Forms

Dry Needling Verification Form

Dry Needling Attestation Form

Sample Consent Form Template

“Dry needling” - Means a skilled technique performed by a PT using a single-use, single-insertion, sterile filiform needle, which is used to penetrate the skin or underlying tissue to effect change in body conditions, pain, movement, impairment and disability.

Does not include:

• The stimulation of an auricular point;
• The stimulation of sinus points or other nonlocal points to treat underlying organs;
• Needle retention; or
• The teaching or application of acupuncture.

Required Courses

Before performing dry needling, a PT must submit to the Board written proof of successful completion of at least 150 hours of didactic education and training in dry needling which meets the requirements set forth in this section.

The courses taken to satisfy the didactic education and training requirements must:

Be approved by the Commission on Accreditation in Physical Therapy Education, or its successor organization, the American Physical Therapy Association, or its successor organization, or the Nevada Physical Therapy Board.

Include instruction concerning:

• The use of sterile needles in accordance with standards prescribed by the Centers for Disease Control and Prevention of the United States Department of Health and Human Services or the Occupational Safety and Health Administration of the United States Department of Labor;
• The aspects of human anatomy relevant to dry needling;
• Control of blood-borne pathogens; and
• Circumstances under which performing dry needling on a patient may or may not be appropriate;

Be provided as part of a graduate-level program of study approved by the Board; and

Include at least twenty-five (25) hours of the didactic instruction and training provided through a postgraduate course of study that requires the successful completion of a written examination and a practical examination. Each part of the course, including, without limitation, each examination, must be completed in person.

Informed Consent

Before performing dry needling, a PT must obtain a signed form which provides informed consent from the patient. Such a form must include, without limitation:

• The definition of “dry needling” set forth in section 2 of Senate Bill No. 186, chapter 277, Statutes of Nevada 2019, at page 1585; See above.
• A description of the particular treatment that will be provided and the risks and benefits of the treatment; and
• The signature of the patient.

Performing Dry Needling

A PT who performs dry needling:

• Shall use only single-use, single-insertion sterile needles;
• Shall not insert the same needle:
• • More than one time in a person; or
  • In more than one person;
• Shall not retain a needle in the body of a patient after completing a procedure; 
• Shall dispose of each needle after completing a procedure;
• Shall not delegate dry needling to a PTA, SPT, aide or other person who is not authorized to perform dry needling; and
• Shall ensure that the informed consent form is maintained as part of the health care records of the patient pursuant to NRS 629.051.

Reference

Adopted Regulation R054-19