Why we built it
Two regulatory shifts in 2025 — Texas Medical Board Chapter 169 (effective January 9) and HB 3749 / Jenifer's Law (effective September 1) — moved documentation from a back-office annoyance to a primary operational risk for Texas med spas, IV clinics, and aesthetic dermatology practices. Inspectors, insurance underwriters, and medical directors now expect evidence to be retrievable in minutes, not weeks.
We don't replace clinical judgment, legal advice, or OSHA consulting. We give owners and medical directors a single digital file where the evidence is organized the way it gets asked for: by the inspector, the carrier, or the patient who filed a complaint.
The frameworks ProofOps is built around
- Texas Medical Board Chapter 169 (§§169.25–169.28) — nonsurgical cosmetic procedures, delegation, GFE, supervision
- Texas HB 3749 ("Jenifer's Law") — elective IV initiation by MD / APRN / PA / RN under physician supervision
- Texas Board of Nursing Chapter 224 — RN/LVN/APRN supervision and delegation
- OSHA 29 CFR 1910.1030 — Bloodborne Pathogens Standard
- HIPAA Privacy Rule and Security Rule (45 CFR Parts 160 and 164)
- FDA Drug Supply Chain Security Act (DSCSA) — for Botox, dermal fillers, and other injectable chain-of-custody
- FTC Endorsement and Texas advertising rules — before/after photo and treatment-claim disclaimers
Founder
Casiani Gherlan, Founder & CEO. Casiani has spent the last several years building software
that turns operational paperwork into structured digital evidence — the kind that holds up under
inspection, audit, and renewal pressure. He started ProofOps Medical after watching how the Wortham, Texas
case in 2023 (and the felony charges that followed in April 2026) changed what every Texas clinic owner
needs to be able to produce on demand. He works directly with founding-cohort customers and answers
info@proofopsmedical.com personally.
What ProofOps is — and is not
ProofOps Medical is a documentation and workflow service. It centralizes evidence, runs AI agents that chase missing vendor documents, surfaces gaps in Good Faith Exam tracking and staff credentials, and produces a monthly readiness report.
ProofOps Medical is not legal advice, OSHA consulting, clinical supervision, medical-waste collection, or an insurance product. We do not replace your medical director, your attorney, your professional-liability carrier, or your licensed compliance professional. Our role is the documentation layer that proves their work was performed and stored.
Where we operate
ProofOps Medical, Inc. is built first for Texas — because the regulatory framework is concrete and the pain is current. The product extends naturally to clinics in Florida, California, Arizona, and Georgia where similar rules apply, and we maintain a state-by-state roadmap. If you operate outside Texas and want to be on the early-access list, mention it on the audit form.
Talk to us
Pre-customer questions go to info@proofopsmedical.com. Active customers reach
support@proofopsmedical.com. The full contact directory lives at
contact.html.
Last updated: May 2026. Material changes to the product, the regulatory frameworks ProofOps tracks, or the leadership team will be reflected here.