Informed Consent - Medical Imaging
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.
| Medical Imaging Posters
> Radiation and medical imaging - understanding the risks > X-rays and scans - understanding the risks |
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | Y | Z
Index | Procedure List | File Size |
A | A Additional Student Consent ** | 2.7MB |
114 KB | ||
Adrenal Vein Sampling | 127 KB | |
Amniocentesis/Chorionic Villus Sampling * | 3.2 MB | |
Anaesthetic | 66 KB | |
Anorectal Physiology and Endoanal Ultrasound * | 5.06 MB | |
Angiogram | 149 KB | |
Angiogram &/-Plasty / Stenting | 209 KB | |
Angioplasty | 209 KB | |
Antenatal Ultrasound Guided Procedure | 37 KB | |
Arterial Stent | 209 KB | |
Arteriogram | 149 KB | |
Arthrogram | 165 KB | |
Aspiration | 148 KB | |
Aspiration - Breast * | 80 KB | |
Aspiration - Chest | 162 KB |
Index | Procedure List | File Size |
B | ||
Barium Enema | 40 KB | |
86 KB | ||
86 KB | ||
Biliscopin | 100 KB | |
Biopsy - Chest | 152 KB | |
Biopsy - Other | 149 KB | |
Biopsy - Superficial * | 137 KB | |
Biopsy - TRUS | 108 KB | |
Blood transfusion consent and refusal forms are now located under Blood specialty. | ||
Bone Biopsy | 135 KB | |
Breast Aspiration * | 669 KB | |
Breast Biopsy * | 112 KB |
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Index | Procedure List | File Size |
D | 40 KB | |
278 KB | ||
Discogram | 85 KB | |
Dobutamine Stress Study MRI | 148 KB | |
Drainage | 148 KB |
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Index | Procedure List | File Size |
E | 140 KB | |
102 KB | ||
Embolisation - Other | 146 KB | |
Embolisation Uterine Artery (EUA) | 112 KB | |
Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic Stroke | 6.5 MB | |
Enteroclysis | 33 KB | |
Enema | 40 KB | |
Epidural Injection | 131 KB |
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Index | Procedure List | File Size |
F | 131 KB | |
76 KB | ||
Fetal Ultrasound - Obstetric | 73 KB | |
Fine Needle Aspiration (FNA) | 149 KB | |
Fistulogram (AV) | 103 KB | |
Fistulogram / Sinogram * | 356 KB |
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Index | Procedure List | File Size |
G | 40 KB | |
Gastrostomy Check | 127 KB | |
Gastrografin Enema * | 41 KB | |
Generic Medical Imaging Consent | 224 KB | |
Generic Nuclear Medicine Consent | 75 KB | |
3.2 MB | ||
Groin Biopsy * | 112 KB |
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Index | Procedure List | File Size |
H | 119 KB | |
Hickman Catheter Check | 64 KB | |
HyCoSy * | 101 KB | |
Hydrodilatation | 141 KB | |
Hysterosalpingogram (HSG) * | 556 KB |
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Index | Procedure List | File Size |
I | 143 KB | |
Interventional Procedure - Any Interventional Procedure Requiring Consent | 72 KB | |
Intrathecal Chemotherapy Lumbar Puncture | 109 KB | |
Intrauterine Blood Transfusion | 37 KB | |
Intravenous Pyelogram (IVP) | 66 KB | |
Iodinated Contrast | 48 KB | |
Iodinated Contrast (Renal Impaired Patients ONLY) | 116 KB | |
Iodine-131 Therapy for Hyperthyroidism | 101 KB | |
IVC Filter Removal | 109 KB | |
IVC Filter Insertion | 128 KB |
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Index | Procedure List | File Size |
J | 141 KB |
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Index | Procedure List | File Size |
L | Liver Biopsy | 102 KB |
Liver Biopsy Under Imaging | 149 KB | |
Liver Biopsy - Transjugular | 111 KB | |
Lumbar Puncture (LP) | 131 KB | |
Lumbar Puncture for Intrathecal Chemotherapy | 109 KB | |
152 KB |
