Last time, we discussed critical elements of an informed-consent form, and how that form not only protects you in your practice, but also is actually a patient retention tool in disguise. If you missed it [December 2022 issue], understanding this important document is crucial.

For informed consent to be utilized to its maximum application, there are essential do's and don'ts you'll want to be aware of.

The Do's & Don'ts

DON'T set it and forget it. This is an opportunity to continue the conversation with your patient and keep them engaged. You want to be sure this information is fresh in their mind.

DON'T limit informed consent to the first visit. Having a patient quickly sign off on a form leaves you exposed for potential issues down the line. They need to understand what they are signing, and moving away from these concepts after visiting once means things can get missed. Needling a sensitive area? A quick explanation and giving the patient the opportunity to verbally consent goes a long way in not only rapport, but also managing risk.

DON'T shy away from discussing key points in the informed-consent form. This is actually an opportunity to dispel myths about acupuncture being unsafe. We have some of the lowest risks as a profession.

DO realize patients are not intimidated by informed consent. If this is a hangup on your part, not to worry – we've all been there. However, understand that patients are very accustomed to signing this type of agreement in a medical setting.

DO remain confident. The more polished and proficient you are with not only discussing the form itself, but also your practices for engaging the patient in the process of consent on a regular basis, the greater the trust the patient will have in what you are telling them. They are coming to you for care and expect you to be the confident expert guide for their health.

DO engage the patient in a collaborative conversation. This is your opportunity to get true engagement from your patient in their care. Patients who are more informed feel more comfortable, and those same educated patients become more enthusiastic about their care (and are more likely to come back and refer).

Managing Expectations

There are opportunities here! Manage the expectations in this conversation. Imagine how many problems you'd solve by emphasizing the following in a positive way:

• Results are not guaranteed: We provide a medical service that is highly customized. Everyone's body responds a bit differently.
• No promise to cure: Again, medical providers do not promise to cure. We endeavor to make meaningful changes in symptoms by addressing the root cause of an ailment or issue.
• There may be discomfort before relief: This is how you keep patients coming back – by letting them know potential ways they may respond to treatment; and that it's normal.
• There is not a one-size-fits-all approach: Highlight how customized our medicine is! This benefits patients ... and they crave this individualized support from their health care providers.
• You will not be fixed after one visit: You can use examples to help bridge the gap and explain our medicine is dose dependent and cumulative.

Actively look for ways to discuss informed consent. I challenge you to find one way to creatively implement these elements in your conversations with patients this week. You'll have more engaged, excited and educated patients who come back and refer!

Dr. Nell Smircina is the founder of PIQUE Health in Beverly Hills, Calif., and coaches students and practitioners looking to grow personally and professionally. Dr. Nell is the immediate past president of CSOMA, California's oldest state association, and serves on the Board of Directors for the American Society of Acupuncturists. Additionally, as the director of development for the American Acupuncture Council, she actively works to support the profession through many strategic initiatives domestically and internationally. Learn more at drnell.com.