A physical therapist shall: Fully explain dry needling to the patient in advance of treatment; and Obtain written informed consent specific to dry needling that shall be included in the patient’s medical record. A physical therapist shall perform dry needling in a manner consistent with standards set forth in the Maryland Occupational Safety and Health Act, Labor and Employment Article, Title 5, Annotated Code of Maryland. A physical therapist shall document the provision of dry needling services in accordance with the documentation requirements of COMAR 10.38.03.02-1. A physical therapist who practices dry needling in a manner inconsistent with the standards of practice enumerated in this regulation shall be subject to discipline pursuant to COMAR 10.38.10.04A(14). Dry needling is not within the scope of practice of limited physical therapy and shall only be performed by a licensed physical therapist.