Both dry needling and acupuncture involve the insertion of thin needles into certain parts of the body, but the similarities stop there. During an acupuncture session, needles are inserted into points along meridian lines. These lines represent the body’s organs, and they are based on ancient Chinese medicine. Acupuncture is based on the idea of balance and restoring the proper flow of energy throughout the body.

If you are unsure whether acupuncture is a safe and effective treatment for you, please read and fill out the consent form and one of our practitioners will be in touch by phone and request specific information as required.

Acupuncture Consent

Acupuncture Consent

Name(Required)
Email(Required)
Do you wear a hearing aid or pacemaker?(Required)
Do you have any artificial implants eg. Joint replacements, metal screws?(Required)
Do you have A.I.D.S. or Hepatitis?(Required)
Are you pregnant/a history of miscarriage or trying to get pregnant?(Required)
Are you on any long-term medication?(Required)
Are you on any blood thinners (Warfarin, Aspirin etc)?(Required)
Are you taking/have you previously taken steroids/corticosteroids?(Required)
Have you had any recent or major surgery?(Required)
Any chronic or serious health problems? e.g. Infections, Asthma, Heart problems(Required)
Do you have Diabetes?(Required)
Immune Diseases e.g. Lupus, Rheumatoid Arthritis?(Required)
Epilepsy(Required)
Allergic to metal?(Required)
Other Allergies?(Required)
Areas of Numbness or Reduced Feeling?(Required)
Significant Fatigue, Drowsiness or history of fainting?(Required)
Cancer or Malignant Disease?(Required)

Risks & Side Effects

Most risks are minor, these may include (but are not limited to); bruising or bleeding, fainting, nausea, discomfort or rarely pain, infections. Metal Allergy - very rare (less than 1 in 10,000). Certain areas have risk of Pneumothorax (collapsed lung - less than 1 in 70,000 - 1.27 million). Alteration of energy levels. Some people may experience high levels or energy or may feel more fatigued after dry needling.
Consent:(Required)

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