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WESTLEY HEIGHTS CHIROPRACTIC Center Dr. David Suzette BHE, Bed, DC/ Dr. Karen MartindaleSliz B.Sc., FOOT CARE QUESTIONNAIRE Date ___ Patient Name ___Occupation ___ Sex M / Birth date (D/M/Y) ___Weight
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Anyone who is seeking acupuncture treatment from a licensed acupuncturist should fill out an acupuncture consent form. This form is necessary to ensure that the patient understands the risks and benefits of acupuncture treatment and consents to the treatment being performed.
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Acupuncture consent form pdf is a document that patients are required to sign before receiving acupuncture treatment, outlining the risks, benefits, and potential side effects of the procedure.
Acupuncturists are required to provide the acupuncture consent form pdf to their patients and ensure that it is properly filled out and signed before proceeding with treatment.
Patients must carefully read the information in the acupuncture consent form pdf, provide accurate personal and medical information, sign and date the form to indicate their consent to the treatment.
The purpose of acupuncture consent form pdf is to inform patients about the risks and benefits of acupuncture treatment, ensure that they understand the procedure, and obtain their consent to proceed.
Acupuncture consent form pdf must include information about the patient's name, date of birth, contact information, medical history, current medications, allergies, and any specific concerns or goals for the treatment.
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