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Cosmetic Acupuncture Consent Form | Editable Word Template for Acupuncturists
Built for the realistic conversation cosmetic acupuncture patients need before treatment: that it isn't a substitute for a surgical procedure, that results are gradual and individualized, and what they should know about alternatives like Botox or fillers. Includes a full risks and contraindications section plus an optional photo documentation consent (clinical record only, or marketing use, with separate check boxes), useful since so many practices want before/after photos.
Note: This form covers cosmetic/facial acupuncture specifically. If you're also providing general acupuncture treatment in the same visit, pair this with the General Acupuncture Consent Bundle (sold separately).
Format: Microsoft Word (.docx), fully editable, 3 pages.
Built for the realistic conversation cosmetic acupuncture patients need before treatment: that it isn't a substitute for a surgical procedure, that results are gradual and individualized, and what they should know about alternatives like Botox or fillers. Includes a full risks and contraindications section plus an optional photo documentation consent (clinical record only, or marketing use, with separate check boxes), useful since so many practices want before/after photos.
Note: This form covers cosmetic/facial acupuncture specifically. If you're also providing general acupuncture treatment in the same visit, pair this with the General Acupuncture Consent Bundle (sold separately).
Format: Microsoft Word (.docx), fully editable, 3 pages.