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Informed Consent - Breast

Adult  |  Child/Young Person

Please note: The Medical Board of Australia has published Guidelines: Sexual boundaries in the doctor-patient relationship. These guidelines, which came into effect on 12 December 2018, provide guidance on establishing and maintaining sexual boundaries in the doctor-patient relationship. To support hospitals/individual health practitioners/patients to comply with these guidelines, our Informed Consent forms and Patient Information sheets for procedures requiring intimate examinations, have been updated in the relevant surgical areas, indicated below by an (*).

Two separate additional student consent forms (adult and child/young person), indicated below by an (**), are to be used for patients to complete if the procedure is yet to occur and prior consent has been undertaken on the previous version of informed consent forms, or if the procedure consent form does not have a student section included.

Title File SizeVersion
A Additional Student Consent **

2.7 MB

2

Anaesthetic Patient Information Sheets  
Blood transfusion consent and refusal forms are now located under Blood specialty.  
Breast - Abscess/Haematoma Procedure *

431 KB

7
Breast - Fibroadenoma/Cyst Procedure *

437 KB

6

Breast - Fine Needle Aspiration *

428 KB

6

Breast - Inverted Nipple Repair *

430 KB

6

Breast Microdochotomy/Microdochectomy *

570 KB

6

Breast Surgery - Wide Local Excision *

465 KB

6

Breast Surgery - Wide Local Excision +/- Sentinel Lymph Node Biopsy *

481 KB

4

Breast Tissue Biopsy *

430 KB

6

Central Breast Tissue Biopsy *

423 KB

6

Generic Consent - Adult
This form is now located under Miscellaneous speciality.
 
Insertion of Breast Implant/Tissue Expander3.5 MB1
Mastectomy *

455 KB

7

Nonpalpable Breast Lump Localisation *

437 KB

7

Reduction Mammoplasty *440 KB5
Subcutaneous Mastectomy *437 KB7

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Child/Young Person  |  Adult

Title File SizeVersion
A Additional Student Consent - Child/Young Person **

2.5 MB

2

About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics speciality. 
  
Blood transfusion consent and refusal forms are now located under Blood specialty.  
Generic Consent - Child/Young Person
This form is now located under Miscellaneous speciality. 
  
   

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Last updated: 30 March 2021