A chiropractor registered to perform dry needling shall: Fully explain dry needling to the patient in advance of treatment; Obtain informed written consent specific to dry needling, which shall be included in the patient’s medical record; Perform dry needling in a competent manner consistent with patient health and safety; and Document the provision and the specific location of the dry needling service in accordance with the requirements of COMAR 10.43.14.03. A chiropractor who performs dry needling in a manner inconsistent with the standards of practice enumerated in this regulation may be subject to discipline pursuant to COMAR 10.43.15.06. Dry needling is not within the scope of practice for: A registered chiropractic assistant; A chiropractic assistant trainee; A preceptor; or An extern.