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Reba Akin ND Lisa Shaver ND Lac Laura Jorgenson ND INFORMED CONSENT FOR ACUPUNCTURE AND ORIENTAL MEDICINE TREATMENT I hereby voluntarily consent to receive acupuncture and Oriental Medicine treatment
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How to fill out informed consent for acupuncture

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How to fill out informed consent for acupuncture:

01
Start by providing your personal information: This includes your full name, address, phone number, and date of birth. Make sure to double-check the accuracy of this information.
02
Next, indicate your reason for seeking acupuncture treatment: Whether it is for pain management, stress relief, or any other specific health concern, be clear and concise in explaining your purpose.
03
Read through the consent form carefully: Take the time to thoroughly read and understand the information provided in the consent form. This will ensure that you are aware of the potential risks, benefits, and alternatives associated with acupuncture treatment.
04
Consult with your acupuncturist: If you have any questions or concerns regarding the consent form or the acupuncture treatment itself, do not hesitate to discuss them with your acupuncturist. It is important to have a clear understanding before proceeding.
05
Sign and date the consent form: Once you have carefully read and understood the information provided, sign the consent form and indicate the date of signature. This signifies your agreement to undergo acupuncture treatment and acknowledges your understanding of the associated risks and benefits.

Who needs informed consent for acupuncture:

01
Any individual seeking acupuncture treatment should provide informed consent. This includes both new patients and returning patients.
02
Minors or individuals who are unable to provide consent for themselves will require a legal guardian or authorized representative to provide informed consent on their behalf.
03
Informed consent is a crucial aspect of the patient-practitioner relationship, ensuring that individuals are fully informed about the treatment they are receiving and have the opportunity to make informed decisions regarding their healthcare.
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Informed consent for acupuncture is a process where a patient is provided with information about the risks, benefits, and alternatives of acupuncture treatment before agreeing to proceed with the treatment.
The healthcare provider or acupuncturist performing the acupuncture treatment is required to ensure that the patient signs the informed consent form.
To fill out informed consent for acupuncture, the patient must read and understand the information provided in the form, ask any necessary questions, and sign the form to indicate their agreement to the treatment.
The purpose of informed consent for acupuncture is to ensure that the patient is fully informed about the treatment they are receiving, including potential risks and benefits, so they can make an informed decision about their healthcare.
The informed consent form for acupuncture should include information about the treatment being performed, the risks and benefits of the treatment, any alternative treatments available, and the patient's agreement to proceed with the treatment.
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