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Informed Consent - Ear, Nose & Throat

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

IndexTitle File SizeVersion
AA Additional Student Consent ** 2.7 MB 2
 Anaesthetic Patient Information Sheets  
 Adenoidectomy & Cautery of Inferior Turbinates 137 KB 5
 Adenoidectomy & Insertion of Grommets 136 KB 5
 Adenoidectomy 132 KB 5
 Adenotonsillectomy & Cautery of Inferior Turbinates 135 KB 5
 Adenotonsillectomy & Insertion of Grommets 138 KB 6
 Adenotonsillectomy, Insertion of Grommets & Cautery of Inferior Turbinates 154 KB 6
 Adenotonsillectomy 132 KB 5
BBlood transfusion consent and refusal forms are now located under Blood specialty.  
CCautery or Partial Resection of Inferior Turbinates 208 KB 5
 Cautery/Diathermy Septum 129 KB 5
 Cochlear Implant 636 KB 1
DDivision of Tongue Tie 132 KB 5
IndexTitle File SizeVersion
EEndoscopic Sinus Surgery 130 KB 5
 Examination under Anaesthetic of Ears &/- Removal of Grommets 129 KB 6
 Examination under Anaesthetic of Nose & Excision of Nasal Lesion 122 KB 5
 Excision of Submandibular Gland 2.47 MB 7
G

Generic Consent - Adult *
This form is now located under Miscellaneous speciality.

  
IndexTitle File SizeVersion
IInsertion of Grommets                                                                 128 KB 6
LLaryngoscopy/Microlaryngoscopy 130 KB 5
IndexTitle File SizeVersion
MMastoidectomy &/or Tympanoplasty                                                                 130 KB 1
 Meatoplasty 132 KB 6
 Myringoplasty 129 KB 6
OOesophagoscopy 130 KB 4
 Otoplasty 128 KB 5
PPanendoscopy 129 KB 4
IndexTitle File SizeVersion
RReduction of Fractured Nose                                                                1.31 MB 6
 Reduction of Fractured Zygoma 122 KB 5
 Removal of Exostoses 121 KB 6
 Rigid Oesophagoscopy 131 KB 5
SSeptoplasty Reduction of Inferior Turbinates 130 KB 6
 Septoplasty/Rhinoplasty 122 KB 4
 Stapedectomy 120 KB 6
TTonsillectomy 120 KB 5
 Tympanoplasty 122 KB 6
 Tympanoplasty with Cortical Mastoidectomy 123 KB 6

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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.  
Cochlear Implant 639 KB 1
Division of Tongue Tie 198 KB 4
Generic Consent - Child/Young Person *
This form is now located under Miscellaneous speciality.                                           
  
Myringoplasty 213 KB 2
Tonsillectomy 243 KB 2

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Last updated: 17 May 2021