Informed Consent - Gynaecology

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.

IndexTitle File SizeVersion
AAbdominal Sacrocolpopexy Consent * 6.28 MB 3
 A Additional Student Consent **2.7 MB2
BBlood transfusion consent and refusal forms are now located under Blood specialty.  
CCauterisation of the Cervix Consent * 3.4 MB 7
 Cone Biopsy of the Cervix Consent * 3.4 MB 8
DDiagnostic/Operative Hysteroscopy Dilatation & Curettage Consent * 3.4 MB 8
 Dilatation & Curettage (D&C)/Suction Evacuation Consent * 3.4 MB 6
EEndometrial Resection/Ablation Consent * 3.4 MB 7
GFemale Sterilisation Consent * 3.64 MB 8
HHysterectomy (vaginal, laparoscopic, abdominal) Consent * 3.4 MB 7
IInsertion of Progesterone Releasing Intra-Uterine Device Consent * 3.9 MB 7
 Iron Infusion Consent
This form is now located on the Miscellaneous and Medicine speciality page 		  
LLaparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions Consent* 3.6 MB 9
 Laparoscopy Consent * 3.5 MB 7
 Laparotomy Consent * 684 KB 6
 Large Loop Excision of Transformation Zone (LLETZ) of the Cervix Consent * 3.87 MB 7
MMyomectomy (Abdominal/Laparoscopic/Hysteroscopic) Consent 3.7 MB 2
OOvarian Cystectomy/Oophorectomy +/- Salpingectomy Consent* 3.45 MB 7
PPubovaginal (Fascial) Sling for Stress Urinary Incontinence and Cystoscopy Consent * 795 KB 1
RRemoval of Pelvic Mesh Consent * 3.14 MB 2
 Retropubic Bladder Neck Suspension and Cystoscopy Consent * 4.6 MB 6
 Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent * 3.8 MB 3
TTermination of Pregnancy Consent * 2.7 MB 2
 Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol) Consent * 2.7 MB 2
 Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy Consent * 3.8 MB 3
 Transvaginal Ultrasound Consent * 3.6 MB 3
 Treatment for Colposcopically Diagnosed Abnormalities Consent * 3.4 MB 6
 Treatment of Bartholin's Cyst and/or Abscess Consent *3.0 MB5
VVaginal Repair +/-  Sacrospinous Fixation Consent * 6.2 MB 5

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Child/Young Person | Adult

IndexTitle File SizeVersion
AA Additional Student Consent - Child/Young Person  ** 2.5 MB 2
  About Your Child's Anaesthetic
This patient information sheet is now located under Anaesthetics specialty.                                    		  
 Anaesthetic Patient Information Sheets  
B Blood transfusion consent and refusal forms are now located under Blood specialty.   
CCauterisation of the Cervix Consent * 3.4 MB 7
 Cone Biopsy of the Cervix Consent * 3.4 MB 8
DDiagnostic/Operative Hysteroscopy Dilatation & Curettage Consent * 3.4 MB 8
 Dilatation & Curettage (D&C)/Suction Evacuation Consent * 3.4 MB 6
FFemale Sterilisation Consent * 3.64 MB 8
G Generic Consent - Child/Young Person
This form is now located under Miscellaneous specialty. 		  
HHysterectomy (vaginal, laparoscopic, abdominal) Consent * 3.4 MB 7
IInsertion of Progesterone Releasing Intra-Uterine Device Consent * 3.9 MB 7
 Iron Infusion Consent
This form is now located on the Miscellaneous and Medicine speciality page 		  
LLaparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions Consent3.6 MB9
 Large Loop Excision of Transformation Zone (LLETZ) of the Cervix Consent *3.87 MB7
OOvarian Cystectomy/Oophorectomy +/- Salpingectomy Consent* 3.45 MB 7
TTermination of Pregnancy Consent * 2.7 MB 2
 Termination of Pregnancy - MS-2 Step (Mifepristone and Misoprostol) Consent * 2.7 MB 2
 Transvaginal Ultrasound Consent * 3.6 MB 3
 Treatment for Colposcopically Diagnosed Abnormalities Consent * 3.4 MB 6
 Treatment of Bartholin's Cyst and/or Abscess Consent * 3.0 MB 5

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Last updated: 5 April 2024