Harmony Health Acupuncture & Herbs Electroacupuncture Consent Form

Purpose of Treatment: You are being offered electroacupuncture (EA) as part of your acupuncture treatment. EA involves the application of a mild electrical current between two acupuncture needles to enhance the therapeutic effect.

Benefits May Include: 

• Pain relief 

• Muscle relaxation 

• Improved circulation 

• Enhanced neurological recovery 

• Hormonal regulation (e.g., menstrual or fertility support)

  
  

Potential Risks and Discomforts: 

• Slight tingling or pulsing sensation 

• Muscle twitching

• Skin redness or bruising at needle site

• Rare: headache, dizziness, or fatigue

Your Rights: 

• You may refuse EA or request that it be stopped at any time.

•  All procedures will be explained to you and conducted with your comfort and safety in mind.

  
  

Consent Statement: I have read and understood the above information about electroacupuncture. I have had the opportunity to ask questions and consent voluntarily to receive this treatment.