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M O V E F R E LY, L I V E F U L LY BoardCertified Clinical Specialist in Orthopedic Physical Therapy (OCS) Certified Orthopedic Manipulative Therapist (COME) Licensed Acupuncturist (Lac) Fellow of
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How to fill out acupuncture informed consent formdocx

01
To fill out an acupuncture informed consent form, follow these steps:
02
Read the form carefully and make sure you understand all the information provided.
03
Fill in your personal information accurately, including your name, address, phone number, and email address.
04
Provide your medical history information, including any pre-existing conditions or medications you are currently taking.
05
Answer questions regarding your reason for seeking acupuncture treatment and any specific concerns or symptoms you may have.
06
Review and understand the risks and benefits associated with acupuncture treatment, as outlined in the form.
07
Sign and date the form to indicate your informed consent for receiving acupuncture treatment.
08
If you have any questions or concerns, discuss them with your acupuncturist before signing the form.
09
Keep a copy of the filled-out form for your own records.

Who needs acupuncture informed consent formdocx?

01
Anyone who is seeking acupuncture treatment needs to fill out an acupuncture informed consent form. This form is typically required by acupuncturists to ensure that the patient understands the risks and benefits associated with acupuncture and provides their informed consent before receiving treatment. Whether you are a new patient or a returning patient, filling out the consent form is a standard practice in acupuncture clinics.
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The acupuncture informed consent form is a document used to inform patients about the risks, benefits, and procedures associated with acupuncture treatment, ensuring they understand and agree to the treatment before it begins.
Acupuncturists and practitioners providing acupuncture treatments are typically required to have patients complete and sign an informed consent form before initiating treatment.
To fill out the form, the practitioner and patient should review the relevant information together. The patient needs to provide their personal details, medical history, and acknowledge understanding of the treatment, signing the form at the conclusion.
The purpose of the informed consent form is to ensure that patients are fully informed about the nature of acupuncture treatment, allowing them to make an educated decision regarding their care.
The form must typically include patient's personal information, details about the treatment, potential risks and benefits, alternative treatment options, and space for the patient's signature and date.
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