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[DOCX File]Ohm Energy Medicine
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I hereby request and consent to the performance of acupuncture treatments and other procedures within the scope of the practice of acupuncture on me (or on the patient named below, for whom I am legally responsible) by the acupuncturist named below and/or other licensed acupuncturists who now or in the future treat me while employed by, working or associated with, or serving as back-up for the ...
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[DOCX File]Cameron Wellness Center and Spa
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I _____ hereby request and consent to the performance of acupuncture treatments and other Oriental Medicine procedures, including various modes of physiotherapy on me (or the patient named below, for whom I am legally responsible) by the acupuncturist named below and/or other licensed acupuncturists who now or in the future treat me while working or associated with, or serving as a back-up for ...
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[DOC File]INFORMED CONSENT TO ACUPUNCTURE AND ORIENTAL …
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Informed Consent to Acupuncture 509 Olive Way, Suite 1301. and Oriental Medicine Treatment and Care. Seattle, WA 98101. Name and Address of Clinic: Name(s) of Doctor(s) Treating this Patient: Downtown Seattle Acupuncture. Monica Legatt, M.Ac., L.Ac. 509 Olive Way, Suite 1301 Licensed Acupuncturist. Seattle, Washington 98101 Herbal Medicine (206 ...
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[DOC File]ACUPUNCTURE INFORMED CONSENT TO TREAT
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I have been informed that acupuncture is a generally safe method of treatment, but that it may have some side effects, including bruising, numbness or tingling near the needling sited that may last a few days, and dizziness or fainting. Bruising is a common side effect of cupping.
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[DOC File]Family Wellness Center General Information
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Informed Consent for Acupuncture. I hereby request and consent to the performance of acupuncture treatments and other procedures within the scope of the practice of acupuncture on me (or on the patient named below, for whom I am legally responsible) by the acupuncturist named above.
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[DOC File]RN Acupuncture
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ACUPUNCTURE INFORMED CONSENT TO TREAT. I hereby request and consent to the performance of acupuncture treatments and other procedures within the scope of the practice of acupuncture on me (or on the patient named below, for whom I am legally responsible) by the acupuncturist named below and/or other licensed acupuncturists who now or in the future treat me while employed by, working or ...
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[DOCX File]5665 Oberlin Dr, Suite 104 San Diego, CA 92121 (619)322-6261
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Informed Consent to Acupuncture and Oriental Medicine Treatment and Care. 5665 Oberlin Dr, Suite 104 San Diego, CA 92121 (619)322-6261 ... cupping, electro-acupuncture, ... slight bruising, tingling near the needling sites that last a few days, nausea, infection, and blisters. There have been instances reported of fainting, infections and ...
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Acupuncture and cupping near me