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Dry needling documentation template

Dry needling consent form template 2026

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The document is a consent form for dry needling, a physical therapy technique used to treat myofascial trigger points. It outlines the procedure, benefits, potential risks, and safety precautions associated with dry needling. Patients are informed about the nature of the treatment, including possible side effects such as pain, infection, and nerve penetration. The form requires patients to acknowledge their understanding of these factors and provide consent for treatment.

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Click ‘Get Form’ to open it in the editor.
Begin by reading the introductory section carefully. It outlines the purpose of dry needling and its benefits, ensuring you understand what the treatment entails.
Fill in your name in the designated field. This personalizes the consent form and confirms your identity as a patient.
Review the potential risks associated with dry needling listed in the form. Acknowledge each point to ensure you are fully informed before proceeding.
Sign at the bottom of the form to indicate your consent for treatment. If applicable, have a responsible party print their name and sign as well.
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do you need to be certified to dry needle?

Typically, medical doctors (MD/DO), physical therapists (PT), occupational therapists (OT), chiropractors (DC), and in some cases, athletic trainers (ATC) are the only licensed medical professionals allowed to dry needle in a state.

What qualifications do I need for dry needling?

How many hours of training do I need to complete to become a qualified Dry needling Therapist? Physios, Osteos, Chiros and EPs need to complete 20-hrs of Dry Needling training. This course consists of an 8-hr of online theory program plus a 12-hrs practical course.

How to document dry needling physical therapy?

I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I understand that I will be given a copy of this consent form. Sample Informed Consent Form roanestate.edu WALLACEDA oier IRB roanestate.edu WALLACEDA oier IRB

How to be licensed to do dry needling?

Certification in Dry Needling will be awarded upon successful completion of the DN-1 DN-2 dry needling courses, giving 54 hours of hands-on dry needling education in total. Each 3-day dry needling course is $895. All dry needling courses are approved for CEUs for PTs, ATs, and DCs. Dry Needling Certification for PTs, ATs and DCs Spinal Manipulation Institute dates-and-locations dn Spinal Manipulation Institute dates-and-locations dn

How long does it take to get certified in dry needling?

Physical Therapist DN Certification PTs are typically either required to take 27 or 54 hours of post-graduate, continuing education on the clinical practice of DN.

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How do I make my own consent form?

The minimal requirements for documenting dry needling are in addition to and not in place of normal physical therapy notes, and include at least the following information: i. The anatomical region treated; ii. The manner in which the patient tolerated the treatment; and iii. The clinical outcome of the treatment. Dry Needling Training and Education Standards - APTA Kansas APTA Kansas userfiles files Dry Needling Traini APTA Kansas userfiles files Dry Needling Traini