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Informed Consent - Cardiac

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.

Adult  |  Child/Young Person

A - D |  E - H |  I - L |  M - P |  Q - Z

TitleFile SizeVersion
A Additional Student Consent **

2.7 MB

2

Adenosine Stress Cardiac MRI Study

188 KB

 
Alcohol Septal Ablation

87 KB

2

Anaesthetic Patient Information Sheets  
Aortic Surgery

277 KB

6

Atrial Fibrillation (AF) Ablation

116 KB

2

Atrial Septal Defect Repair

131 KB

3

Blood transfusion consent and refusal forms are now located under Blood specialty.  
Cardiac Biopsy (Femoral Vein Approach)

115 KB

3

Cardiac Biopsy (Internal Jugular Vein Approach)

141 KB

4

Cardiac Catheter Ablation

116 KB

2

Cardiopulmonary Exercise Stress Test

114 KB

4

Cardioversion

175 KB

2

Coronary Angiogram

368 KB

5

Coronary Angiogram &/or Angioplasty & Stenting

346 KB

2

Coronary Angioplasty & Stenting

656 KB

6

Coronary Artery Bypass Graft &/or Valve Surgery

317 KB

2

Electrophysiology Study (EPS)

115 KB

4

Exercise Stress Test

336 KB

5

Generic Consent - Cardiac

215 KB

7

Heart Transplant

78 KB

3

Implantable Cardiac Defibrillator (ICD)

252 KB

6

Iron Infusion 691 KB1
Myocardial Perfusion Scan

86 KB

2

Pacemaker

345 KB

6

Patent Ductus Arteriosus Repair

131 KB

3

Patent Foramen Ovale Repair

479 KB

4

Percutaneous Aortic Balloon Valvuloplasty

119 KB

4

Percutaneous Mitral Balloon Valvuloplasty

118 KB

4

Right Heart Catheter (Femoral Vein Approach)

116 KB

3

Right Heart Catheter (Internal Jugular Vein Approach)

139 KB

5

Removal of Cardiac Device

115 KB

2

Stress Echocardiogram

341 KB

4

Tilt Test

83 KB

2

Transcatheter Aortic Valve Implant (Transfemoral Approach) 1.01 MB1
Transoesophageal Echocardiogram (TOE)

85 KB

4

Ventricular Assist Device (VAD)

86 KB

1

Ventricular Septal Defect Repair

131 KB

3

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Child/Young Person | Adult

TitleFile 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.
  
Atrial Septal Defect

176 KB

3

Atrioseptostomy 3.08 MB2
Blood transfusion consent and refusal forms are now located under Blood specialty.  
Cardiac Catheterisation153 KB3
Exercise Stress Test

211 KB

2

Generic Consent - Cardiac - Child/Young Person

231 KB

4

Iron Infusion691 KB1
Patent Ductus Arteriosus

163 KB

3

Tetralogy of Fallot

162 KB

3

Ventricular Septal Defect

183 KB

3

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Last updated: 7 June 2022