CONSENT TO TREATMENT: CUPPING THERAPY
Practitioner Information
Name: Dr. Leah Le, D.C.
Clinic: Well Adjusted Athens
Event Location: Orange Theory
Procedure Description
Cupping therapy involves placing cups on the skin to create suction. The suction may facilitate healing with blood flow, relaxation, and well-being. It is used as a part of traditional Chinese medicine treatment.
Potential Benefits
Improved blood flow + range of motion
Reduction in muscle tension
Relief from pain
Increased relaxation
Potential Risks and Discomforts
Temporary bruising
Mild discomfort
Skin irritation
Dizziness or lightheadedness
Voluntary Participation
I acknowledge that I have voluntarily chosen to undergo cupping therapy. I understand the nature of the procedure, its potential benefits, and risks.
Consent
I hereby give my consent to Dr. Jessica Propes and Dr. Leah Le at Well Adjusted Athens to perform cupping therapy as part of my treatment at Orange Theory.