Treatment Information
I understand that I will be receiving acupuncture treatment performed by Fion Yin Yu Lam (Acupuncturist).
I have been informed that acupuncture involves the insertion of fine needles into specific points on the body to stimulate healing and improve function.
Possible Risks and Side Effects
I understand that while acupuncture is generally very safe, possible minor side effects include:
• Mild bleeding or bruising at the needle site
• Temporary soreness
• Dizziness or light-headedness
• Rarely, infection if needles are not sterile (single-use disposable needles are used)
• Very rarely, pneumothorax (lung puncture) with chest needling
My Responsibilities
I agree to inform the practitioner of:
• Any bleeding disorders or blood-thinning medication (e.g., aspirin, warfarin)
• Pregnancy or possibility of being pregnant
• Any changes to my medical history or medications
Consent
I confirm that:
• The practitioner has explained acupuncture treatment and answered my questions.
• I understand the purpose and potential risks.
• I consent to receive acupuncture treatment.
• I may withdraw my consent and stop treatment at any time.
Other Therapies
I understand I may also receive additional therapies (as agreed) such as:
• Cupping therapy (may cause round skin marks or bruising)
• Gua Sha (may cause temporary red marks)
• FIR Lamp heat therapy (risk of minor burns if not used properly)
I consent to these treatments as explained.
