Oliver Acupuncture

Oliver Acupuncture Consent

245 S. 84th Street Suite L100 | Lincoln, NE 68510

This disclosure is to advise of my credentials, the scope of practice of Acupuncture in the state of Nebraska, and to document your consent for services.

Liana Oliver, L.A.c | I hold my Master’s of Science in Acupuncture and Oriental Medicine from East West College of Natural Medicine in Sarasota, FL. I am nationally board certified by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) and I’m a designated Diplomat of Oriental Medicine (Dipl. O.M.) since 2016. I’ve been a Licensed Acupuncturist (L.A.c) in the state of Nebraska, holding license 58, since April, 2017.

Scope of Practice:

  • Acupuncture: The use of pre-sterilized, disposable acupuncture needles or lancets to directly or indirectly stimulate acupuncture points and meridians.

  • Electrical Stimulation (E-stim): Use of a very small amount of electricity to stimulate Acupuncture points, typically used to reduce pain.

  • Moxibustion: A dried herb (Mugwort) ground and rolled into a stick that burns similar to incense and are used to heat Acupuncture needles.

  • Acupressure: Manually stimulate an Acupuncture point.

  • Cupping: Glass cups or plastic cups that are placed on skin to create a suction.

  • Infrared Heat: Applying heat generated by a “heat lamp.”

  • Dietary Advice based on Eastern Medicine: Suggestions for herbal formulas and nutrition.

  • Liniments, Oils, and Plasters: Herbal formulas applied topically to the skin.

I recognize the potential benefits and risks of these procedures which include but are not limited to:

  • Potential Benefits: Drugless relief of presenting symptoms and improved balance of body energies that may lead to the prevention, improvement or elimination of presenting problem.

  • Potential Risks: Some pain following treatment in insertion area, minor bruising, a burn, blistering, bleeding, infection, numbness or tingling at or near the site of the procedure, temporary discoloration of the skin, broken needle, needles sickness, possible aggravation of symptoms existing prior to the acupuncture treatment, and dizziness or fainting. Unusual risks of acupuncture include spontaneous miscarriage, nerve damage, and organ puncture, including lunch puncture (pnemothorax).

Patients with bleeding disorders or pacemakers as well as pregnant patients should inform the PRACTITIONER prior to RECEIVING treatment.

I acknowledge that it is my responsibility to seek advice of a medical doctor or other primary healthcare provider as I see fit to ensure that in the event of serious illness, I do not unknowingly delay necessary medical treatment. I declare to have received a medical diagnosis and evaluation by a practitioner licensed to practice medicine and surgery or osteopathic medicine and surgery within the past 90 days.

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The undersigned does herby acknowledge that he or she has received a copy of this office's Notice of Privacy Practices Pursuant to HIPPA and has been advised that a full copy of this office's HIPPA Compliance Manual is available upon request. The undersign does herby consent to the use of his or her health information in a manner consistent with the Notice of Privacy Pursuant to HIPPA, the HIPPA Compliance Manual, State and Federal Law.