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.
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.
A consent form built specifically for herbal consultations, separate from needling, that can be used on its own or paired with a telehealth rider when herbs are recommended or dispensed remotely. Covers the distinct nature of herbal medicine from conventional care, possible side effects and interactions, and pregnancy disclosure.
Format: Microsoft Word (.docx), fully editable, 3 pages.
A standalone, patient-ready consent form for cupping and gua sha therapy, covering what's actually clinically relevant, not generic boilerplate. Includes a full contraindications and precautions section (chemotherapy timing, keloid tendency, active skin conditions, immune status, and more), a "right to say stop" clause, and real aftercare guidance including a note that the marks can look more dramatic than they feel, so patients aren't caught off guard explaining them to friends or family.
Format: Microsoft Word (.docx), fully editable, 3 pages.
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