Consent

CONSENT:

Please read through and sign that you have read and consented to have all the waivers below, so you don't have to fill out any more paperwork again. We appreciate the time you have taken to give us your detailed information, so we can now do our best to help you!

24- hour's notice is required to cancel or reschedule any new client appointment. We allow extra time for new clients and have a waitlist, so please give us notice so your appointment can be utilized if you can't make it. For ongoing appointments, 24-hour's notice must also be given if you are changing any scheduled appointment.

I understand that a cancellation fee will apply if I don't give the required notice if I need to change a scheduled appointment.

Your information is private and confidential; However, we may need to correspond with various third parties, including GP, Specialist or insurance company, with your permission.

Acupuncture

I consent to receive Chinese medical treatment at Rainbow Medicine, which may include herbal remedies, acupuncture and other manual therapies. I understand there is some risk associated with Chinese medical treatments. These risks include bruising, bleeding, pain, burns, skin infections, allergic reactions, interactions with medication and temporary worsening of symptoms. To avoid their troubles, I will answer all health questions fully and notify my practitioner of all allergies and medicine I am taking.

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