Acupuncture involves the insertion of fine, sterile needles into specific points on the skin. Individuals react to Acupuncture in varying ways, depending on whether they are what is known as a ‘strong reactor’ or not.

In general Acupuncture may make patients feel slightly drowsy/ relaxed. This can occur during the session for the strong reactors or later the same day. Some people may not experience it at all. This does not necessarily mean that Acupuncture won’t work.

Many patients sleep heavily on the same night as their first treatment.

As Acupuncture will promote chemical effects on the body, it is important that you let your therapist know if you have the following:

Have you had Acupuncture before?

YesNo

If so, did you have any adverse reaction from it?

YesNo

Ladies only - Are you pregnant?

YesNo

Are you actively trying to become pregnant?

YesNo

Do you have a history of blood disorders? (Hepatitis/ haemophilia/ blood clotting disorders)

YesNo

Do you have any allergies or sensitivities or specific metal Allergies?

YesNo

If so please list:

Have you ever suffered from fits/ epilepsy?

YesNo

Are these controlled on medication?

YesNo

Do you have diabetes?

YesNo

Is it controlled with medication?

YesNo

Have you eaten in the last two hours?

YesNo

Do you suffer from any heart conditions?

YesNo

What medication are you taking if any?

What is this medication for?

Is there any other medical history of which the therapist should be aware?

If you give blood please let your therapist know.

Please sign to indicate that you have had the procedure of Acupuncture explained to you and that you consent to treatment.