COVID-19 Patient Notice and Acknowledgment Forms

The ASA is recommending that our practitioners implement a COVID-19 Patient Notice and Acknowledgment Form. Every practice and health care facility, whether open or temporarily closed, should consider creating and implementing such a form.

The American Acupuncture Council has provided us with sample documentation. Please note that the AAC form is a sample document and not required for their subscribers.

For CM&F subscribers, please contact them directly and/or visit their carrier partner, MedPro’s COVID-19 page. If you contract with a different malpractice insurance carrier, please contact them directly.

Patient Consent (AAC)

Contact CM&F

Visit MedPro