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ACUPUNCTURE CONSENT FORM
Acupuncture is the insertion of a thin needle into the surface of the body. A patient may
feel a slight pricking sensation and/or electrical impulse near the needle. Patients
usually
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How to fill out acupuncture consent form
How to fill out acupuncture consent form:
01
Begin by filling out your personal information, including your full name, address, phone number, and date of birth.
02
Provide information about your medical history, including any previous acupuncture treatments, medications you are currently taking, and any existing medical conditions.
03
Indicate any allergies or sensitivities you may have, particularly to needles or any specific substances commonly used in acupuncture treatments.
04
Sign and date the form to verify that the information provided is accurate to the best of your knowledge.
05
If applicable, provide emergency contact information in case of any unforeseen complications during the acupuncture treatment.
06
Review the form carefully before submitting it, ensuring all information is accurate and complete.
Who needs acupuncture consent form:
01
Individuals seeking acupuncture treatment for the first time are typically required to fill out a consent form.
02
The consent form may also be required for returning patients, particularly if there have been any changes to their medical history or personal information.
03
Acupuncture consent forms are necessary to ensure that both the practitioner and the patient have a clear understanding of the treatment being provided and any potential risks or benefits involved.
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