Yes. In Manitoba a Registered Nurse or a Licensed Practical Nurse can inject Botox and other neuromodulators, with additional education and an order from an authorized prescriber who has assessed the client. A Nurse Practitioner can assess, prescribe and inject on their own authority. For most independent injectors in Manitoba, that prescriber is an NP.
This is general information, not regulatory advice. RNs and NPs are regulated by the College of Registered Nurses of Manitoba (CRNM), which has a practice direction on medical aesthetics, and LPNs by the College of Licensed Practical Nurses of Manitoba (CLPNM), which has one on aesthetic nursing. Read the one that applies to you: it is the authority, and this page is a summary.
Who can inject in Manitoba
| Who | Can inject a neuromodulator? | What they need |
|---|---|---|
| Nurse Practitioner (NP) | Yes | Assesses the client and prescribes within their own scope |
| Registered Nurse (RN) | Yes, with an order | An order from an authorized prescriber, and the CRNM practice direction on medical aesthetics |
| Licensed Practical Nurse (LPN) | Yes, with an order | Additional education, an assessment by the prescriber, and a valid order |
| Physician | Yes | Prescribes and injects within their own scope |
What the college expects of an LPN
The CLPNM states plainly that injecting for aesthetic purposes is within the scope of a Manitoba LPN when its conditions are met. In summary:
- Education first. Aesthetic procedures are not taught in basic nursing programs. The education you take has to include an evaluation of your competence by an experienced, authorized professional, and you must be able to show the college how you got it and how you keep it up.
- You work with a prescriber. An LPN practises aesthetics as part of a team, with a physician or Nurse Practitioner who is authorized to prescribe and has knowledge of aesthetic procedures.
- The client is assessed by that prescriber before you treat them.
- There is a valid, documented order, for the procedure and for the antidote where one applies.
- Health Canada approved products only, with the product and lot number recorded.
- No special title. The college does not grant a designation in aesthetic nursing, so you describe your training honestly and use your own title.
What an RN needs
A neuromodulator is a prescription drug, so a Registered Nurse needs an order from an authorized prescriber for each client. The CRNM published a practice direction on medical aesthetics in October 2025 that sets out the rest, and it expects nurses going into this area to read it first. Start on the CRNM medical aesthetics page.
In Manitoba, your prescriber is usually an NP
This is what makes Manitoba different. The physician college does not allow a physician to be Medical Director of a clinic they do not practise in. So unless a physician works in your clinic, the authorized prescriber behind your orders will be a Nurse Practitioner. That is why NPs are what Manitoba is short of, and why finding one is the step that holds most injectors up.
Plus One MD introduces Manitoba injectors and med spas to verified NPs and physicians. It is free for injectors. See Medical Directors in Manitoba, Winnipeg and starting your own practice in Manitoba.
Know a Nurse Practitioner in Manitoba?
One NP can make several practices possible. If you know one who might provide medical direction, send them the page written for them, or read how to introduce us.
Manitoba nurse? Get matched with a prescriber.
Tell us your registration, what you offer and where. We check every NP and physician against their college and introduce only the ones who fit. Free for injectors.
Get matched, free For Nurse PractitionersNew to injecting, or adding a treatment? Training comes before orders. We introduce nurses to experienced injectors and Medical Directors who teach: foundation courses, shadowing days and supervised hands-on days. Free for injectors. Find training, or read how to choose it.
Are you a physician or Nurse Practitioner? Practices in Alberta and Manitoba are waiting for a Medical Director. See what the role involves, or go straight to Alberta or Manitoba. Know one? Introduce them.
Questions Manitoba nurses ask
Can an LPN inject Botox in Manitoba?
Yes. The College of Licensed Practical Nurses of Manitoba states that administering injectable drugs for aesthetic purposes is within the scope of a Manitoba LPN when its conditions are met: additional education, a client assessed by an authorized prescriber, and a valid order.
Can an RN inject Botox in Manitoba?
Yes, with an order from an authorized prescriber for each client. The College of Registered Nurses of Manitoba has a practice direction on medical aesthetics that sets out what it expects.
Who can be the prescriber for a nurse injector in Manitoba?
A Nurse Practitioner, or a physician who practises in the clinic. Manitoba's physician college does not allow a physician to direct a clinic they do not practise in, so most independent injectors work with an NP.
Can a Nurse Practitioner inject Botox in Manitoba without a doctor?
A Nurse Practitioner is an authorized prescriber and can assess, prescribe and inject within their own scope and competence.
General information for nurses in Manitoba, summarizing the CLPNM practice direction Aesthetic Nursing (last approved June 2024), read in October 2026, and pointing to the CRNM practice direction Medical Aesthetics. Not medical, legal, regulatory, or compliance advice. Plus One MD is not affiliated with or endorsed by any college. Confirm current requirements with your own college and your insurer.