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Acupuncture Informed Consent & Treatment Bundle | Editable Word template for acupuncture practices
A complete, ready-to-customize consent packet built specifically for acupuncture practices, written by a licensed DACM (Doctor of Acupuncture & Chinese Medicine) — not a generic legal template.
What's included (10 pages, fully editable Word .docx):
General Acupuncture Consent — Version A (comprehensive, all modalities in one visit)
General Acupuncture Consent — Version B (core needling, à la carte base)
Contraindications screening section (the specific checks that actually matter clinically)
Modality-specific consent riders: Cupping/Gua Sha, Moxibustion, Electrical Stimulation
Telehealth Consultation Consent rider
Every section is written in plain, patient-readable language and organized so you can delete what you don't use and keep only what fits your practice. Includes a running header/footer for your practice name, and full editing instructions on the title page.
Format: Microsoft Word (.docx), fully editable. Not legal advice — review with your malpractice carrier or attorney before use, as requirements vary by state/country.
© Sunshower Collective. Licensed for single-practice use.
A complete, ready-to-customize consent packet built specifically for acupuncture practices, written by a licensed DACM (Doctor of Acupuncture & Chinese Medicine) — not a generic legal template.
What's included (10 pages, fully editable Word .docx):
General Acupuncture Consent — Version A (comprehensive, all modalities in one visit)
General Acupuncture Consent — Version B (core needling, à la carte base)
Contraindications screening section (the specific checks that actually matter clinically)
Modality-specific consent riders: Cupping/Gua Sha, Moxibustion, Electrical Stimulation
Telehealth Consultation Consent rider
Every section is written in plain, patient-readable language and organized so you can delete what you don't use and keep only what fits your practice. Includes a running header/footer for your practice name, and full editing instructions on the title page.
Format: Microsoft Word (.docx), fully editable. Not legal advice — review with your malpractice carrier or attorney before use, as requirements vary by state/country.
© Sunshower Collective. Licensed for single-practice use.