I understand that I am seeking dry needling treatment for my condition. I understand that dry needling involves the insertion of thin needles into specific points on my body and that there are potential risks associated with this procedure, including bruising, soreness, bleeding, infection, and nerve damage. However, I also understand that dry needling may provide benefits such as reducing pain, improving range of motion, and improving overall function.
I have been informed of the details of the dry needling procedure, including the areas of my body that will be treated, the number of needles that will be used, and the length of each treatment session. I have also been informed of other options for addressing my condition and the estimated number of dry needling sessions required.
I understand that there may be costs associated with dry needling treatment and that I have the right to ask any questions or express any concerns I may have about the treatment at any time.
I authorize my healthcare provider to perform dry needling treatment on me and have read and fully understand the information provided in this consent form.