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INFORMED CONSENT TO ACUPUNCTURE TREATMENT *This is NOT a waiver *I consent to acupuncture treatments and related procedures associated with Traditional Chinese Medicine by CCMA registrant Dr. Hanoi
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To fill out acupuncture consent form at Pitt, you need to follow these steps:
02
Obtain the acupuncture consent form from the relevant department or service provider at Pitt.
03
Read the form carefully and ensure that you understand all the information provided.
04
Fill in your personal information, including your full name, date of birth, address, and contact details.
05
Provide your medical history and any relevant information about your health condition.
06
Review and indicate your consent to receive acupuncture treatment by signing and dating the form.
07
If necessary, provide any additional information requested on the form.
08
Return the completed form to the department or service provider as instructed.

Who needs acupuncture consent - pitt?

01
Anyone who wishes to receive acupuncture treatment at Pitt needs to fill out the acupuncture consent form. This includes both new patients and existing patients who have not previously provided their consent for acupuncture treatment.
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Acupuncture consent - pitt is a form that needs to be filled out by patients before undergoing acupuncture treatment at the University of Pittsburgh.
Patients who are seeking acupuncture treatment at the University of Pittsburgh are required to file acupuncture consent - pitt.
To fill out acupuncture consent - pitt, patients need to provide their personal information, medical history, and consent to undergo acupuncture treatment.
The purpose of acupuncture consent - pitt is to ensure that patients understand the risks and benefits of acupuncture treatment and provide informed consent.
Acupuncture consent - pitt must include the patient's personal information, medical history, consent for treatment, and any relevant disclosures.
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