Skip links and keyboard navigation

Informed Consent - Obstetrics & 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
AA Additional Student Consent ** 2.7 MB 2
 Abdominal Sacrocolpopexy *      6.28 MB 3
 Amniocentesis/Chorionic Villus Sampling Consent *                                   3.2 MB 7
 Anaesthetic Patient Information Sheets  
BBlood transfusion consent and refusal forms are now located under Blood specialty.  
CCaesarean Section * 4.3 MB 8
 Cauterisation of the Cervix * 3.4 MB 7
 Cone Biopsy of the Cervix * 3.4 MB 8
DDiagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C) * 3.4 MB 8
 Dilatation & Curettage (D&C)/Suction Evacuation * 3.4 MB 6
EEndometrial Resection/Ablation * 3.4 MB 7
FFemale Sterilisation * 3.64 MB 8
G Generic Consent - Adult
This form is now located under Miscellaneous specialty.
  
HHysterectomy (vaginal, laparoscopic, abdominal) * 3.4 MB 7
IIron Infusion 691 KB 1
 Insertion of Progesterone Releasing Intra-Uterine Device * 3.9 MB 7
LLaparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions* 3.6 MB 9
 Laparoscopy * 3.5 MB 7
 Laparotomy * 684 KB 6
 Large Loop Excision of Transformation Zone (LLETZ) of the Cervix * 3.84 MB 7
MMisoprostol Information & Consent Form 2.36 MB 3
 Myomectomy (Abdominal/Laparoscopic/Hysteroscopic) * 3.7 MB 2
OOvarian Cystectomy/Oophorectomy +/- Salpingectomy* 3.45 MB 7
 Obstetric Ultrasound * 488 KB 4
PPerinatal and Fetal Autopsy Consent 2.5 MB 3
 Pubovaginal (Fascial) Sling for Stress Urinary Incontinence and Cystoscopy Consent * 795 KB 1
RRetropubic Bladder Neck Suspension and Cystoscopy Consent * 4.6 MB 6
 Retropubic Route (RPR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy * 3.8 MB 3
 Removal of Ectopic Pregnancy by Laparoscopy/Laparotomy * 3.45 MB 7
 Removal of Pelvic Mesh * 3.14 MB 2
TTermination of Pregnancy - Surgical Consent 2.47 MB 8
 Termination of Pregnancy - Medical Consent 2.47 MB 8
 Transobturator Route (TOR) Insertion of Mid-urethral Sling for Stress Urinary Incontinence and Cystoscopy * 3.8 MB 3
 Transvaginal Ultrasound * 3.6 MB 3
 Treatment for Colposcopically Diagnosed Abnormalities * 3.4 MB 6
 Treatment of Bartholin's Cyst and/or Abscess Consent * 3.0 MB 5
VVaginal Repair +/-  Sacrospinous Fixation * 6.2 MB 5

Go to Toptop of page

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.                                   
  
 Amniocentesis/Chorionic Villus Sampling Consent *                              3.2 MB 7
BBlood transfusion consent and refusal forms are now located under Blood specialty.  
CCaesarean Section * 4.3 MB 8
 Cauterisation of the Cervix * 3.4 MB 7
 Cone Biopsy of the Cervix * 3.4 MB 7
DDiagnostic/Operative Hysteroscopy Dilatation & Curettage (D & C) * 3.4 MB 8
 Dilatation & Curettage (D&C)/Suction Evacuation * 3.4 MB 6
FFemale Sterilisation * 3.64 MB 8
G Generic Consent - Child/Young Person
This form is now located under Miscellaneous specialty.
  
HHysterectomy (vaginal, laparoscopic, abdominal) * 3.4 MB 7
IInsertion of Progesterone Releasing Intra-Uterine Device * 3.9 MB 7
 Iron Infusion 691 KB 1
LLaparoscopic Excision/Ablation of Endomestriosis and/or Division of Adhesions * 3.6 MB 9
 Large Loop Excision of Transformation Zone (LLETZ) of the Cervix * 3.48 MB 7
OOvarian Cystectomy/Oophorectomy +/- Salpingectomy * 3.5 MB 7
PPerinatal and Fetal Autopsy Consent 2.5 MB 3
RRemoval of Ectopic Pregnancy by Laparoscopy/Laparotomy * 3.2 MB 8
TTransvaginal Ultrasound * 3.6 MB 3
 Treatment for Colposcopically Diagnosed Abnormalities * 3.4 MB 6
 Treatment of Bartholin's Cyst and/or Abscess Consent *3.0 MB5

Go to Toptop of page

Last updated: 7 June 2022