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CONSENT TO TREATMENT By signing below, I do hereby voluntarily consent to be treated with acupuncture and/or substances from the Oriental Material Media by a licensed acupuncturist (Erin Hill L. Ac).
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Open the consent to treatmentdocx file on your computer.
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Read the instructions and guidelines carefully before filling out the form.
03
Enter your personal information including your full name, date of birth, and contact details.
04
Provide information about your medical condition or the purpose of the treatment.
05
If applicable, indicate any allergies or medications you are currently taking.
06
Review the consent statements and make sure you understand them.
07
Sign and date the consent form.
08
If required, have a witness sign the form as well.
09
Make a copy of the completed consent form for your records.
10
Submit the original signed copy to the healthcare provider or organization as instructed.

Who needs consent to treatmentdocx?

01
Anyone who is seeking medical treatment or undergoing a medical procedure needs consent to treatmentdocx.
02
This includes patients of any age, from infants to older adults, as well as individuals with mental incapacities who may require a legal guardian's consent.
03
Consent to treatment allows healthcare providers to proceed with medical care while respecting the patient's autonomy and ensuring the patient is fully informed about the risks and benefits of the proposed treatment.
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