Medical
Acupuncture Treatment Form
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Acupuncture Treatment Form

1
Gather patient details and background medical history
2
Discuss and establish main health concerns
3
Perform tongue and pulse diagnosis
4
Identify the concerned acupuncture points
5
Cleanse the selected acupuncture points
6
Prepare needles for acupuncture treatment
7
Administer acupuncture treatment
8
Monitor patient during acupuncture treatment
9
End acupuncture treatment and remove needles
10
Clean used needles or dispose properly
11
Discuss aftercare and follow-up instructions
12
Record the details of the treatment in patient's file
13
Schedule patient for follow-up treatment
14
Approval: Medical Practitioner Review
15
Send details of treatment to patient's primary healthcare provider