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Acupuncture Consent Form Mobile App

Patients need to complete a consent form before they can receive acupuncture treatment. Luckily, now patients can complete acupuncture consent form from any desktop or mobile device, reducing the amount of paperwork in your office and saving you time that would be spent on data entry.

This Acupuncture Consent Form includes fields for a description of acupuncture, the risks, benefits of acupuncture and a section for the patient's signature. That means the practitioner can have the patient sign the form from a tablet in the office.

This mobile app can be modified to meet you specific practice's needs so that it is more useful to you. Add more details in the app as needed. Make sure that patients have read and understand what to expect prior to the treatment.

The Acupuncture Consent Form is one of many holistic and alternative medicine mobile forms( available to make processes move along faster at your office.

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  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Acupuncture Consent Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    “Acupuncture” means the stimulation of a certain point or points near the surface of the body by ...

  • Ico statictext

    The potential risks: slight pain or discomfort at the site of needle insertion, infection, bruise...

  • Ico statictext

    The potential benefits: acupuncture may allow for the painless relief of one’s symptoms without t...

  • Ico statictext

    Please Note: The acupuncture treatment (which includes procedures described above) that you will ...

  • Ico textbox

    Patient's Name

  • Ico signature

    Patient Signature

  • Ico signature

    Witness Signature

  • Ico date


  • ...and More!

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