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+44 (0) 7543 533 497 www.integratedh.com info integratedh.com ACUPUNCTURE CONSENT From Your physiotherapist should have provided you with an information leaflet regarding Acupuncture. Acupuncture

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How to fill out our acupuncture consent form

01

Step 1: Start by downloading the acupuncture consent form from our website or obtaining a physical copy from our clinic.

02

Step 2: Read the form carefully and ensure you understand all the information presented.

03

Step 3: Provide your personal details such as your name, address, phone number, and email address in the designated fields.

04

Step 4: Answer all the questions regarding your medical history, current medications, and any existing medical conditions truthfully and accurately.

05

Step 5: If you have any specific concerns or questions about the treatment, make sure to include them in the appropriate section of the form.

06

Step 6: Review the consent statement thoroughly and acknowledge your understanding and agreement by signing and dating the form.

07

Step 7: Submit the completed form to our clinic either by handing it in person or sending it through email or fax.

08

Step 8: If you have any doubts or need assistance with filling out the form, feel free to contact our clinic's staff who will be happy to help you.

Who needs our acupuncture consent form?

01

Anyone who wishes to receive acupuncture treatment from our clinic needs to fill out our acupuncture consent form. This form is essential to ensure that the patient understands the risks and benefits of acupuncture, provides accurate information about their medical history, and gives informed consent for the treatment. It is mandatory for all new patients as well as returning patients whose medical information may have changed since their last visit.

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What is our acupuncture consent form?

Our acupuncture consent form is a document that must be filled out by patients before receiving acupuncture treatment.

Who is required to file our acupuncture consent form?

Patients who wish to undergo acupuncture treatment are required to file our acupuncture consent form.

How to fill out our acupuncture consent form?

Our acupuncture consent form can be filled out by providing personal information, medical history, and signature indicating consent for treatment.

What is the purpose of our acupuncture consent form?

The purpose of our acupuncture consent form is to ensure that patients understand the risks and benefits of acupuncture treatment and give informed consent.

What information must be reported on our acupuncture consent form?

Information such as patient's name, contact details, medical history, current medications, allergies, and signature indicating consent must be reported on our acupuncture consent form.

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