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INFORMED CONSENT TO ACUPUNCTURE AND ORIENTAL MEDICINE TREATMENT AND CARE Name and Address of Clinic/Office: Print Name(s) of Doctor(s) Treating this Patient: Print Patients Name I hereby request and
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How to fill out informed consent to acupuncture

01
Begin by writing the title 'INFORMED CONSENT TO ACUPUNCTURE' at the top of the form.
02
Write your name, date of birth, and contact information in the first section of the form.
03
Read through the form carefully and make sure you understand all the information provided.
04
If you have any questions or concerns, don't hesitate to ask the acupuncturist for clarification.
05
Sign and date the form at the bottom to indicate that you have read and understood the information.
06
Keep a copy of the filled-out informed consent form for your records.

Who needs informed consent to acupuncture?

01
Anyone who wishes to receive acupuncture treatment should provide informed consent.
02
Informed consent is necessary for individuals of all ages, including minors, who are receiving acupuncture.
03
It is particularly important for individuals with any medical conditions or who are taking medications to provide informed consent.
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Informed consent to acupuncture is the process by which a patient gives permission for a specific treatment or procedure after being fully informed about the potential risks and benefits.
Any individual receiving acupuncture treatment is required to file informed consent to acupuncture.
Informed consent to acupuncture can be filled out by providing necessary information about the treatment, risks, benefits, and alternative options, and signed by the patient.
The purpose of informed consent to acupuncture is to ensure that patients are fully informed about the treatment they are receiving and can make decisions about their healthcare.
Information such as treatment plan, potential risks and benefits, alternative therapies, and patient's agreement must be reported on informed consent to acupuncture.
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