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 Adenoidectomy & Cautery of Inferior Turbinates is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenoidectomy & Insertion of Grommets is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenoidectomy is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenotonsillectomy & Cautery of Inferior Turbinates is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenotonsillectomy & Insertion of Grommets is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenotonsillectomy, Insertion of Grommets & Cautery of Inferior Turbinates is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
 Adenotonsillectomy is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  
BBlood transfusion consent and refusal forms are now located under Blood specialty.  
CCautery or Partial Resection of Inferior Turbinates is superseded by Rhinology Procedural  
 Cautery/Diathermy Septum is superseded by Rhinology Procedural  
 Cochlear Implant Consent 657 KB 2
DDivision of Tongue Tie 132 KB 5
IndexTitle File SizeVersion
EEndoscopic Sinus Surgery is superseded by Rhinology Procedural  
 Examination under Anaesthetic of Ears &/- Removal of Grommets 129 KB 6
 Examination under Anaesthetic of Nose & Excision of Nasal Lesion is superseded by Rhinology Procedural  
 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
 Rhinology Procedural638 KB1
 Rigid Oesophagoscopy 131 KB 5
SSeptoplasty Reduction of Inferior Turbinates is superseded by Rhinology Procedural  
 Septorhinoplasty 122 KB 5
 Stapedectomy 120 KB 6
TTonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy 500 KB 1
 Tonsillectomy500 KB1
 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 Consent 661 KB 2
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/Intracapsular Tonsil Reduction/Adenoidectomy 500 KB 1
Tonsillectomy is superseded by Tonsillectomy/Intracapsular Tonsil Reduction/Adenoidectomy  

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Last updated: 6 September 2023