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Index | Procedure List | File Size |
M | Mammary Ductogram * | 603 KB |
Medical Imaging Generic Consent | 72 KB | |
Micturating CystoUrethrogram (MCU) | 40 KB | |
MRI Cardiac Stress Perfusion | 114 KB | |
MRI Contrast Injection | 41 KB | |
MRI Contrast Injection (Renal Impaired Patients ONLY) | 83 KB | |
MRI Dobutamine Stress Study | 148 KB | |
MRI Scan | 57 KB | |
146 KB | ||
Myocardial Perfusion Scan | 86 KB |
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Index | Procedure List | File Size |
N | Nasogastric Tube Check | 41 KB |
Nephrostogram | 65 KB | |
Nephrostomy | 168 KB | |
Nerve Root Injection | 131 KB | |
Nuchal Translucency Ultrasound * | 438 KB | |
Nuclear Medicine Generic Consent | 75 KB |
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Index | Procedure List | File Size |
O | ||
488 KB |
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Index | Procedure List | File Size |
P | Pain Block | 131 KB |
Parathyroid Sampling | 151 KB | |
PEG | 127 KB | |
PEG Check | 41 KB | |
Pelvic Ultrasound - Transvaginal | 38 KB | |
Percutaneous Transhepatic Cholangiogram (PTC) | 86 KB | |
Percutaneous Transluminal Angioplasty (PTA) | 209 KB | |
Peripherally Inserted Central Catheter (PICC) | 119 KB | |
Peripheral Thrombolysis | 126 KB | |
Permacath Insertion | 119 KB | |
Petrosal Sinus Sampling | 151 KB | |
Phosphorus-32 Therapy | 82 KB | |
Pleural Tap | 162 KB | |
Portacath Insertion | 119 KB | |
Portacathogram | 64 KB | |
108 KB |
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Index | Procedure List | File Size |
R | ||
Radiation and Medical Imaging | 33 KB | |
Radio Frequency Ablation (RFA) | 186 KB | |
Renal Biopsy | 149 KB | |
130 KB |
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Index | Procedure List | File Size |
S | Saline Sonogram * | 101 KB |
Samarium-153 EDTMP Bone Therapy | 81 KB | |
Selective Internal Radiation Therapy (SIRT) | 112 KB | |
Selective Termination | 37 KB | |
Sialogram | 45 KB | |
Sinogram / Fistulogram * | 32 KB | |
Small Bowel Series / Follow Through | 46 KB | |
Small Bowel Enema | 33 KB | |
Spinal Injection | 131 KB | |
Stontium-89 Bone Therapy | 81 KB | |
Superficial Biopsy | 402 KB | |
46 KB |
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Index | Procedure List | File Size |
T | Thoracentesis (Pleural Tap) | 162 KB |
Thrombolysis - Cerebral This form is now superseded by Endovascular Thrombectomy and/or Thrombolysis for Acute Ischaemic | 6.5 MB | |
Thrombolysis - Peripheral (Catheter Directed) | 126 KB | |
Thyroid Biopsy | 112 KB | |
Transcatheter Arterial ChemoEmbolisation (TACE) | 113 KB | |
Transjugular Intrahepatic Portcaval Shunt (TIPS) | 112 KB | |
Transjugular Liver Biopsy | 111 KB | |
Transvaginal Ultrasound | 3.6 MB | |
Trans Rectal Ultrasound (TRUS) Biopsy | 108 KB | |
T Tube Cholangiogram | 41 KB |
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Index | Procedure List | File Size |
U | ||
Ultrasound Scan * | 496 KB | |
Ultrasound Scan - Nuchal Translucency | 76 KB | |
Ultrasound Scan - Obstetric | 73 KB | |
Ureteric Stent | 168 KB | |
Urethrogram * | 335 KB |
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Index | Procedure List | File Size |
V | Vascath Insertion | 119 KB |
Vasospasm (Cerebral) Treatment | 135 KB | |
Venogram | 103 KB | |
Vertebroplasty | 86 KB | |
V/Q Scan in Pregnancy | 82 KB |
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Index | Procedure List | File Size |
Y | Yttrium-90 Colloid Therapy for Joint Pain and Swelling | 89 KB |
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