When might written consent be required for OMM?

• A. Always required
• B. If the procedure is extensive
• C. Never required
• D. For minor procedures only

Answer: (B)

The main concept is that written consent is typically needed when the procedure is extensive or carries more risk, not for every OMM encounter. For simple, noninvasive manipulations, verbal consent often suffices, but as the scope or invasiveness of the manipulation increases, a written record helps ensure the patient understands the risks, benefits, and alternatives and provides legal documentation of that understanding. This protects patient autonomy and supports ethical and legal practice. The other options aren’t correct because consent isn’t always required in written form, it isn’t never required, and it isn’t only for minor procedures—the need for written consent grows with the extent and risk of the procedure.