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Acupuncture Informed Consent

Introduction: Please take a few minutes to carefully read the following and sign where indicated. If you have any questions about the information listed below, please ask the acupuncturist prior to signing this consent.

Risks: As with any medical procedure, there are risks involved. Your acupuncturist will take every precaution during the treatment to minimize any risks. Listed below is the information that is most important for you to understand prior to beginning your acupuncture treatment.

Needles: Your acupuncturist uses sterilized, individually packaged, disposable needles that are used once and then discarded. This eliminates the possibility of transmitting a communicable disease by a contaminated needle. The needles are typically inserted anywhere from ¼ to1 inch in depth, depending upon the client’s size, age and constitution.

Bruising: You may note a spot of blood at one or more of the needle sites or a small bruise could develop. These are rarely harmful, but please talk to your acupuncturist if you are concerned.

Symptoms: Symptoms Occasionally, a few people experience dizziness, nausea, cold sweats, and shortness of breath or lightheadedness during treatment. This often occurs if you are nervous. You should inform your practitioner immediately if you experience any discomfort, increased pain, or burning sensations.