders who are opening soon, operating in a strict CPOM state, involving non-physician ownership, using a friendly PC or physician-owned clinical entity, bringing in investors, or needing custom documents before launch.

How an MSO Structure Works

A common MSO structure separates the business side of the clinic from the clinical medical side.

The MSO

The Management Services Organization handles non-clinical business support. This may include branding, marketing, administrative staffing, scheduling, billing administration, equipment, office space, technology, and general operations.

The Clinical Entity

The clinical entity controls patient care, treatment decisions, provider supervision, clinical protocols, medical records, and medical judgment. Depending on state law, this entity may need to be owned by a licensed physician or another approved professional.

The MSO Agreement

The MSO agreement, also called a Management Services Agreement or MSA, defines how the MSO and clinical entity work together. It explains what the MSO can manage, what the clinical entity controls, how fees are handled, and how clinical and non-clinical responsibilities stay separate.

Start With Your State Requirements

State rules matter. A structure that works in one state may not work the same way in another.

Use your state as the starting point to understand CPOM concerns, ownership rules, clinical entity requirements, medical director needs, good faith exam considerations, and MSO package options.

  • California MSO Requirements
  • Texas MSO Requirements
  • Florida MSO Requirements
  • New York MSO Requirements
  • New Jersey MSO Requirements
  • Arizona MSO Requirements
  • Georgia MSO Requirements
  • Illinois MSO Requirements
  • Colorado MSO Requirements
  • Tennessee MSO Requirements

Built for High-Risk Clinic Structures

MSO Agreement is built for founders opening healthcare and aesthetics businesses where ownership, clinical control, and management structure matter.

Med Spas

For clinics offering injectables, lasers, body contouring, skin services, and other medical aesthetics services.

IV Hydration Clinics

For businesses offering IV therapy, vitamin infusions, hydration services, and related wellness treatments.

Weight Loss and GLP-1 Clinics

For medical weight loss practices involving prescriptions, patient evaluations, ongoing clinical management, and provider oversight.

Hormone Therapy Clinics

For HRT, TRT, and hormone optimization clinics involving licensed providers and medical oversight.

Mobile Injectors

For mobile aesthetic businesses, concierge injectors, and providers offering services outside a traditional clinic setting.

Telehealth and Wellness Practices

For virtual or wellness-focused healthcare businesses that may involve licensed providers, patient care workflows, or clinical oversight.

Why Founders Book a Consultation First

A template cannot tell you whether your structure is right.

Before you buy documents or move forward with a clinic setup, you need to understand the ownership and control issues that apply to your state and services.

Avoid Forming the Wrong Entity
Many founders start by forming a standard LLC without understanding whether the clinical entity needs a different ownership structure.
Avoid Clinical Control Problems
The MSO should not control medical judgment, provider supervision, treatment decisions, or patient care.
Avoid Fee Structure Issues
Management fees can create compliance concerns if they are not structured carefully for the state, services, and relationship involved.
Avoid Paper-Only Physician Arrangements
If a physician owner or medical director is involved only on paper, the structure may create risk instead of solving it.
Avoid Buying the Wrong Documents
Documents should match the actual structure. A template may not be enough if the ownership, clinical entity, or fee arrangement needs legal review.

Your MSO Setup Path

1
Book a 30-Minute Consultation

Start with a focused review of your state, clinic type, ownership plan, and timeline.

2
Review Your Structure
Understand how the MSO, clinical entity, medical director relationship, and patient evaluation workflow may fit together.
3
Identify the Documents Needed
Determine whether you may need an MSO agreement, management services agreement, medical director agreement, BAA, succession document, operating agreement, or other supporting documents.
4
Move Into an Attorney-Prepared Package
If your structure needs custom preparation, you may move into a full attorney-prepared MSO package through independent partner counsel.
5
Launch With a Clearer Structure
Move forward with a structure and document path that better reflects your state, ownership plan, and clinic model.

Where Templates Fit

MSO Agreement is no longer built around DIY templates as the primary offer.

If you only need a lower-support template option, that path may still be available. However, founders who are unsure about their state rules, ownership structure, clinical entity,
management fees, or medical director relationship should book a consultation first.

For DIY template buyers, ClinicTemplates.com is the better fit.

View Template Option

Part of the DeWitt Health Platform

MSO Agreement is part of the DeWitt Health ecosystem, which supports modern healthcare and aesthetics businesses with connected resources for medical directors, good faith exams, malpractice guidance, and operational infrastructure.

MSO Agreement focuses on one early question every founder needs to answer: how should this business be structured?

Support for clinics that need physician oversight or a medical director relationship.
Resources for clinics that need compliant patient evaluation workflows.
Support for understanding insurance considerations before opening or expanding.
Resources for building, managing, and scaling a modern healthcare or aesthetics business.

MSO Agreement FAQs

What is an MSO agreement?

An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.
An MSO agreement is the contract between a Management Services Organization and a clinical medical entity. It defines business services, responsibilities, management fees, and the separation between non-clinical operations and clinical control.

Book Your 30-Minute MSO Consultation

Do not wait until after you form the wrong entity, sign the wrong agreement, or open with a structure that creates unnecessary exposure.

Start with a 30-minute MSO consultation and get a clearer path before you move forward.

Book Consultation
Check My State Requirements