I absolutely believe that sitting down with a patient and going over the consent form (like the one in your foundation manual) is important and necessary. DN is an invasive procedure and the release captured when a patient first comes to PT and signs off at the front desk is not “informed consent” about DN because lets be honest, no one reads that. Sitting with the patient going over the risk -benefits and answering all questions allows the patient to make an informed decision. You are correct in different setting the requirements are different but in a patients mind there is no difference. There are few patients that expect a PT will be using a needle on them (compared to a Physician visit) so the short time required to explain it, is in my opinion, necessary and valuable. I am not an attorney so my view comes from a different place.